Why do men with drinking problems change their behavior? A qualitative study nested in a randomized controlled trial in India.

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  • Additional Information
    • Source:
      Publisher: Elsevier Science Country of Publication: United States NLM ID: 8502311 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6823 (Electronic) Linking ISSN: 07418329 NLM ISO Abbreviation: Alcohol Subsets: MEDLINE
    • Publication Information:
      Publication: New York Ny : Elsevier Science
      Original Publication: Fayetteville, N.Y. : Ankho International, c1984-
    • Subject Terms:
    • Abstract:
      The aim of this qualitative study, nested in a randomized controlled trial, was to assess the mechanisms of the effects in both arms through examining perceptions of the participants about changes in their drinking behavior and their attributions for any perceived changes. We conducted semi-structured interviews with a sub-sample of trial participants. We used thematic analysis to analyze the data. Self-perceived change, mostly positive, was reported regardless of the objectively measured remission status. Participating in the trial itself was a major catalyst for change. Participants in both arms used a variety of similar strategies to make these changes; additionally, for those who received the intervention, both the style of the counselor (for example, the non-judgmental stance) as well as specific elements of the intervention were seen to influence change in drinking behavior. Absence of self-reported change was relatively uncommon and primarily related to the felt need for alcohol (e.g., drinking was perceived to be necessary to maintain good health), or the belief that one did not need to or want to change. Experiences of participating in a trial, the counselor style, and specific elements of a brief psychological treatment, play a role in influencing change in harmful drinking behaviors.
      Competing Interests: Declaration of competing interest None.
      (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: India; alcohol; psychological treatment; qualitative study
    • Publication Date:
      Date Created: 20231213 Date Completed: 20240801 Latest Revision: 20240827
    • Publication Date:
      20240828
    • Accession Number:
      10.1016/j.alcohol.2023.12.002
    • Accession Number:
      38092310