Effectiveness of Motivational Enhancement Therapy among Alcohol Dependent Patients Receiving Follow-up Sessions Every 2 versus Every 4 Weeks on Reduction of Alcohol Drinking Problems
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Abstract
Abstract
Objectives: To compare the effects of using Motivational Enhancement Therapy every 2 weeks versus every 4 weeks to reduce alcohol drinking problems for alcohol dependent patients.
Methods: This study was a single blinded clinical trial experimental research. Alcohol dependent patients who received treatment at Addiction Clinic, Suan Prung Psychiatric Hospital were selected
by non-replacement lottery sampling. Twenty-eight patients made up the experimental group which received a total of four sessions, one session every four weeks. A sampling of twenty-four patients
made up the control group which received a total of four sessions, one session every two weeks. Each group had similar characteristics and each group received Motivational Enhancement Therapy in
five phases. Data was collected by using Global Assessment of Function, percentage of heavy drinking days, percentage of abstinent days, stages of Change Readiness and Treatment Eagerness Scale, and Gamma-glutamyl transferase test. Data was analyzed by descriptive statistic, Independent t-test, Mann-Whitney U test, and the Friedman test.
Results: Motivational Enhancement Therapy in the control and experimental group were not different in their efficacy in reducing alcohol drinking problems in the five areas. The reduction of alcohol drinking problems in all five areas in each phase of the therapy sessions in the control group was significantly different (p<0.05). The reduction of alcohol drinking problems in 4 areas in each phase of therapy session in the experimental group was also significantly different (p<0.05). But Gamma-glutamyl transferase test in each phase of therapy sessions was not different.
Conclusion: Follow up appointments once every 4 weeks is effective in reducing alcohol drinking problems, but follow up appointments every 2 weeks is more effective for reducing consumption or
abstaining from alcohol.
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