KMID : 0384320120330030157
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Korean Journal of Family Medicine 2012 Volume.33 No. 3 p.157 ~ p.165
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Effects of Brief Advice from Family Physicians on the Readiness to Change of Korean Male At-risk Drinkers
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Kwon Bo-Ra
Kim Jong-Sung Kim Sung-Soo Jung Jin-Gyu Kim Min-Yeong Song In-Gyu Youn Kwang-Mi
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Abstract
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Background: This study examined the effects of the method of delivery of brief advice on the readiness to change in at-risk drinkers.
Methods: The participants were 103 at-risk male drinkers who visited Chungnam National University Hospital for general health examinations. Baseline data on drinking behavior, readiness to change drinking behavior, and sociodemographic characteristics were obtained from a questionnaire. Family physicians gave two minutes of advice by telephone or inperson. The brief advice comprised a simple statement that the patient¡¯s drinking exceeded the recommended limits and could lead to alcohol-related problems. It also included advice to moderate one¡¯s drinking. One month later, the readiness to change was assessed again by telephone. The improvement in the readiness to change according to each method of delivery was investigated.
Results: Initially, among the 58-patient in-person advice group, 12 patients were in the precontemplation stage, 38 in the contemplation stage, and 8 in the action stage. One month after the advice was given to the patients, the distribution had changed signifi cantly (P < 0.001) to 1, 21, and 36 patients, respectively. Among the 45-patient telephone advice group, 7 patients were in the precontemplation stage, 32 patients were in the contemplation stage, and 6 patients were in the action stage before the advice. The distribution had changed signifi cantly (P < 0.001) to 1, 17, and 27 patients, respectively, 1 month after the advice.
Conclusion: These results suggest that brief advice by family physicians is effective in improving the readiness to change of at-risk drinkers, regardless of the delivery method.
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KEYWORD
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Drinking, Counseling, Physicians, Telephone, Attitude
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