Department of Community Medicine, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran.
BMC Public Health. 2024 Nov 14;24(1):3173. doi: 10.1186/s12889-024-20651-1.
Regarding the psychosocial aspect of treating those with substance use, it is crucial for them to exhibit a capacity for personal transformation, fully utilize their remaining capabilities, and eradicate societal discrimination. We aimed to assess the efficacy of educational instruction grounded in the theory of planned behavior (TPB) in enhancing adherence to medication regimens, fostering hope, and improving marital quality among people with substance use disorders.
This study was conducted at the Rapid Addiction Closure Center in Fasa city, Iran, involving a sample of 140 patients undergoing addiction treatment with methadone and buprenorphine in 2021-2022. Subjects were randomly allocated to intervention and control groups. The intervention group participated in 15 weekly educational sessions, each lasting 50 to 55 min, covering topics such as quitting strategies, social support, problem solving, communication skills, and coping mechanisms. Data were collected using demographic questionnaires, TPB construct questionnaires, Miller's Hope Survey, and the Revised Dyadic Adjustment Scale.
The study included 140 individuals receiving treatment for addiction. No differences were seen among the two groups in education, occupation, marital status, and living conditions before the intervention. However, six months later, the intervention group showed improvements in attitude, subjective norms, perceived behavioral control, behavioral intention, medication regimen adherence, hope, and marital quality compared to controls.
The results indicate that family-based educational interventions grounded in TPB are effective in improving medication regimen adherence, hope, and marital quality among patients with substance use disorders. Significant increases in attitude, subjective norms, perceived behavioral control, and behavioral intention positively impacted medication regimen adherence in these patients.
在治疗物质使用障碍患者的心理社会方面，他们表现出个人转变的能力、充分利用剩余能力以及消除社会歧视至关重要。我们旨在评估基于计划行为理论（TPB）的教育指导在提高药物治疗依从性、培养希望和改善物质使用障碍患者婚姻质量方面的效果。
本研究在伊朗法萨市快速成瘾关闭中心进行，涉及 2021-2022 年期间接受美沙酮和丁丙诺啡药物治疗的 140 名物质使用障碍患者。参与者被随机分配到干预组和对照组。干预组参加了 15 次每周的教育课程，每次持续 50-55 分钟，涵盖戒烟策略、社会支持、解决问题、沟通技巧和应对机制等主题。使用人口统计学问卷、TPB 结构问卷、米勒希望量表和修订后的对偶调整量表收集数据。
该研究包括 140 名接受成瘾治疗的个体。在干预前，两组在教育、职业、婚姻状况和生活条件方面没有差异。然而，六个月后，与对照组相比，干预组在态度、主观规范、感知行为控制、行为意向、药物治疗依从性、希望和婚姻质量方面有所改善。
结果表明，基于 TPB 的家庭为基础的教育干预在提高物质使用障碍患者的药物治疗依从性、希望和婚姻质量方面是有效的。态度、主观规范、感知行为控制和行为意向的显著增加对这些患者的药物治疗依从性产生了积极影响。
