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KMID : 1039620130030020199
Korean Journal of Family Practice
2013 Volume.3 No. 2 p.199 ~ p.205
Motivation Change of At-risk Drinkers 1 Year after Brief Telephone Counseling
Ryu Jung-Sun

Kim Jong-Sung
Kim Sung-Soo
Jung Jin-Gyu
Yoon Seok-Joon
Kwon Bo-Ra
Chang Dong-Min
Abstract
Background: Many studies suggested that telephone advice has a positive effect on patients’ health habits such as those related to smoking and chronic disease. This study examined the effects of telephone advice on the readiness to change drinking habits in at-risk drinkers.

Methods: Family physicians gave 2 minutes of advice to 64 male at-risk drinkers by telephone (n=26) or in-person (n=38). Their readiness to change was assessed at 6 and 12 months after the advice by a readiness-to-change questionnaire. The improvement in subjects’ readiness to change according to the delivery style was investigated. To assess the effects of telephone advice on readiness to change compared with in-person advice, logistic regression analysis was performed with adjustment for confounding factors such as age, living with spouse, occupation, income, education, religion,
drinking habit, family function, and stress.

Results: The readiness to change of 64 participants consisted of 11 precontemplators (17.2%), 42 contemplators (65.6%), and 11 actions before the advice (17.2%). The fi gure changed signifi cantly (P<0.001) to 1 (1.6%), 10 (15.6%), 53 (82.8%), at 6 month, and 3 (4.7%), 14 (21.9%), 47 (73.4%) at 12 month after the advice, respectively. There was no statistically signifi cant difference between the telephone advice group and in-person advice group at 6 months (odds ratio [OR], 1.411; 95% confi dence interval [CI], 0.472 to 4.221) or 12 month later (OR, 0.629; 95% CI, 0.223 to 1.773).

Conclusion: The above results suggest that telephone advice by family physicians is an effective tool in motivating atients
to change their drinking behavior.
KEYWORD
Motivation, Telephone, Counseling
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