Factors influencing ‘stage of change’ among alcohol use disorder patients in rehabilitation centers in Kathmandu, Nepal

Abstract

INTRODUCTION: The ‘stages of change’ model defines behavior change as a process with a series of stages. Alcohol use disorder which includes ‘harmful use’ and ‘alcohol dependence’ is a serious public health concern. With the ever increasing prevalence of ‘alcohol use disorder’ there is an increasing need to better understand the complexities of behavior change among this group. METHODS: A cross- sectional survey was conducted in 8 alcohol and drug rehabilitation centers (residential treatment centers) of Kathmandu, Nepal, in September 2018, involving 225 male patients. AUDIT screening test was used to screen patients with alcohol use disorder. A self-report questionnaire was developed to measure socio- demographic characteristics, clinical characteristics, alcohol use characteristics and mode of referral, whereas standard questionnaires were used to assess locus of control, perceived social support and ‘stages of change’. RESULTS: Data was analyzed using descriptive statistics, chi-square test and multivariate analysis was done in linear regression model. The highest number of patients were in the contemplation stage of the ‘stages of change’ model. Factors that influenced ‘stages of change’ in AUD patients in rehabilitation centers of Kathmandu, Nepal were history of psychiatric disorder, marital status and education. DISCUSSION: On the ‘Stages of change’ model, those who were either single or divorced were found to be a lowers stage then those who were currently married, and those with history of psychiatric disorders and those educated less than high school were also found to be at a lower stage when compared to those without psychiatric disorder and educated until high school and above.