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首页> 外文期刊>Industrial Psychiatry Journal >Knowledge, attitude, and practice among tobacco and alcohol addicts before and after psychological intervention in a de-addiction center at Madhya Pradesh, India
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Knowledge, attitude, and practice among tobacco and alcohol addicts before and after psychological intervention in a de-addiction center at Madhya Pradesh, India

机译：在印度中央邦戒毒所进行心理干预之前和之后，烟瘾和酒精成瘾者的知识，态度和行为

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Context: Tobacco and alcohol addiction has emerged as a major public health issue in most of the regions of the world. It has resulted in enormous disability, disease, and death and acquired the dimension of an epidemic. It is estimated that five million preventable deaths occur every year globally, attributable to tobacco use. The number is expected to double by 2020 if death due to tobacco continues to occur at the same rate. Alcohol, on the other hand, contributes to 25% of all deaths in the age group of 20–39 years. The interventions such as supportive pharmacotherapy, nicotine replacement therapy, counseling, behavioral intervention, psychotherapy, and detoxification therapy are being commonly employed in the management of patients with addiction to tobacco and alcohol. Aim: The aim of this study is to compare the knowledge, attitude, and practice (KAP) among tobacco and alcohol addicts before and after psychological intervention in a de-addiction center. Settings and Design: This study was a randomized control trial, focusing on psychological interventions practiced in a de-addiction center, Indore, Madhya Pradesh, India. Materials and Methods: The information on KAP related to tobacco and alcohol was collected at baseline from 83 participants. This was compared with the information collected in the postintervention follow-ups from each participant. Statistical Analysis Used: Statistical tests for parametric analysis were done using one-way ANOVA with Scheffe's post hoc test, RMANOVA with Mauchly's test for sphericity assumption, and Bonferroni test for comparing the main effects. Nonparametric tests included Pearson's Chi-square test, McNemar's Chi-square test, Spearman's rho, and Kruskal–Wallis test. The statistical significance was fixed at 0.05. Results: The mean KAP score for the study population was highest at the first follow-up followed by the second follow-up for both tobacco and alcohol addiction. The least KAP score was observed at the baseline. Conclusions: Although a significant improvement in the mean KAP score was observed at the first follow-up, subsequent follow-up revealed a reduction in the overall KAP score in the present study. This could be attributed to the fact that following their discharge from the de-addiction center, most of the participants reverted back to their deleterious habits.
机译：背景：在世界上大多数地区，烟酒成瘾已成为主要的公共卫生问题。它导致了巨大的残疾，疾病和死亡，并成为了一种流行病。据估计，由于烟草使用，全球每年有五百万例可预防的死亡。如果继续以同样的速度死于烟草，死亡人数到2020年有望翻番。另一方面，酒精在20-39岁年龄段的所有死亡中占25％。诸如支持药物疗法，尼古丁替代疗法，咨询，行为干预，心理疗法和排毒疗法等干预措施通常用于治疗烟酒成瘾患者。目的：本研究的目的是比较在戒毒中心进行心理干预之前和之后，吸烟和酗酒成瘾者的知识，态度和实践（KAP）。设置与设计：这项研究是一项随机对照试验，重点是在印度中央邦印多尔的戒毒所进行的心理干预。材料和方法：在基线时从83位参与者中收集了与烟草和酒精有关的KAP信息。将其与干预后随访中从每个参与者收集的信息进行了比较。使用的统计分析：参数分析的统计检验使用单向方差分析与Scheffe事后检验，RMANOVA和Mauchly检验球形度假设以及Bonferroni检验进行比较。非参数检验包括Pearson的卡方检验，McNemar的卡方检验，Spearman的rho和Kruskal–Wallis检验。统计显着性固定为0.05。结果：对于烟瘾和酒精成瘾，在第一次随访中，随后是第二次随访中，研究人群的平均KAP得分最高。在基线观察到最低的KAP分数。结论：尽管在第一次随访中观察到平均KAP评分有显着改善，但随后的随访显示本研究中总体KAP评分降低。这可以归因于这样一个事实，即从戒毒中心出院后，大多数参与者恢复了他们的有害习惯。

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