Efficacy of Group Motivational Interviewing

团体动机访谈的功效

基本信息

批准号：
6673306
负责人：
ELIZABETH J SANTA ANA
金额：
$ 5.4万
依托单位：
STATE UNIVERSITY OF NEW YORK AT ALBANY
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-08-20 至 2005-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6673306
关键词：
alcoholism /alcohol abuse prevention behavior therapy clinical research drug abuse prevention group therapy human subject interview longitudinal human study motivation outcomes research patient oriented research predoctoral investigator questionnaires relapse /recurrence substance abuse related disorder therapy compliance

项目摘要

DESCRIPTION (provided by applicant): Poor compliance with aftercare treatment among dually diagnosed patients is a costly and pervasive health problem that limits the effectiveness of inpatient detoxification. Current strategies for improving compliance with aftercare treatment are minimally effective. The proposed project intends to improve current strategies by examining the impact of adding group motivational interviewing (GMI) to the standard treatment program of an inpatient psychiatric hospital for individuals with coexisting psychiatric and substance use disorders. The project aims to significantly improve compliance with aftercare treatment (e.g. AA/NA, outpatient therapy) and reduce substance use over standard inpatient treatment alone. The study specifically addresses Healthy People 2010 objectives to reduce the treatment gap for individuals with coexisting substance use and psychiatric problems and to reduce past-month use of alcohol and illicit substances by specifically targeting patient-level barriers and motivation. Ample evidence shows that motivational interviewing (MI) significantly reduces substance abuse and increases treatment engagement. As such, MI holds great promise for use in the inpatient setting and may represent a significant upgrade in the treatment services provided. However, MI is traditionally delivered one-on-one. The project seeks to demonstrate the efficacy of GMI in a group format. Until this is accomplished, MI will remain underutilized in inpatient or substance abuse treatment settings that rely on group therapy. The consequence is that motivational interviewing continues to go undelivered in inpatient settings despite the fact that this intervention may result in substantial benefits for patients, their families, and the community at large. Inpatients meeting eligibility criteria will be allocated to GMI + Standard Treatment (ST) or to ST alone using block randomization. Following admission, screening, and informed consent procedures, a group containing 5-6 participants will be invited to complete pretreatment questionnaires. Patients assigned to receive GMI + ST will be invited to return the following two days to attend two 90-minute group sessions delivered in the style of motivational interviewing. Patients receiving ST alone will be invited to return the following two days for a non-experimental group activity to control for therapist attention effects. All participants and collaterals will be contacted at a one and three month follow-up period after discharge to evaluate compliance with aftercare treatment and rate of alcohol and other drug consumption.

描述（由申请人提供）：在双重诊断的患者中遵守及后治疗的不良依从性是一个昂贵且普遍存在的健康问题，它限制了住院排毒的有效性。当前改善遵守后护理治疗的策略至少有效。拟议的项目旨在通过检查将小组动机访谈（GMI）的影响到患有患有精神病和药物使用障碍的患者的住院精神病医院标准治疗计划的影响来改善当前策略。该项目旨在显着提高对及后护理治疗的依从性（例如AA/NA，门诊治疗），并仅用标准的住院治疗来减少物质使用。这项研究专门解决了2010年健康人的目标，以减少与共存药物使用和精神病患者的治疗差距，并通过专门针对患者级别的障碍和动机来减少过去的酒精和非法物质的使用。充分的证据表明，动机访谈（MI）大大减少了药物滥用并增加了治疗的参与度。因此，MI在住院环境中使用了巨大的希望，并且可能代表提供的治疗服务的重大升级。但是，MI传统上是一对一交付的。该项目旨在以小组格式证明GMI的功效。在实现这一目标之前，MI在依赖组治疗的住院或药物滥用治疗环境中仍将不足。结果是，尽管这种干预措施可能会对患者，他们的家庭和整个社区带来可观的好处，但动机访谈仍在住院环境中继续不受欢迎。符合资格标准的住院患者将使用块随机分配给GMI +标准处理（ST）或单独分配给ST。在入学，筛查和知情同意程序之后，将邀请一个包含5-6名参与者的小组完成预处理问卷。分配给接受GMI + ST的患者将被邀请在接下来的两天内返回，参加以动机访谈风格进行的两个90分钟的小组会议。仅接受ST的患者将邀请接下来的两天进行非实验组活性以控制治疗师注意力的影响。出院后的一个和三个月随访期，将与所有参与者和抵押品联系，以评估符合饮酒后的饮酒率和其他药物消费率。