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KMID : 0915820010020010053
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Journal of Korean Alcohol Science
2001 Volume.2 No. 1 p.53 ~ p.66
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A Study on the Relationship between Stage of Change and Strategies of Change in Korean Problem Drinkers
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Yoo Chai-Young
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Abstract
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Motivation is thought to play an important role in making the decision to change one’s alcohol use and/or in seeking help. But previous studies do not seem to have adequately investigated the relationship of the motivation for change to change strategies. Most studies have tended to conceptualize motivation as a character trait of the individual or as compliance with treatment requirements rather than motivation as the individual’s problem awareness and readiness to change. This study addressed the readiness to change as motivation and examined the relationship between the readiness to change and the change strategies.
This study categorized problem drinkers according into 3 stages of readiness to change : precontemplation stage, contemplation stage, and action stage. The precontemplator gains awareness of the problem, but has not yet committed to change. The actor initiates behavior change with or without the assistance of external intervention. Data was collected through interviews of 262 male problem drinkers from 31 agencies and 7 self-help groups. Multivariate analysis of variance were employed to analyze data. Major findings of this study are as follows.
This study have been able to identify 6 strategies of change based on principal components analysis, including consciousness raising, seeking information, negative risk management, positive risk management, daily life management, helping relationship.
During the action stage, individuals used the behavioral strategies significantly more than people in any of the other stages. Contemplators used more cognitive affective strategies than precontemplators, too. These suggest that different change strategies could be emphasized at different stages of the motivation for change.
This study stresses the importance and necessity of interacting with clients ’where they are’ and assisting them in a process to increase the motivation for change away from problem drinking.
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KEYWORD
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Problem Drinker, Motivation for Change, Readiness to Change, Change strategy, Cognitive Affective Strategy, Behavioral Strategy
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