Background of the Study: Alcohol affects virtually every organ system, and alcoholics are at increased risk medical problems. Many factors contribute for poor response to treatment and outcome. The factors like poor adherence and motivational level by patients with alcohol use disorders (has often been raised in the literature. However, there has been a limited effort to measure the problem. Hence the investigator felt that there is need to assess the level of readiness to change, Medication adherence and Quality of life among alcoholics.Methods: A descriptive Survey research design was adopted for the present study. 100alcohol dependent individual were recruited by simple random sampling method. The Stage of Change Readiness and Treatment Eagerness Scale, Morisky Medication Adherence ScaleandWHO quality of life-BREFwere used to assess readiness to change, medication adherence and quality of life. The study was conducted at selected Hospitals, Bangalore. Results:The result shows that majority (73%) of respondents are having low level of readiness to change, medication adherence (67%) and quality of life (56%). A moderate positive correlation was found between readiness to change and medication adherence(r=0.67), a negligible positive correlation found between readiness to change with quality of life (r=0.032) and a high positive correlation was found between quality of lifewith medication adherence(r=0.71). Conclusion:The study concludes that alcohol dependent individual had low level of readiness to change, medication adherence and quality of life.

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BACKGROUND: Depression is the most common mental disorder among old age people residing at old age homes. It is also associated with many physiological and psychological symptoms along with the impaired quality of life and self-esteem. The multimodal intervention, including physical activity, cognitive training, and social activities, has a positive effect on depression and self-esteem. However, only a few studies were conducted in India setup on the older population residing at old age homes. Hence, this study focused on finding the effectiveness of multimodal intervention for depression, quality of life, and self-esteem among elderly people residing at selected old age homes in Jalandhar, Punjab. MATERIALS AND METHODS: A randomized, controlled trial design was adopted with longitudinal measurement of outcomes for 6 months. An simple random sampling technique was used to recruit 50 subjects to the experimental group and 50 subjects to the control group. Elderly people who are residing at selected old age homes in Jalandhar were selected for the study. The multimodal intervention was administered to the experimental group once weekly eight sessions over eight weeks after the pre-interventional assessment. The data were collected pre-intervention, at one month, three months, and six months after the intervention. The data were analyzed using Statistical Package for the Social Sciences (SPSS) version 23.0. RESULTS: There were no significant differences in demographics between groups at baseline. The mean age of subjects was 64.35 ± 1.32 years in the experimental group and 64.12 ± 1.83 in the control group. The mean duration of stay in old age home was 3.64 ± 1.25 years in the experimental group and 4.05 ± 1.65 in the control group. There were significant multimodal intervention effects on decreasing depression (F = 20.15, P < 0.05, n p 2 = 0.092) and increasing self-esteem (F = 84.65, P < 0.001, n p 2 = 0.24) and quality of life (F = 62.32, P < 0.001, n p 2 = 0.52) over the 6-month interval. CONCLUSION: This study demonstrated that the multimodal intervention was effective in reducing depression among elderly people residing at selected old age homes. It also shows that self-esteem and quality of life improved significantly after intervention.