寻求美沙酮维持治疗的中国患者的动机特征。
Motivational profiles of clients seeking methadone maintenance therapy in China.
机构信息
Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California at Los Angeles, Los Angeles, CA 90024, USA.
出版信息
Drug Alcohol Depend. 2011 Nov 1;118(2-3):335-40. doi: 10.1016/j.drugalcdep.2011.04.014. Epub 2011 May 14.
OBJECTIVE
This study applied a stage-of-change model to examine the motivational profiles of clients seeking methadone maintenance therapy (MMT) in China.
METHODS
Face-to-face interviews were conducted with a total of 179 clients from six MMT clinics. The University of Rhode Island Change Assessment (URICA) scale was used to measure the participants' motivation and readiness to change. Cluster analysis was performed to classify the sample into subgroups with respect to their change dimensions.
RESULTS
The study sample was allocated into five distinct clusters: uninvolved, denial, pre-participation, ambivalent, and participation. Participants who were classified in the denial cluster were older than those in the pre-participation and participation clusters. A higher level of motivation to change was positively associated with continued heroin use and more severe drug problems.
DISCUSSION
It would be beneficial to evaluate motivational profiles of individual clients in the treatment planning process and provide tailored interventions for sustained treatment retention and outcomes.
目的
本研究采用阶段变化模型，考察了在中国寻求美沙酮维持治疗（MMT）的患者的动机特征。
方法
对来自六家美沙酮维持治疗诊所的 179 名患者进行了面对面访谈。采用罗德岛大学变化评估量表（URICA）测量参与者改变的动机和准备情况。采用聚类分析将样本分为不同的变化维度亚组。
结果
研究样本被分为五个不同的亚组：不参与、否认、参与前、矛盾和参与。被归类为否认组的参与者比参与前和参与组的参与者年龄更大。改变的动机水平越高，与继续使用海洛因和更严重的药物问题呈正相关。
讨论
在治疗计划过程中评估个体患者的动机特征，并提供针对性的干预措施，以维持治疗的保留和结果，这将是有益的。
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