Browse > Article
http://dx.doi.org/10.5392/JKCA.2018.18.11.550

The Short Term Effects of an Early Intervention Program for Alcoholism Prevention in Adults: A Pilot Study  

Kang, Kyong-Hwa (서울대학교 간호과학연구소)
Publication Information
The Journal of the Korea Contents Association / v.18, no.11, 2018 , pp. 550-561 More about this Journal
Abstract
The aim of this study was to investigate the short term effects of early intervention on alcohol knowledge, alcohol expectancies, drinking refusal self-efficacy for alcoholism prevention in adults and to examine its applicability in the field. This study was a non-equivalent control group pre-post quasi-experimental design. The participants were currently working, and were 12-25 points on result of the Alcohol Use Disorders Identification Test(AUDIT). The participants were a total of 25 men: 13 in the intervention group and 12 in the control group. The intervention group participated in early intervention program once a week for 4 weeks and the control group received only a booklet of alcohol related information. A chi-square test, t-test, Mann-Whitney U test were analyzed by using IBM SPSS Statistics 20.0. The intervention group had significantly higher the alcohol knowledge(t=1.258, p= .002), the negative alcohol expectancies(t=-1.346, p= .042), and the drinking refusal self-efficacy(t=2.817, p= .010) than the control group. In the future, it is need to apply the criteria of problem drinkers considering cultural characteristics, recruitment of participants, and motivational enhancement intervention using motivational interviewing. Especially, web-based alcohol related information providing program will help raise awareness of problem drinking. Early intervention program needs to be applied in community settings where problem drinkers are easily accessible.
Keywords
Alcoholism; Prevention; Early Intervention; Motivational Interviewing; Behavioral Change;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 박경, 최순희, "자기효능증진 절주프로그램이 음주 여대생의 음주관련 지식, 음주거절 자기효능, 음주결과기대 및 문제음주행위에 미치는 효과," 한국콘텐츠학회논문지, 제15권, 제9호, pp. 364-373, 2015.   DOI
2 제갈정, 김광기, 이명숙, 최숙경, 박종식, 박정은, 웹 기반 개인맞춤형 사업장 음주문제 예방 프로그램 개발, 건강증진재단, 인제대학원대학교, 2011.
3 H. Riper, A. Straten, M. Keuken, F. Smit, G. Schippers, and P. Cuijpers, “Curbing problem drinking with personalized-feedback interventions : a meta-analysis,” American Journal of Preventive Medicine, Vol. 36, No. 3, pp. 247-255, 2009.   DOI
4 P. Hasking, M. Lyvers, and C. Carlopio, “The relationship between coping strategies, alcohol expectancies, drinking motives and drinking behaviour,” Addictive Behaviors, Vol. 36, No. 5, pp. 479-487, 2011.   DOI
5 A. Bandura, “Human agency in social cognitive theory,” American Psychologist, Vol. 44, No. 9, pp. 1175-1184, 1989.   DOI
6 강경화, 이해국, 조근호, 전종설, 박신구, 조선진, 이보혜, 이수비, "웹 기반 플랫폼을 활용한 고위험 음주 예방 및 치료 개입 체계 구축 : 예비 연구," 중독정신의학, 제20권, 제2호, pp. 274-282, 2016.
7 R. Whittemore, P. S. Bak, G. D. E. Melkus, and M. Grey, “Promoting lifestyle change in the prevention and management of type 2 diabetes,” Journal of the American Academy of Nurse Practitioners, Vol. 15, No. 8, pp. 341-349, 2003.   DOI
8 강경화, 김성재, "문제음주자의 절주의도 영향 요인," 스트레스硏究, 제22권, 제3호, pp. 121-130, 2014.
9 American Psychiatric Association, Diagnostic statistical manual of mental disorders : DSM-5 (5th ed), American Psychiatric Association Publishing, 2013.
10 김성재, 알코올리즘의 재발에 관한 이론적 모형 구축 : 정신병원에 입원한 남성 알코올리즘 환자를 대상으로, 서울대학교, 박사학위논문, 1996.
11 World Health Organization, Global status report on alcohol and health, WHO, 2014.
12 삼성경제연구소, 직장인 음주행태와 기업의 대책, 삼성경제연구소, 2004.
13 정영호, 최은진, 고숙자, 김은주, 최명철, 음주로 인한 사회경제적 비용 및 음주폐해 예방사업의 비용효과성 분석, 한국보건사회연구원, 2012.
14 J. Rehm, C. Mathers, S. Popova, M. Thavorncharoensap, Y. Teerawattananon, and J. Patra, “Alcohol and Global Health 1 Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders,” Lancet, Vol. 373, No. 9682, pp. 2223-2233, 2009.   DOI
15 L. M. Gerace, T. L. Hughes, and J. Spunt, “Improving nurses responses toward substance -misusing patients : a clinical evaluation project,” Archives of Psychiatric Nursing, Vol. 9, No. 5, pp. 286-294, 1995.   DOI
16 도은영, "범이론과 여가모형을 적용한 절주프로그램이 문제음주행위와 인지에 미치는 효과," 지역사회간호학회지, 제18권, 제3호, pp. 363-372, 2007.
17 A. M. Mitchell, K. Puskar, H. Hagle, H. J. Gotham, K. S. Talcott, L. Terhorst, M. Fioravanti, I. Kane, E. Hulsey, P. Luongo, and H. K. Burns, “Screening, brief intervention, and referral to treatment : overview of and student satisfaction with an undergraduate addiction training program for nurses,” Journal of Psychosocial Nursing & Mental Health Services, Vol. 51, No. 10, pp. 29-37, 2013.   DOI
18 W. R. Miller and S. P. Rollnick, Motivational interviewing : Preparing people for change, The Guilford Press, 2002.
19 T. F. Babor, B. G. McRee, P. A. Kassebaum, P. L. Grimaldi, K. Ahmed, and J. Bray, “Screening, brief intervention, and referral to treatment (SBIRT) toward a public health approach to the management of substance abuse,” Substance Abuse, Vol. 28, No. 3, pp. 7-30, 2007.   DOI
20 유채영, "가정폭력 행위자의 문제음주 변화동기 향상을 위한 집단프로그램의 효과," 사회복지연구, 제20권, pp. 85-116, 2002.
21 장수미, "음주문제를 가진 가정폭력가해자 폭력 행동감소 프로그램의 개발과 효과 : 동기증진치료의 활용을 중심으로," 한국사회복지학, 제56권, 제1호, pp. 103-126, 2004.
22 송수진, 알코올중독 입원환자에 대한 변화동기 강화 프로그램의 효과 연구, 부산대학교, 석사학위논문, 2003.
23 강경화, 김성재, "성인 대상 알코올중독 예방중재의 통합적 고찰 : 핵심요인 탐색," 정신간호학회지, 제26권, 제4호, pp. 316-328, 2016.
24 E. F. S. Kaner, H. O. Dickinson, F. Beyer, E. Pienaar, C. Schlesinger, F. Campbell, J. B. Saunders, B. Burnand, and N. Heather, “The effectiveness of brief alcohol interventions in primary care settings : a systematic review,” Drug and Alcohol Review, Vol. 28, No. 3, pp. 301-323, 2009.   DOI
25 T. F. Babor, J. C. Higgins-Biddle, J. B. Saunders, and M. G. Monterio, The Alcohol Use Disorders Identification Test : Guidelines for use in primary care, WHO, 2001.
26 W. M. Cox and E. Klinger, Handbook of motivational counseling, Wiley Online Library, 2004.
27 W. A. Fisher, J. D. Fisher, and J. Harman, "The information-motivation-behavioral skills model : a general social psychological approach to understanding and promoting health behavior," In J. Suls and K. A. Wallston (Ed), Social psychological foundations of health and illness, Blackwell Publishing Ltd, 2003.
28 김종성, 오미경, 박병강, 이민규, 김갑중, 오장균, "한국에서 Alcohol Use Disorders Identification Test(AUDIT)를 통한 알코올리즘 선별 기준," 대한가정의학회지, 제20권, 제9호, pp. 1152-1159, 1999.
29 이병욱, 이충현, 이필구, 최문종, 남궁기, "한국어 판 알코올사용장애 진단 검사 : 신뢰도 및 타당도 검사," 중독정신의학, 제4권, 제2호, pp. 83-92, 2000.
30 유진희, 문제음주 대학생의 개별상담 프로그램이 변화 동기, 정신건강, 금주 자기효능감에 미치는 효과, 인하대학교, 석사학위논문, 2005.
31 최순희, 박민정, "음주예방 프로그램이 여고생의 음주관련 지식과 태도, 음주거절 자기효능 및 음주행위에 미치는 효과," 한국학교보건교육학회지, 제11권, 제1호, pp. 17-26, 2010.
32 C. C. Diclemente, J. P. Carbonari, R. P. G. Montgomery, and S. O. Hughes, “The alcohol abstinence self-efficacy scale,” Journal of Studies on Alcohol and Drug, Vol. 55, No. 2, pp. 141-148, 1994.   DOI
33 J. E. Maddock, Development and validation of decisional balance and processes of change inventories for heavy, episodic drinking, University of Rhode Island, Unpublished master's thesis, 1997.
34 유채영, "문제성 음주의 의사결정균형이 변화단계에 미치는 영향," 정신보건과 사회사업, 제25권, pp. 99-130, 2007.
35 김광기, 서울시 직장인 음주실태 조사, 서울시, 인제대학교 음주연구소, 2005.
36 S. Rubak, A. Sandbæk, T. Lauritzen, and B. Christensen, “Motivational interviewing : a systematic review and meta-analysis,” The British Journal of General Practice, Vol. 55, No. 13, pp. 305-312, 2005.