Browsing by Author "Kyazze, Richard"
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Item Effect of cognitive behavioural therapy (CBT) among subjects with alcohol use disorder (AUD) in Uganda: A Comparative study of treatment groups(CARI Journals, 2024-09-26) Kyazze, Richard; Natuhamya, Charles; Mwebesa, Edson; Kiyingi, Frank; Musoke, Miph; Tumwesigye, Nazarius MbonaBackground: Regardless of diverse interventions aimed at achieving recovery and maintaining sobriety, alcohol use disorder, a leading global risk factor for mortality and morbidity, remains prevalent in Uganda. It’s worth noting that even after long stays in treatment facilities, recovering individuals are still prone to relapse. Of importance, however, is the knowledge of the effect of treatment interventions on recovery during and after rehabilitation. Hence, this study seeks to determine the impact of CBT as an intervention among alcohol-dependent individuals and assess its relevancy after rehabilitation. Methodology: This study enrolled 196 individuals with alcohol dependence from 5 treatment centers in the treated and control groups on a 1:1 enrollment basis. Individuals in the treated group were those in the rehabilitation centres receiving CBT while the control group included individuals in the community who were off CBT treatment. A linear regression model was fit to the data to determine the effect of CBT on the recovery status. Interaction terms between the participants’ treatment group and CBT were included to assess the difference between the two groups. Findings: CBT enhanced character development (β = 1.37, p < 0.001), healthy living (β = 0.88, p < 0.001), productive engagements (β = 1.12, p < 0.001), and overall recovery status (β = 3.38, p < 0.001). The overall effect of CBT was higher among individuals receiving treatment as compared to their counterparts. Unique Contribution to Theory, Practice and Policy: Incorporating aftercare CBT treatment may enhance the recovery status of individuals grappling with alcohol dependence and prevent immediate relapse. Policymakers and licensing agencies of treatment centres should incorporate aftercare treatment for CBT and similar interventions.Item Structural equation model for a relationship between family support systems and alcohol addiction recovery: mediation effect of continuing care services.(Journal of Advanced Psychology, 2024-08-09) Kyazze, Richard; Natuhamya, Charles; Mwebesa, Edson; Kiyingi, Frank; Musoke, Miph; Tumwesigye, Nazarius MbonaPurpose: Alcohol use disorder continues to be a public health concern, and even after treatment, the relapse rate is still high. The family support systems are closely related to alcohol addiction recovery. However, studies on psychological mechanisms between the two are rare. Therefore, we aimed to explore the mediating role of continuing care services in the pathway between family support systems and alcohol addiction recovery among individuals with alcohol use disorder. Methods: A total of 196 participants from 5 treatment centers (Butabika National Referral Mental Hospital, Serenity Centre, Recovery Solutions, National Care Centre, and Hope and Beyond) were selected from a target population of 400 individuals. The structural equation modeling approach was used to assess the study objective. Results: The average alcohol addiction recovery status score was 3.03 (SD = 0.95). The mediation analysis indicated that continuing care services mediated the pathway between family support systems and alcohol addiction recovery. Unique Contribution to Theory, Practice and Policy: Motivational enhancement therapy, mutual health support, and cognitive behavioral therapy are key factors in the relationship between family support systems and alcohol addiction recovery.