Engaging the unmotivated in treatment for alcohol problems: a comparison of three strategies for intervention through family members.
Engaging the unmotivated in treatment for alcohol problems: a comparison of three strategies for intervention through family members.
复制标题
让没有动力的人参与酒精问题的治疗：通过家庭成员干预的三种策略的比较。
DOI：
10.1037//0022-006x.67.5.688
复制
发表时间：
1999
影响因子：
5.9
通讯作者：
Tonigan,JS
中科院分区：
文献类型：
--
作者：
Miller,WR;Meyers,RJ;Tonigan,JS
在一项随机临床试验中，向130名关心的重要他人（CSO）提供了3种不同咨询方法中的一种：（a）旨在鼓励参与12步计划的Al-Anon促进疗法，（B）约翰逊研究所干预，为对抗性家庭会议做准备，或（c）社区强化和家庭培训（CRAFT）方法，教授在家中使用的行为改变技能。所有患者均为人工引导，接触时间为12小时。后续访谈持续了12个月，完成了94%。CRAFT方法对最初无动机的问题饮酒者进行治疗（64%）比更常见的Al-Anon（13%）和约翰逊干预（30%）更有效。约翰逊干预的两个先前报道的方面被复制：大多数CSO决定不进行家庭对抗（在这项研究中为70%），而在那些这样做的人中，大多数（75%）成功地让饮酒者接受治疗。所有方法都与CSO功能和关系质量的类似改善相关。作为父母的民间社会组织的总体治疗参与率高于配偶。平均而言，治疗参与发生在4至6个疗程后。（PsycINFO数据库记录（c）2019 APA，保留所有权利）
In a randomized clinical trial, 130 concerned significant others (CSOs) were offered 1 of 3 different counseling approaches:(a) an Al-Anon facilitation therapy designed to encourage involvement in the 12-step program,(b) a Johnson Institute intervention to prepare for a confrontational family meeting, or (c) a community reinforcement and family training (CRAFT) approach teaching behavior change skills to use at home. All were manual-guided, with 12 hr of contact. Follow-up interviews continued for 12 months, with 94% completed. The CRAFT approach was more effective in engaging initially unmotivated problem drinkers in treatment (64%) as compared with the more commonly practiced Al-Anon (13%) and Johnson interventions (30%). Two previously reported aspects of the Johnson intervention were replicated: that most CSOs decide not to go through with the family confrontation (70% in this study) and that among those who do, most (75%) succeed in getting the drinker into treatment. All approaches were associated with similar improvement in CSO functioning and relationship quality. Overall treatment engagement rates were higher for CSOs who were parents than for spouses. On average, treatment engagement occurred after 4 to 6 sessions.(PsycINFO Database Record (c) 2019 APA, all rights reserved)