Do counselor techniques predict quitting during smoking cessation treatment? A component analysis of telephone-delivered Acceptance and Commitment Therapy.
Do counselor techniques predict quitting during smoking cessation treatment? A component analysis of telephone-delivered Acceptance and Commitment Therapy.
复制标题
在戒烟治疗期间，咨询技巧是否可以预测戒烟？
DOI：
10.1016/j.brat.2014.07.008
复制
发表时间：
2014
影响因子：
4.1
通讯作者：
Bricker,JonathanB
中科院分区：
文献类型：
--
作者：
Vilardaga,Roger;Heffner,JaimeeL;Mercer,LainaD;Bricker,JonathanB
到目前为止，还没有研究检查在治疗过程中咨询师技术对戒烟的影响。为了解决这一差距，我们研究了在给定的会话中使用特定的接受和承诺疗法（ACT）咨询技术预测下一次会话中报告的戒烟的程度。这些数据来自一项电话戒烟干预的随机对照试验的ACT组。经过培训的评分员对44名参与者的139次咨询会议进行了编码。ACT模型的开放性，意识和激活组件进行了评级，为每个电话咨询会议。多水平逻辑回归模型被用来估计在任何给定的电话会议和戒烟在以下电话会议期间的每个组件之间的预测关系。咨询师使用开放性和意识技术的每增加1个单位，在下一次咨询会议上吸烟的几率分别减少42%和52%。然而，辅导员使用激活技术和戒烟之间没有显著的预测关系。总的来说，结果突出了在治疗过程中检查治疗师的技术作为结果的预测因素的理论和临床价值。
No studies to date have examined the effect of counselor techniques on smoking cessation over the course of treatment. To address this gap, we examined the degree to which the use of specific Acceptance and Commitment Therapy (ACT) counseling techniques in a given session predicted smoking cessation reported at the next session. The data came from the ACT arm of a randomized controlled trial of a telephone-delivered smoking cessation intervention. Trained raters coded 139 counseling sessions across 44 participants. The openness, awareness and activation components of the ACT model were rated for each telephone counseling session. Multilevel logistic regression models were used to estimate the predictive relationship between each component during any given telephone session and smoking cessation at the following telephone session. For every 1-unit increase in counselors' use of openness and awareness techniques there were 42% and 52% decreases in the odds of smoking at the next counseling session, respectively. However, there was no significant predictive relationship between counselors' use of activation techniques and smoking cessation. Overall, results highlight the theoretical and clinical value of examining therapists' techniques as predictors of outcome during the course of treatment.