How Does Motivational Interviewing Reduce Alcohol Abuse?

动机访谈如何减少酗酒？

基本信息

批准号：
6798301
负责人：
THERESA B MOYERS
金额：
$ 18.27万
依托单位：
UNIVERSITY OF NEW MEXICO
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-09-16 至 2007-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6798301
关键词：
absenteeism alcoholic beverage consumption alcoholism /alcohol abuse behavior therapy behavioral /social science research tag clinical research empathy human data language motivation patient care personnel relations patient oriented research psychology self help self help organization speech therapy compliance videotape /videodisc

项目摘要

DESCRIPTION (provided by applicant): Despite clear evidence of efficacy, little is known about the mechanisms of change underlying motivational interviewing. This project will evaluate a promising theoretical model for the effectiveness of motivational interviewing (MI) by examining client and therapist in-session behaviors during Project MATCH sessions. Our causal model is that Ml is successful because (and to the extent that) the counselor uses specific therapeutic behaviors that elicit client speech favoring change. If this model is supported, future motivational interviewers will be better able to focus on the components of this method that influence outcome, reducing irrelevant superstitious therapeutic behaviors. In addition, illuminating a relationship between in-session client behaviors and drinking outcomes would have the advantage of providing therapists with ongoing immediate feedback about the effectiveness of their clinical interventions, whatever their theoretical orientation. This study offers the advantage of testing theory-driven hypotheses about casual mechanisms for Ml without the expense of a new clinical trial. The integrity of the Project MATCH motivational enhancement therapy (MET) and the comprehensive client follow up data already collected in that project provide a vehicle for cost-effective investigation of mechanisms of action in MI.

描述（由申请人提供）：尽管有明确的证据表明动机访谈的有效性，但人们对动机访谈背后的改变机制知之甚少。该项目将通过检查项目 MATCH 会议期间客户和治疗师的会议行为来评估动机性访谈（MI）有效性的有前景的理论模型。我们的因果模型是，机器学习是成功的，因为（并且在某种程度上）咨询师使用特定的治疗行为来引发客户支持改变的言论。如果这个模型得到支持，未来的动机访谈者将能够更好地关注这种方法影响结果的组成部分，减少不相关的迷信治疗行为。此外，阐明治疗中客户行为与饮酒结果之间的关系将具有为治疗师提供有关其临床干预有效性的持续即时反馈的优势，无论他们的理论取向如何。这项研究的优点是可以测试关于 Ml 偶然机制的理论驱动假设，而无需进行新的临床试验。 MATCH 动机增强治疗 (MET) 项目的完整性以及该项目中已收集的全面的客户随访数据为 MI 作用机制的经济有效的研究提供了工具。

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Measurement error and outcome distributions: Methodological issues in regression analyses of behavioral coding data.

DOI：
10.1037/adb0000091
发表时间：
2015-12
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
0
作者：
Holsclaw T;Hallgren KA;Steyvers M;Smyth P;Atkins DC
通讯作者：
Atkins DC

Is Low Therapist Empathy Toxic?

DOI：
10.1037/a0030274
发表时间：
2013-09-01
期刊：
PSYCHOLOGY OF ADDICTIVE BEHAVIORS
影响因子：
3.4
作者：
Moyers, Theresa B.;Miller, William R.
通讯作者：
Miller, William R.

The structure of client language and drinking outcomes in project match.

项目中客户语言的结构和饮酒结果相匹配。

DOI：
10.1037/a0023129
发表时间：
2011
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
0
作者：
Martin,Tim;Christopher,PauletteJ;Houck,JonM;Moyers,TheresaB
通讯作者：
Moyers,TheresaB

From in-session behaviors to drinking outcomes: a causal chain for motivational interviewing.

DOI：
10.1037/a0017189
发表时间：
2009-12
期刊：
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
影响因子：
5.9
作者：
Moyers, Theresa B.;Martin, Tim;Houck, Jon M.;Christopher, Paulette J.;Tonigan, J. Scott
通讯作者：
Tonigan, J. Scott

Client language as a mediator of motivational interviewing efficacy: Where is the evidence?