KMID : 1039620130030020199
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Korean Journal of Family Practice 2013 Volume.3 No. 2 p.199 ~ p.205
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Motivation Change of At-risk Drinkers 1 Year after Brief Telephone Counseling
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Ryu Jung-Sun
Kim Jong-Sung Kim Sung-Soo Jung Jin-Gyu Yoon Seok-Joon Kwon Bo-Ra Chang Dong-Min
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Abstract
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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.
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KEYWORD
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Motivation, Telephone, Counseling
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