碩士 / 高雄醫學大學 / 醫學系神經學科碩士班 / 98 / Background： Methadone maintenance therapy (MMT) has been shown to effectively reduce the risk of transmission of Human Immunodeficiency Virus for injecting drug users. Addicts need to keep an intentional and sustained behavior change to decrease heroin use and receive MMT. Therefore, the behavior change is crucial in them. In transtheoretical model (TTM), the stages of change are dynamic variables. This study aimed to explore the level of readiness to change in heroin addicts receiving MMT and the factors associated with the level of readiness to change. Methods：This cross-sectional study enrolled 150 heroin addicts who went to receive MMT. The level of readiness to change heroin-using behaviors was measured by the Chinese version of the University of Rhode Island Change Assessment (URICA). The associations between the readiness to change and the severity of heroin dependence measured by Chinese version of the Severity of Dependence Scale, the pros and cons of heroin use measured by Decisional Balance, demographic data, awareness of being infected by blood born virus and history of illicit drug use were examined by multiple regression. Results：The mean score of readiness to change measured by the URICA was 10.94 (± 1.74). Higher severity of heroin dependence and the more cons and the less pros of heroin use were associated with higher level of readiness to change. Conclusion：The results supported that the severity of heroin dependence, the pros and cons of heroin use were associated with the level of motivation to change heroin-using behaviors. These results may serve as the basis to promote the motivation of people receiving MMT to change their heroin use.
| Identifer | oai:union.ndltd.org:TW/098KMC05291004 |
| Date | January 2010 |
| Creators | Peng-Wei Wang, 王鵬為 |
| Contributors | Cheng-Fang Yen, 顏正芳 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 68 |
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