Prevalence of relapse among clients with alcohol use disorder in Eldoret, Kenya
Keywords:alcohol use disorder, prevalence, relapse
Alcohol is addictive, which means there is always a risk for those who try to quit drinking alcohol to relapse. Studies have shown that recovered clients with alcohol use disorder often relapse after they join their families. Therefore, this study examined the level of prevalence of relapse among clients with alcohol use disorder in Eldoret municipality, Kenya. The study was guided by Structural Family Therapy and used concurrent explanatory mixed method approach. The quantitative segment used ex post facto, causal comparative design while the qualitative strand used phenomenological research design. The study targeted a population of 360, comprising 174 clients with alcohol use disorder, 174 family members and 12 counsellors in the 6 alcohol and drug rehabilitation centres registered and licensed by NACADA in Eldoret town. Stratified sampling and systematic random sampling were used to select 38 clients with alcohol use disorder and 38 family members. Purposive sampling was used to select a sample of 12 relapsed clients with alcohol use disorder and 4 counsellors. Data for the study was collected using questionnaires and focus group discussion guides. Quantitative data was cleaned, organized, keyed into a computer and analysed with the aid of Statistical Package for the Social Sciences (SPSS), version 23. The generated descriptive statistics were summarized and presented using frequency tables. Qualitative data was coded and analysed thematically. From the findings, it is concluded that there is high prevalence of relapse among clients with alcohol use disorder in Eldoret municipality. Most clients with alcohol use disorder last only three months before relapse after discharge from rehabilitation centre. The common reasons for relapse are depression, mistrust, peer pressure, idleness, financial issues and emotional issues. The study findings underscore the important role of family in relapse prevention for clients with alcohol use disorder. As such, policy makers need to consider community-based rehabilitation, which would reach out to the grassroots where families of clients with alcohol use disorder could be involved in relapse prevention programmes and campaigns against alcohol use.
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