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Correlates of motivation for treatment among alcohol service users in Uganda

Journal Contribution - Journal Article

Purpose U+2013 Given the scarce literature on alcohol use disorders (AUD) and their treatment in developingcountries, this paper aims to explore motivation levels and their correlates among alcohol service users intwo residential treatment centres in Kampala, Uganda. This study how motivation levels of Ugandanalcohol service users compare with those from American studies; and the specific factors affectinginternal and external motivation in the Ugandan context.Design/methodology/approach U+2013 The motivation for treatment was measured among 100 individualsentering AUD treatment using the Texas Christian University (TCU) Treatment needs and Motivationscale. The WHOQoLU+2013BREF, Addiction Severity IndexU+20136 and Hopkins Symptoms Check ListU+201337 wereused to measure addiction severity, quality of life (QoL) and psychopathology, respectively. Correlates ofmotivation were identified using linear regression analyses.Findings U+2013 Ugandan service users demonstrated low treatment motivation in the treatment needs adomain. While addiction severity (recent heavy alcohol use) and participating in private treatment wereassociated with higher internal and external motivation, deterioration in physical and environmental QoL,depressive symptoms and lower education were linked with higher internal motivation.Research limitations/implications U+2013 Different elements affect domains of treatment motivation,requiring attention for clientsU+2019 unique needs as influenced by their background, addiction severity, QoL,psychological needs and contextual factors (e.g. treatment setting). Further studies are needed toexplore additional correlates of motivation for treatment among alcohol service users in Uganda and toassess the longitudinal impact of motivation on treatment outcomes.Originality/value U+2013 Although motivation has been extensively studied, clinicians are challenged inunderstanding and explaining motivational dynamics given the multiplicity of factors influencing changerelated decisions and behaviours and the diversity in substance-using populations. This need is evenbigger in non-Western societies as cultural differences may require differential therapeutic management.This is one of the first studies measuring motivation for AUD treatment in a low-income country and offersinsight for understanding motivation dynamics in similar settings.
Journal: Therapeutic Communities
ISSN: 0964-1866
Issue: 1
Volume: 42
Pages: 4 - 15
Publication year:2021