Effects of the Phramongkutklao model on alcohol-dependent patient: a randomized controlled trial

Abstract

This study was conducted to investigate the effects of Phramongkutklao (PMK) model at Department of Psychiatry and Neurology, Phramongkutklao Hospital. A randomized trial, assigned into the usual care (n = 53) or PMK model (n = 47) group. One hundred alcohol-dependent patients were assessed by using the 4th Diagnostic and Statistic Manual of Mental Disorder (DSM-IV) to diagnose alcohol dependence and Alcohol Use Disorders Identification Test (AUDIT) to determine the level of alcohol addiction. There were significant differences between usual care and PMK model groups on reducing or abstaining from alcohol consumption at 6-month follow-ups (p < 0.01). The participants in the PMK model group showed a total moderate quality of life, which was better than those in the usual care group after 6 months. According to the comparison of readiness to change outcome, the results showed a change to reduce or abstain from alcohol consumption in the PMK model group; in contrast, in the usual care group there was no change. The three situations positive, negative and craving drinking demonstrated significant in self-efficacy in the PMK model group. To conclude, the intensive inpatient rehabilitation (PMK model) intervention was more effective than usual care. Accordingly, this study was done in the setting at an inpatient psychiatric department; therefore, it could be generalized to any other similar areas.

• Alcohol dependence
• the Phramongkutklao model
• randomized controlled trial

Acknowledgements

We gratefully acknowledge the professionals and staff at the Department of Psychiatry and Neurology, Phramongkutklao Hospital, Thailand, for their support and assistance throughout the conduct of this study. We especially thank the Head nurse and Registered nurse for assistance in recruiting study participants. Finally, we thank the patients who so graciously gave their time to participate in this study.

Declaration of interest

The authors report no conflicts of interest.

Funding for the study was provided by the Integrated Management for Alcohol Intervention Program (I-MAP). Research Grant No. I-MAP 54-02-006.