Testing Theory-Based Training in Motivational Interviewing

测试动机访谈中基于理论的培训

• 批准号: 7212980
• 负责人: THERESA B MOYERS
• 金额: $ 55.28万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-30 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7212980
• 关键词: Accounting; Address; Alcohol or Other Drugs use; Attention; Audiotape; Authoritarianism; Behavior; Behavior Therapy; Behavioral; Benchmarking; Books; Client; Clinical; Clinical Trials; Code; Cognitive Dissonance; Companions; Condition; Consult; Counseling; Data; Decision Trees; Digital Video-Interactive; Drug abuse; Educational process of instructing; Elements; Empathy; Evaluation; Evidence based treatment; Feedback; Foundations; Frequencies; Future; Healthcare; Hearing; Intervention; Investigation; Laboratories; Language; Learning; Manuals; Measures; Methods; New Mexico; Outcome; Paper; Participant; Pattern; Process; Professional counselor; Programmed Learning; Psycholinguistics; Public Domains; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Rate; Relative (related person); Research; Research Personnel; Sampling; Self Efficacy; Self Perception; Shapes; Speech; Staging; Standards of Weights and Measures; Substance abuse problem; Telephone; Testing; Therapeutic; Training; Travel; Treatment outcome; Work; base; design; desire; digital; improved; motivational enhancement therapy; programs; response; skills; theories; therapy development

DESCRIPTION (provided by applicant): This project will test strategies for training front-line clinicians in one of two methods for implementing motivational interviewing (Ml) in substance abuse treatment settings. Using a randomized clinical trial, we will assign these clinicians to receive either standard Ml Training (MIT) or training that emphasizes the ability to recognize, reinforce and elicit client language toward change (MIT+). Recent research indicates that shaping client language in this manner is associated with better outcomes in substance abuse treatment when Ml is used. Although such "change talk" is a hypothesized active ingredient of Ml, information about how counselors should elicit and respond to it has not been included in either edition of Ml book, and there s a paucity of information about how clinicians should implement this component within an Ml intervention. Therefore, training and evaluation of this element of Ml offers the dual advantage of enhancing dissemination and providing a foundation for future Stage III clinical trials to test causal mechanisms for Ml. Once training is complete, participant-clinicians will submit audiotapes of themselves conducting treatment sessions in Ml and these will be evaluated using an empirically-validated behavioral coding system (the Motivational Interviewing Skills Code). We will compare the amount and intensity of client language during these sessions indicating desire, ability, reason, need and commitment to change between the two training conditions. Our participants will be 140 clinicians working in public substance abuse treatment settings around the U.S. Clinician-participants will travel to New Mexico to receive training from Dr. William Miller and the P.I., after being randomized to one of the two training conditions and submitting a baseline proficiency sample of their clinical practice. Participants also receive telephone consults and coded feedback of their treatment sessions, both of which have been shown in our previous research to enhance skill enhancement in novice clinicians. Relevance to Public Health: This research is intended to streamline and improve the efficiency of a proven treatment for substance abuse, motivational interviewing (Ml). Clinicians will participate in a learning program to improve their treatment skills in a particular element of Ml (changing client language during therapy) and we will compare this with regular Ml treatment. This research will also provide a foundation for future investigations of effective ingredients of substance abuse treatments.

描述（由申请人提供）： 该项目将测试在药物滥用治疗环境中实施动机访谈 (Ml) 的两种方法之一培训一线临床医生的策略。通过随机临床试验，我们将分配这些临床医生接受标准机器学习培训 (MIT) 或强调识别、强化和引发客户语言变革能力的培训 (MIT+)。最近的研究表明，以这种方式塑造客户语言与使用机器学习时药物滥用治疗的更好结果相关。尽管这种“改变谈话”被认为是 Ml 的一个有效成分，但关于咨询师应如何引发和回应它的信息尚未包含在任何版本的 Ml 书中，并且缺乏关于临床医生应如何在机器学习干预。因此，对 M1 这个要素的训练和评估提供了双重优势，即增强传播并为未来测试 M1 因果机制的 III 期临床试验提供基础。培训完成后，参与者临床医生将提交他们自己进行机器学习治疗课程的录音带，这些录音带将使用经过经验验证的行为编码系统（动机访谈技能代码）进行评估。我们将比较这些课程期间客户语言的数量和强度，表明两种培训条件之间改变的愿望、能力、原因、需要和承诺。我们的参与者将是在美国各地公共药物滥用治疗机构工作的 140 名临床医生。在被​​随机分配到两种培训条件之一并提交基线后，临床参与者将前往新墨西哥州接受 William Miller 博士和 P.I. 的培训他们的临床实践的熟练程度样本。参与者还会收到电话咨询和治疗过程的编码反馈，我们之前的研究表明这两者都可以提高新手临床医生的技能。与公共卫生的相关性：这项研究旨在简化和提高经过验证的药物滥用治疗方法——动机访谈（ML）的效率。临床医生将参加一项学习计划，以提高他们在 Ml 特定要素（在治疗期间改变客户语言）的治疗技能，我们会将其与常规 Ml 治疗进行比较。这项研究还将为未来药物滥用治疗有效成分的研究奠定基础。