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Related Experiment Video

Updated: Jul 8, 2025

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Why do men with drinking problems change their behavior? A qualitative study nested in a randomized controlled trial

Urvita Bhatia1, Richard Velleman2, Abhijit Nadkarni3

  • 1Sangath, Goa, India; Department of Psychology, Health and Professional Development, Oxford Brookes University, Oxford, England, United Kingdom.

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Summary

Participating in a trial and counselor interactions significantly influenced participants

Keywords:
Indiaalcoholpsychological treatmentqualitative study

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Area of Science:

  • Psychology
  • Behavioral Science
  • Public Health

Background:

  • Understanding mechanisms of behavior change is crucial for effective interventions.
  • Qualitative insights can illuminate participant experiences in clinical trials.

Purpose of the Study:

  • To explore participants' perceptions of changes in drinking behavior within a randomized controlled trial.
  • To identify attributions for perceived changes in alcohol consumption.

Main Methods:

  • Qualitative study nested within a randomized controlled trial.
  • Semi-structured interviews with a sub-sample of participants.
  • Thematic analysis of interview data.

Main Results:

  • Self-perceived positive changes in drinking behavior were common, irrespective of objective remission status.
  • Trial participation itself acted as a catalyst for change.
  • Both intervention and control groups used similar change strategies; intervention group noted counselor style and specific treatment elements.

Conclusions:

  • Trial participation, counselor approach, and intervention components influence harmful drinking behavior change.
  • Perceived necessity of alcohol or resistance to change can impede self-reported progress.