O'Grady Megan A, Tross Susan, Cohall Alwyn, Wilson Patrick, Cohall Renee, Campos Stephanie, Lee Sin, Dolezal Curtis, Elkington Katherine S
Department of Public Health Sciences, University of Connecticut, School of Medicine, USA.
Department of Psychiatry, Columbia University and the New York State Psychiatric Institute, USA.
Addict Behav Rep. 2022 Sep 17;16:100456. doi: 10.1016/j.abrep.2022.100456. eCollection 2022 Dec.
Readiness to change is a key component of substance use behavioral change; yet little is known about readiness to change among justice-involved young adults. This study 1) describes readiness to change alcohol and drug use and 2) examines predictors of readiness to change alcohol and drug use among justice-involved young adults.
Justice-involved young adults (18-24 years; n = 137) who were positive on a validated alcohol and/or drug screening tool completed an interview assessing substance use, readiness to change, and reasons to quit. A multivariable linear regression model examined whether reasons to change and substance use severity, and interactions between these, predicted readiness.
More than half of participants were contemplating or had decided to quit/cut down substance use. Personal reasons to quit were positively related to readiness to change; interpersonal reasons were negatively associated.
This study contributes information needed to design motivational interventions for substance use among justice-involved young adults. Personal reasons to quit using drugs are a potential intervention target.
改变的意愿是物质使用行为改变的关键组成部分；然而，对于涉及司法系统的年轻人的改变意愿，我们知之甚少。本研究1）描述了改变酒精和药物使用的意愿，2）并研究了涉及司法系统的年轻人中改变酒精和药物使用意愿的预测因素。
在经过验证的酒精和/或药物筛查工具上呈阳性的涉及司法系统的年轻人（18-24岁；n = 137）完成了一项访谈，评估物质使用情况、改变意愿和戒烟原因。一个多变量线性回归模型检验了改变原因和物质使用严重程度以及它们之间的相互作用是否能预测改变意愿。
超过一半的参与者正在考虑或已决定戒烟/减少物质使用。个人戒烟原因与改变意愿呈正相关；人际原因则呈负相关。
本研究为设计针对涉及司法系统的年轻人物质使用的动机干预措施提供了所需信息。个人戒毒原因是一个潜在的干预目标。
