• Title, Summary, Keyword: Relapse prevention program

Search Result 17, Processing Time 0.044 seconds

A Study on effectiveness of the relapse prevention program for adult substances abusers (성인 약물남용 재활 프로그램의 효과성 연구)

  • 장진경
    • Journal of Korean Home Management Association
    • /
    • v.19 no.1
    • /
    • pp.33-52
    • /
    • 2001
  • The purpose of this study was to examine the effectiveness of using the relapse prevention program for adult substance addicts. Based on the results from the study of educational needs for the relapse prevention program among substance addicts the 10-session-relapse prevention program was developed. Then the researcher conducted the relapse prevention program for 15 adult methamphetamine addicts from Aug. 3 1999 to Sep. 4 1999 at the probation office in Suwon, South Korea. For examining the effectiveness of using that relapse prevention program the Social Adjustment Scale-Self Report(SAS-SR), McMullin Addiction Thought Scale(MAT), and Self Esteem Rating Scale(SERS) were used whether or not their social adjustment level, self-esteem level, and addiction thought level were improved. This study employed one group pre-post test research design as a quantitative purpose and in-depth interview as a qualitative purpose. For a qualitative purpose in-depth interview was conducted in not only between sessions but also after sessions dealing with their current life problems. For a quantitative purpose the analysis strategy employed here was frequency and t-test. Results shows that addicts who took the relapse prevention program consistently reported the improvement of their social adjustment level, self-esteem level, and addiction thought level although there were no statistically significant between pre and post tests. The implication of study findings will be discussed.

  • PDF

A Study on the Interventional Needs for Relapse Pevention Program Among Adult Substance Abusers (성인 약물남용자의 예방 교육프로그램 개발을 위한 교육요구도 분석 -성인 수강명령 약물사범을 중심으로-)

  • 장진경
    • Journal of the Korean Home Economics Association
    • /
    • v.38 no.6
    • /
    • pp.81-100
    • /
    • 2000
  • The purpose of this study was to develop the framework for the relapse prevention program. The study examined interventional needs for a relapse prevention program among adult substance abusers. The total of 107 adult substance abusers were surveyed and asked about their interventional needs for the relapse prevention program. The questionnaire was developed by the researcher on the basis of several theories such as problem behavior theory, ecologica1-developmental theory, social support theory, and coping theory. Results showed that admit substance abusers wanted the program to deal with such issues related with individual, family, social skills, and drugs. The implications of study findings were discussed.

  • PDF

A Study of a Relapse Prevention Program for Alcoholics focused on Action Methods (행위기법을 중심으로 한 알코올의존 재발방지 프로그램 개발에 관한 연구)

  • No, In-Suk;Kim, Seong-Jae
    • Journal of East-West Nursing Research
    • /
    • v.10 no.1
    • /
    • pp.27-40
    • /
    • 2004
  • Relapse is one of the most series problems in alcoholics treatment. Previous studies have shown that significant proportions of treated alcoholics show an early relapse and go through a chronic phase. It is necessity to find more effective relapse prevention program. The Purpose of this study was to develop a relapse prevention program that emphasis on group activities using various action methods. Previous studies revealed that there was no effective therapeutic strategy to prevent relapse and proposed that action methods were more practical ways to be able ti cope with high-risk situation than verbal methods such as discussions and lectures. The special attempt of this program was the application of various actions methods and the integration of many psychosocial therapeutic strategies as compared with many relapse prevention programs. The theoretical framework of this relapse prevention program was based on mainly the Marlatt's Relapse Prevention model and Prochescha and DiClemente's Transtheoretical model. This Program consists of eight structure sessions. Every session has three phase: Warm-up phase, action phase, and sharing phase as sociodrama structure. Sociodrama is based on many of the principles of adult learning. And sociodrama looks at how groups work through an understanding of systems and role theory. Therefore, in working with a group a therapist might explore with them the roles that people play, roles that are missing at present such a visionary and how people can develop new roles or new ways of playing existing roles. The researchers explained the purpose of this study to all participants after their agreement to participate. Voluntary informed consent was obtained from all participants. Every session allows participants to recognize personal specific high-risk situation and to examine possible coping behaviors creatively. Multiple solutions can be proposed, tested and evaluated dramatically, giving new insights or breakthroughs in thinking. This is vital for the initiation of change, and if appropriate, expanding new role development. The first two sessions aim at understanding of relapse process and recognize of high-risk situations focused on orientation about action methods. The next four sessions deal with high-risk situations. The last two sessions give participants opportunities to venture new life-styles. The methods and approaches used in this program utilized as a tool to explore and practice possible coping strategies. and this program can contribute to prevent relapse episode if tune with the particular high-risk situation by using active practices in safe environment.

  • PDF

Analysis of Alcoholism Treatment Programs in North America - Focused on Relapse Prevention - (북미지역 알코올중독 치료 프로그램 분석 - 재발방지를 중심으로 -)

  • Kim Sung-Jae
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.5 no.2
    • /
    • pp.206-218
    • /
    • 1999
  • Relapse is one of the most serious problem in alcoholism treatment area. But there is no proper post-treatment management program for preventing relapse in Korea. The purposes of this study are the analysis of several alcoholism treatment programs and recommendation about consideration for developing our alcoholism treatment program to prevent relapse in our country. Five different alcoholism treatment programs were collected for this study, two programs were collected by participant observation and three were collected by instruction manuals, references, and briefing materials. The followings are the criteria for this analysis of the five treatment programs. 1. the specific characteristics of the treatment program 2. the criterion of the patients, the duration and period (or the treatment, the special activities, and goals of the treatment. 3. the common characteristics of the five treatments. The common characteristics of those treatment programs are; 1 preparation for post-treatment from the beginning of the treatment (hospitalization) 2. assessment of relapse related factors 3. assessment of the relapse-warning signs 4. development and plan of individualized intervention strategy 5. practice of the plan The common characteristics of those treatment programs are 1. groups are classified the recovery training groups and the self-help groups 2 all kind of treatment programs carried out as groups rather than individuals. 3. usefulness which apply to various settings and various types 4. multidisciplinary and interdisciplinary approach As results, those programs were developed as post-detoxication management program, follow up program, and continued care program and their theoretical framework was from social learning theory. Those programs used the principles of cognitive-behavioral therapy for the classes, groups, and social skill training. These finding can be used for developing culturally appropriate alcoholism treatment programs focused on relapse prevention.

  • PDF

Effects of a Relapse Prevention Program on Insight, Empowerment and Treatment Adherence in Patients with Schizophrenia (조현병 재발예방 프로그램이 퇴원전 환자의 병식, 임파워먼트 및 치료준수에 미치는 효과)

  • Joung, Jaewon;Kim, Sungjae
    • Journal of Korean Academy of Nursing
    • /
    • v.47 no.2
    • /
    • pp.188-198
    • /
    • 2017
  • Purpose: The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment, and treatment adherence in patients with schizophrenia. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out from February 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three one-hour sessions of RPP a one-to-one patient-nurse interaction. Data were collected using Assess Unawareness of Mental Disorder (SUMD), Empowerment Scale, and Insight and Treatment Attitude Questionnaire (ITAQ) and analyzed using PASW 18.0 with chi-square test, independent t-test, Mann-Whitney U test, and ANCOVA. Results: The experimental group had a significant increase in insight and treatment adherence compared to the control group. However, there was no significant difference in empowerment between the two groups. Conclusion: Findings indicate that the RPP for patients with schizophrenia was effective in improving insight and treatment adherence. A longitudinal study is needed to confirm the persistence of these effects of RPP in patients with schizophrenia.

The Patterns and Risk Factors of Smoking Relapse among People Successful in Smoking Cessation at the Smoking Cessation Clinics of Public Health Centers (보건소 금연클리닉 금연성공자의 재흡연 양상 및 위험요인)

  • Kim, Yi-Soon;Kim, Yun-Hee
    • Journal of Korean Academy of Community Health Nursing
    • /
    • v.22 no.4
    • /
    • pp.365-376
    • /
    • 2011
  • Purpose: The purpose of this study was to investigate the patterns of smoking relapse and to identify risk factors related to smoking relapse among those successful in smoking cessation at the smoking cessation clinics of public health centers. Methods: Data were collected from 1,705 six-month quitters and analyzed by the Kaplan-Meier analysis and the Cox proportional hazard model. Results: The rate of smoking relapse was 38.2% in 1 year, 44.4% in 2 years, and 47.8% in 5 years. The vast majority of relapse (62.3%) occurred within the first six months after quitting. The risk factors related to smoking relapse were age (HR 1.964: 95% CI 1.545, to 2.497), nicotine dependence (HR 1.293: 95% CI 1.087 to 1.539), problem drinking (HR 1.497: 95% CI 1.116 to 2.008), behavioral therapy type (HR 1.398: 95% CI 1.193 to 1.638), and nicotine replacement therapy type (HR 1.363: 95% CI 1.077 to 1.724). Conclusion: For reducing smoking relapse, it is necessary to develop a smoking relapse prevention program for the first six months after quitting and to strengthen behavioral therapy in the course of smoking cessations clinics.

The Lived Experience of Relapse and Treatment Among the Alcoholics (알코올 중독 환자의 재발과 치료 경험)

  • Woo, Ju-Hyun;Kim, Hyun-Lye;Hyun, Myung-Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.19 no.2
    • /
    • pp.162-172
    • /
    • 2012
  • Purpose: The purpose of this study is to explore the subjective experiences of relapse and treatment among the alcoholics. Methods: Phenomenological methodology was used for the study. Participants were seven people with inpatient alcoholics at the alcohol treatment center at K hospital in K province. Data were collected via in-depth interviews from March to September, 2012 and analyzed using Colazzi's framework. Results: Six themes and seventeen meanings were formulated for the relapse and treatment experiences of participants with alcoholism. Six themes were 'Lack of true insight', 'Lack of strength to live a life', 'Unable to overcome an urge to drink', 'Being drawn away from others', 'Falling into the powerlessness and despair', and 'Being foothold of self-growth'. Conclusion: The results from this study revealed the relapse experiences among alcoholic patients. Therefore, the findings can provide the framework and direction for developing the relapse prevention program for alcoholic patients. In addition, practitioners in the treatment center or hospital need to consider their relapse and treatment experience.

  • PDF

Development and Evaluation of A Group Intervention Program for Substance Abusing Women on Probation (보호관찰 여성의 약물남용 재발예방을 위한 집단개입 프로그램의 개발 및 효과분석)

  • Kim, Yong-Seok;Chang, Jung-Yeon
    • Korean Journal of Social Welfare
    • /
    • v.57 no.2
    • /
    • pp.321-350
    • /
    • 2005
  • This study developed a relapse prevention program for substance abusing women and evaluated its effectiveness. The major contents of the program include to enhance cognitive and behavioral coping skills, to identify and expand supportive social networks, and to deal with women-related issues. The program was operated 3 times with 24 female clients in a probation office in Seoul from August 2003 to October 2004. The program changed the participants' attitudes toward substance use and improved their drug-refusal skills. This study mentions that the findings may be useful for practitioners as well as researchers because this study was first one that dealt with a women-only group in Korea. Finally, this study suggests that more studies be conducted in order to provide better understandings on substance abusing women and more effective interventions skills.

  • PDF

Process Evaluation of the First Computer Tailored Program for Smoking Cessation among Romanian Smokers

  • Lotrean, Lucia Maria;Ailoaiei, Roxana;Popa, Monica;De Vries, Hein
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.20
    • /
    • pp.8809-8814
    • /
    • 2014
  • The objective of this paper is to present the implementation and process evaluation of the first computer tailored program for smoking cessation among Romanian smokers. The program targeted adult smokers who declared the intention to quit smoking in the next six months. The intervention consisted of a letter tailored to several respondent characteristics: gender, cognitive variables (attitude, social influence, and self-efficacy), intention to quit smoking, goal and relapse prevention strategies (action and coping plans), and smoking behaviour. The first 80 participants entered into the program filled in a process evaluation questionnaire one month after the intervention. The results of our study confirmed that the participants had read and remembered the letter. Moreover, new for Romania, this approach was positively appreciated by the participant and the score received for the tailored letter was high. The opinions of the participants confirmed that the tailored letter provided information that was useful, trustworthy and relevant for the individual. At the same time, the participants appreciated the polite, easy to understand content of the letter. These data underlined the premises for continuing the program and for using the information and communication technologies for healthy lifestyle promotion among Romanian population.