Integration of motivational interviewing and behavioral economic theories to enhance brief alcohol interventions: Rationale and preliminary examination of client language.

Integration of motivational interviewing and behavioral economic theories to enhance brief alcohol interventions: Rationale and preliminary examination of client language.
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DOI:
10.1037/pha0000363
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发表时间:
2021-03
影响因子:
2.3
通讯作者:
Borsari B
Borsari B
中科院分区:
医学3区
文献类型:
--
作者:
Ladd BO;Murphy JG;Borsari B

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动机性访谈(MI)是一种广泛传播的循证治疗方法,用于吸引客户和激励健康行为改变,特别是危险物质使用。在过去的几十年里,MI理论的完善提供了经验证据,表明MI(会话中客户端语言)的技术组件是一种有前途的行为改变(MOBC)机制。然而,异质性和小到中等的效应量表明需要改进MOBC测量并考虑其他类型的客户语言。当前的论文提出了当前MI理论和行为经济学(BE)机制的互补整合,以进一步理解与后续行为改变相关的会议中因素。在本文中,我们从脑梗死和BE理论中定义了一些关键的mobc,描述了我们的集成框架,并介绍了一项试点研究的初步结果,该研究是关于在高风险大学生饮酒者中应用基于BE的新型脑梗死的有效性和mobc。初步编码发展的结果表明,与传统的改变谈话措施相比,客户语言的BE-informed措施更能预测高风险大学生对短暂干预的反应。我们认为,BE理论可以提供有意义的会议内容的见解,而不是目前的MI结构的改变谈话和维持谈话,这反过来可能有助于促进临床实践的发展,并为科学调查提供信息。
Motivational interviewing (MI) is a widely disseminated evidence-based therapeutic approach for engaging clients and motivating health behavior change, especially risky substance use. Refinement of MI theory over the past few decades has provided empirical evidence that the technical component of MI (in-session client language) is a promising mechanism of behavior change (MOBC). However, heterogeneous and small-to-moderate effect sizes suggest the need for refinement of MOBC measurement and consideration of other types of client language. The current manuscript presents a complementary integration of current MI theory and behavioral economic (BE) mechanisms to further understanding of in-session factors associated with subsequent behavior change. In this paper, we define some of the key MOBCs from MI and BE theories, describe our integrated framework, and present preliminary findings from a pilot study of the effectiveness and MOBCs of a novel BE-informed application of MI in risky college student drinkers. Results from preliminary coding development suggest that BE-informed measures of client language better predict response to a brief intervention in risky college students than traditional change talk measures. We posit that BE theory can offer insight into meaningful session content beyond the current MI constructs of change talk and sustain talk, which in turn may serve to enhance development of clinical practice and inform scientific investigations.
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