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Submitted: 27 Feb 2015
Accepted: 20 Apr 2015
ePublished: 20 Apr 2015
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J Educ Community Health. 2015;1(4): 22-31.
doi: 10.20286/jech-010422
  Abstract View: 813
  PDF Download: 272

Addictive Behaviors

Research Article

Comparing Reasons for Quitting Substance Abuse with the Constructs of Behavioral Models: A Qualitative Study

Hamid Tavakoli Ghouchani 1, Shamsodin Niknami 1*, Farkhondeh Aminshokravi 1, Seyed Kaveh Hojat 2

1 Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2 Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnord, Iran.
*Corresponding Author: Email: niknamis@modares.ac.ir

Abstract

Background and Objectives: The world population has reached over seven billion people. Of these, 230 million individuals abuse substances. Therefore, substance abuse prevention and treatment programs have received increasing attention during the past two decades. Understanding people’s motivations for quitting drug abuse is essential to the success of treatment. This study hence sought to identify major motivations for quitting and to compare them with the constructs of health education models.

Materials and Methods: In the present study, qualitative content analysis was used to determine the main motivations for quitting substance abuse. Overall, 22 patients, physicians, and psychotherapists were selected from several addiction treatment clinics in Bojnord (Iran) during 2014. Purposeful sampling method was applied and continued until data saturation was achieved. Data were collected through semi-structured, face-to-face interviews and field notes. All interviews were recorded and transcribed.

Results: Content analysis revealed 33 sub-categories and nine categories including economic problems, drug-related concerns, individual problems, family and social problems, family expectations, attention to social status, beliefs about drug addiction, and valuing the quitting behavior. Accordingly, four themes, i.e. perceived threat, perceived barriers, attitude toward the behavior, and subjective norms, were extracted.

Conclusion: Reasons for quitting substance abuse match the constructs of different behavioral models (e.g. the health belief model and the theory of planned behavior).

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