Within- and Post-Session Change Mechanisms in Treatment for Alcohol Use Disorders

酒精使用障碍治疗中和治疗后的改变机制

• 批准号: 8261736
• 负责人: Molly Magill
• 金额: $ 13.86万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-01 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8261736
• 关键词: Academic Training; Affect; Aftercare; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohol or Other Drugs use; Alcohols; Area; Behavior; Behavioral; Belief; Categories; Characteristics; Client; Clinical; Clinical Research; Clinical Trials; Code; Cognitive Therapy; Consultations; Coping Behavior; Data; Development; Diagnostic; Dimensions; Distal; Doctor of Philosophy; Effectiveness; Elements; Equation; Extramural Activities; Foundations; Future; Goals; Heterogeneity; Intervention; Knowledge; Language; Lead; Literature; Measurement; Mediating; Mediation; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Meta-Analysis; Methods; Modeling; Mollies; Motivation; National Institute on Alcohol Abuse and Alcoholism; Outcome; Pathway interactions; Process; Psychotherapy; Public Health; Research; Research Proposals; Research Support; Research Training; Sampling; Science; Scientist; Self Efficacy; Seminal; Social Workers; Specific qualifier value; Substance Addiction; Testing; Therapeutic; Training; Training Activity; Translations; Treatment Factor; Treatment outcome; Universities; addiction; alcohol abuse therapy; alcohol intervention; alcohol use disorder; behavior change; career; case finding; clinical practice; common treatment; coping; cost; design; drinking; drinking behavior; experience; follow-up; improved; knowledge base; motivational enhancement therapy; novel; psychosocial; public health relevance; skills

DESCRIPTION (provided by applicant): The goal of this proposal is to prepare the candidate, Molly Magill, Ph.D., for a career as an independent clinical scientist specializing in the study of mechanisms of behavior change in psychosocial treatment for alcohol use disorders. Dr. Magill is a clinical social worker who has focused her career on substance use treatment at the level of science and practice. The candidate's experiences to date have led to a belief that research on change mechanisms can enhance the knowledge that is gained from clinical trials research. This is the case for findings of treatment outcome equivalence or difference. Such information can lead to greater treatment efficiency by identifying common treatment factors, treatment-specific ingredients, and thus, dissemination priorities. Dr. Magill has a beginning foundation in this area of research, but there are important gaps in her academic and research training. With advanced training in: (1) the design of change process research with an emphasis on observational measurement development and (2) the statistical analysis of change mechanisms with an emphasis on longitudinal methods, Dr. Magill will contribute to this area of study and to the improvement of psychosocial treatment for alcohol use disorders. The proposed Training Plan will occur at the Brown University Center for Alcohol and Addiction Studies under the mentorship of Dr. Robert Stout, with co-mentorship provided by Dr. Richard Longabaugh and Dr. Timothy Apodaca and consultation provided by Dr. Kathleen Carroll and Dr. Carlo DiClemente. The proposed Research Plan will directly apply skills that arise from training activities. Specifically, it will employ observational coding methods on longitudinal Project MATCH session data to inform knowledge of within-treatment mechanisms in aftercare for alcohol use disorders. The proposed Primary Aims will examine the construct of behavior change language (statements of commitment, ability, taking steps) with two novel sub-dimensions (regarding drinking, regarding coping) that are expected to be particularly useful for modeling common factor hypotheses about client post-session proximal and distal change behavior. The proposed Secondary Aims will draw from the general psychotherapy and addictions literature to examine two therapist common factor predictors (support of client self-efficacy, skills focus) of client mechanisms. The proposed Research Plan is well integrated with the proposed Training Goals, it has the potential to inform clinical practice, and it will ground subsequent research on common factors of client proximal and distal behavior change in treatment for alcohol use disorders. PUBLIC HEALTH RELEVANCE: Alcohol use is a substantial public health issue that has resulted in countless societal and familial costs. Research on change process mechanisms can improve our understanding of how to best treat alcohol problems. Findings from the proposed research will not only inform future methods in this area of study, but will also provide data on predictors of client change that cut across three established treatments for alcohol abuse and dependence.

描述（由申请人提供）：本提案的目标是让候选人 Molly Magill 博士成为一名独立临床科学家，专门研究酒精使用障碍心理社会治疗中的行为改变机制。 Magill 博士是一名临床社会工作者，她的职业重点是科学和实践层面的药物滥用治疗。候选人迄今为止的经验使人们相信，对变化机制的研究可以增强从临床试验研究中获得的知识。治疗结果等同或差异的结果就是这种情况。这些信息可以通过确定常见的治疗因素、治疗特定的成分以及传播的优先顺序来提高治疗效率。 Magill 博士在这一研究领域有一定的基础，但她的学术和研究培训存在重要差距。 Magill 博士接受过以下方面的高级培训：(1) 变革过程研究的设计，重点是观察测量的发展；(2) 变革机制的统计分析，重点是纵向方法。改善酒精使用障碍的心理社会治疗。拟议的培训计划将在布朗大学酒精和成瘾研究中心进行，由 Robert Stout 博士指导，Richard Longabaugh 博士和 Timothy Apodaca 博士提供共同指导，Kathleen Carroll 博士和 Kathleen Carroll 博士提供咨询卡洛·迪克莱门特。拟议的研究计划将直接应用培训活动中产生的技能。具体来说，它将对纵向 Project MATCH 会话数据采用观察编码方法，以了解酒精使用障碍善后护理的治疗内机制。拟议的主要目标将通过两个新颖的子维度（关于饮酒、关于应对）来检查行为改变语言的构造（承诺、能力、采取步骤的陈述），预计这对于对有关客户帖子的常见因素假设进行建模特别有用-会话近端和远端改变行为。拟议的次要目标将从一般心理治疗和成瘾文献中吸取教训，以检查治疗师对客户机制的两个共同因素预测因素（支持客户自我效能、关注技能）。拟议的研究计划与拟议的培训目标很好地结合在一起，它有可能为临床实践提供信息，并且将为后续研究酒精使用障碍治疗中客户近端和远端行为变化的常见因素奠定基础。 公共卫生相关性：饮酒是一个重大的公共卫生问题，导致了无数的社会和家庭成本。对变化过程机制的研究可以提高我们对如何最好地治疗酒精问题的理解。拟议研究的结果不仅将为该研究领域的未来方法提供信息，还将提供有关客户变化的预测因素的数据，这些数据跨越了三种现有的酒精滥用和依赖疗法。