Readiness to Change among People With Substance Use Disorder Who are Admitted for Treatment in Psychiatric and Rehabilitation Centers in Addis Ababa
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Date
2025-06
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Addis Ababa University
Abstract
The purpose of this study was to assess the readiness to change, explore factors influencing readiness to change and assessing level of voluntariness among people with substance use disorder who are admitted for treatment in Jadber psychiatry and substance rehabilitation center, Ethiopian Prosthetic and Orthotic services (EPOS) mental and substance rehabilitation center and new life substance rehabilitation centers in Addis Ababa. The study was conducted in sequential explanatory mixed-methods research design. The research was conducted from 60 participants; complemented by insights from three key informants and three selected substance abusers. The quantitative data was collected through self-reported questionnaires by using socio demographic questionnaires, substance use history assessment and SOCRATES with three subscales; ambivalence, recognition and taking steps and the qualitative data was collected through in depth interview. The quantitative data was analyzed through descriptive statistics like mean, standard deviation, frequency and inferential statistics like independent samples t test, multiple linear regressions by using SPSS version 26 and the qualitative data was analyzed through thematic analysis. The findings of the study revealed that the participant’s readiness to change within three subscales; ambivalence, recognition and taking steps was low. While the majority of participants entered the rehabilitation centers voluntarily, there was no significant difference in their readiness to change across three subscales; ambivalence, recognition, and taking steps between voluntarily and involuntarily admitted individuals with alcohol and other drug abuse issues. The qualitative component of the study explored various factors influencing readiness to change, which were categorized into different themes. Psychological factors identified included low self-confidence, perceived fear of withdrawal symptoms, fear of relapse, and cravings. Environmental factors encompassed the availability of substances, exposure to previous destination and lack of job opportunities, while social factors highlighted poor family and social support, peer pressure, ineffective family approaches, and perceived stigma
Key terms; level of voluntariness, readiness to change, rehabilitation centers, stages of change, substance abus
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level of voluntariness, readiness to change, rehabilitation centers, stages of change, substance abuse