Identifying Mechanisms of Motivational Interviewing

识别动机访谈的机制

• 批准号: 7227115
• 负责人: TIMOTHY R APODACA
• 金额: $ 14.36万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7227115
• 关键词: Accounting; Affect; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohol or Other Drugs use; Behavior; Behavioral; Clinical Investigator; Code; Counseling; Development Plans; Doctor of Philosophy; Future; Goals; Hospitals; Individual; Investigation; Knowledge; Language; Measures; Mediating; Medical; Mentors; Mentorship; Numbers; Outcome; Patients; Process; Public Health; Randomized Controlled Trials; Research; Resources; Role; Series; Source; Speech; Speech Therapist; Staging; Statistical Methods; Structure; Substance Use Disorder; System; Testing; Therapeutic; Training; Training Activity; Universities; Work; alcohol abuse therapy; alcohol measurement; base; career; design; drinking; early /brief intervention /therapy; follow-up; motivational enhancement therapy; problem drinker; psychosocial; theories; trauma centers

DESCRIPTION (provided by applicant): The overall goal of this proposal is to provide the applicant, Timothy Apodaca, Ph.D., with resources and training to develop into an independent clinical investigator pursuing a research agenda focused on therapeutic mechanisms of action of psychosocial treatments for alcohol problems. This long-term goal will be accomplished by a series of structured training activities, and completion of a mentored study. Training activities of the candidate's career development plan emphasize three goals: (1) developing expert knowledge of therapeutic mechanisms of action for psychosocial treatments of alcohol problems; (2) increasing competency in the theory and conduct of advanced statistical methods; and (3) developing proficiency in therapy process coding, and establishing an independent coding lab for conducting therapy process research. This training will be accomplished at the Brown University Center for Alcohol and Addiction Studies under the mentorship of Dr. Peter Monti, with co-mentorship provided by Dr. Richard Longabaugh and Dr. Christopher Kahler. The proposed research plan will integrate the candidate's newly acquired knowledge in an investigation of hypothesized mechanisms of action of motivational interviewing (Ml) in the context of a randomized, controlled trial of Ml conducted in a hospital trauma center. While evidence supports the efficacy of Ml for substance use disorders, little is known about how Ml works. The proposed study will utilize process coding to investigate the impact of including a significant other in Ml sessions compared with individual sessions. In addition, the study will seek to replicate and extend other research on the role of therapist behavior and specific types of patient speech on future behavioral outcomes. The long-term goal of this line of research is to identify aspects of patient, therapist, and significant other speech and behavior in Ml sessions that contribute to reductions in drinking and associated negative consequences. Identifying the active ingredients of motivational interviewing can inform future training efforts in the dissemination of this alcohol treatment.

描述（由申请人提供）：本提案的总体目标是为申请人 Timothy Apodaca 博士提供资源和培训，以发展成为一名独立的临床研究者，致力于专注于心理社会作用治疗机制的研究议程酒精问题的治疗。这一长期目标将通过一系列结构化培训活动和完成指导研究来实现。候选人职业发展计划的培训活动强调三个目标：（1）发展酒精问题心理社会治疗作用机制的专业知识； (2) 提高先进统计方法的理论和实施能力； (3) 提高治疗过程编码的熟练程度，并建立独立的编码实验室来进行治疗过程研究。该培训将在 Peter Monti 博士的指导下，在 Richard Longabaugh 博士和 Christopher Kahler 博士的共同指导下，在布朗大学酒精和成瘾研究中心完成。拟议的研究计划将在医院创伤中心进行的动机性访谈（MI）随机对照试验的背景下，将候选人新获得的知识整合到动机性访谈（MI）的假设作用机制的调查中。虽然有证据支持 Ml 对药物滥用障碍的功效，但人们对 Ml 的作用原理知之甚少。拟议的研究将利用流程编码来调查在机器学习会话中包含重要的其他人与单独会话相比的影响。此外，该研究还将寻求复制和扩展有关治疗师行为和特定类型的患者言语对未来行为结果的作用的其他研究。这一系列研究的长期目标是确定患者、治疗师以及机器学习治疗中其他重要的言语和行为的各个方面，这些方面有助于减少饮酒和相关的负面后果。识别动机性访谈的活性成分可以为未来传播这种酒精疗法的培训工作提供信息。