Matching motivation enhancement treatment to client motivation: re-examining the Project MATCH motivation matching hypothesis.
Matching motivation enhancement treatment to client motivation: re-examining the Project MATCH motivation matching hypothesis.
复制标题
将动机增强治疗与客户动机相匹配：重新审视 Project MATCH 动机匹配假设。
DOI：
10.1111/j.1360-0443.2010.02954.x
复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Donovan,Dennis
中科院分区：
文献类型：
--
作者：
Witkiewitz,Katie;Hartzler,Bryan;Donovan,Dennis
目的：本研究旨在使用生长混合模型重新检验Project Match的动机匹配假说，这是一种模拟个体饮酒模式差异的分析技术。设计、设置和参与者对大型多地点酒精中毒治疗匹配研究Project Match(n= 1726)的数据进行二次数据分析。测量饮酒天数百分比是主要结果指标，评估时间为治疗后1个月至12个月。治疗任务、酒精依赖症状和基线饮酒天数百分比作为协变量。结果支持门诊样本和后续护理样本中女性的动机匹配假说：大多数基线动机较低的个体如果被分配到动机增强治疗(MET)比被分配到认知行为治疗(CBT)的人有更好的结果。在善后护理样本中，性别和酒精依赖严重程度的缓和作用，即基线动机较低和酒精依赖程度较高的男性在分配给MET时比分配到CBT的男性更频繁地饮酒。结论本研究的结果部分支持动机匹配假说，也证明了缓和对治疗匹配效果的影响的重要性。根据这些发现，门诊环境中动机基线较低的个人和酒精依赖程度较低的男性或善后护理环境中的女性可能更多地从动机增强技术中受益，而不是从认知行为技术中受益。
AimsThe current study was designed to re‐examine the motivation matching hypothesis from Project MATCH using growth mixture modeling, an analytical technique that models variation in individual drinking patterns.Design, setting and participantsSecondary data analyses of data from Project MATCH (n= 1726), a large multi‐site alcoholism treatment‐matching study.MeasurementsPercentage of drinking days was the primary outcome measure, assessed from 1 month to 12 months following treatment. Treatment assignment, alcohol dependence symptoms and baseline percentage of drinking days were included as covariates.FindingsThe results provided support for the motivation matching hypothesis in the out‐patient sample and among females in the aftercare sample: the majority of individuals with lower baseline motivation had better outcomes if assigned to motivation enhancement treatment (MET) compared to those assigned to cognitive behavioral treatment (CBT). In the aftercare sample there was a moderating effect of gender and alcohol dependence severity, whereby males with lower baseline motivation and greater alcohol dependence drank more frequently if assigned to MET compared to those assigned to CBT.ConclusionsResults from the current study lend partial support to the motivation‐matching hypothesis and also demonstrated the importance of moderating influences on treatment matching effectiveness. Based upon these findings, individuals with low baseline motivation in out‐patient settings and males with low levels of alcohol dependence or females in aftercare settings may benefit more from motivational enhancement techniques than from cognitive–behavioral techniques.
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