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: 8462489
• 负责人: Molly Magill
• 金额: $ 12.81万
• 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/8462489
• 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.

描述（由申请人提供）：该提案的目的是为候选人莫莉·马吉尔（Molly Magill，Ph.D。）做好准备，以作为独立临床科学家的职业，专门研究酒精使用障碍的心理社会心理治疗机制的机制。 Magill博士是一名临床社会工作者，她的职业生涯专注于科学和实践水平上的药物使用治疗。迄今为止，候选人的经验使人们相信，对变更机制的研究可以增强临床试验研究中获得的知识。治疗结果等效性或差异的结果就是这种情况。这样的信息可以通过鉴定常见的治疗因素，特定治疗成分以及传播优先级来提高治疗效率。 Magill博士在这一研究领域始于基础，但是她的学术和研究培训中存在重要差距。通过以下方面的高级培训：（1）变更过程研究的设计，重点是观察测量开发以及（2）对变更机制的统计分析，重点是纵向方法，Magill博士将为这一研究领域和改善酒精使用障碍的心理社会治疗做出贡献。拟议的培训计划将在罗伯特·斯托特（Robert Stout）博士的指导下在布朗大学酒精与成瘾研究中心举行，由理查德·朗博（Richard Longabaugh）博士和蒂莫西·阿波达卡（Timothy Apodaca）博士提供，并由凯瑟琳·卡洛尔（Kathleen Carroll）博士和卡洛·迪切里奇（Carlo Diclemente）博士提供。拟议的研究计划将直接运用培训活动产生的技能。具体而言，它将在纵向项目匹配会话数据上采用观察性编码方法来了解酒精使用障碍后处理机制的知识。拟议的主要目标将检查行为改变语言的构造（承诺，能力，采取步骤），并具有两个新颖的子维度（关于饮酒，关于应对），这些次数预计对建模有关客户访问后的近端和远端变化行为的共同因素假设特别有用。拟议的次要目标将从一般的心理治疗和成瘾文献中借鉴，以检查客户机制的两个治疗师共同因素预测因素（支持客户自我效能感，技能重点）。拟议的研究计划与拟议的培训目标充分融合，它有可能为临床实践提供依据，并且随后将基础研究对酒精使用障碍治疗的客户近端和远端行为变化的常见因素。