Can a pure motivational interviewing intervention be manualized and still efficacious? A test of feasibility and initial efficacy.
Can a pure motivational interviewing intervention be manualized and still efficacious? A test of feasibility and initial efficacy.
复制标题
DOI：
10.1037/pst0000309
复制
发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Houck J
中科院分区：
文献类型：
--
作者：
Hurlocker MC;Moyers TB;Houck J
参加治疗过程的重要性，尽管在手动化它的挑战是证明在动机访谈（MI）的经验演变。虽然有关于适应管理信息的手册，但还没有为管理信息编制和测试其纯形式的手册（纯管理信息）。本研究评估了一个纯粹的MI干预手册的可行性和初步疗效- MI的危险社交饮酒（MI-RSD）-旨在针对有社交焦虑的大学生的危险社交饮酒行为。42名大学生的试点样本完成了酒精使用和心理健康症状的措施和MI-RSD干预。我们开发了一个手册的两届MI-RSD干预，培训了四名临床博士生，并使用观察员，治疗师和参与者完成的措施，以评估保真度。治疗师满足初学者熟练MI的保真度和参与者给予治疗师坚持MI和工作联盟的高评级，证明干预的可行性。此外，参与者报告说，危险饮酒和评估恐惧显着减少，但社交焦虑没有减少。我们提供的初步证据表明，纯MI可以手动和有效的。具体而言，MI-RSD代表了MI适应的替代方案，以减轻年轻人的酒精相关伤害。
The importance of attending to the therapeutic process despite the challenges in manualizing it is demonstrated in the empirical evolution of motivational interviewing (MI). Whereas manuals exist for adaptations of MI, no manual has been developed and tested for MI in its pure form (pure MI). This study evaluated the feasibility and initial efficacy of a pure MI intervention manual – MI for risky social drinking (MI-RSD) – designed to target risky social drinking behaviors in college students with social anxiety. A pilot sample of 42 college students completed measures of alcohol use and mental health symptoms and the MI-RSD intervention. We developed a manual for the two-session MI-RSD intervention, trained four clinical doctoral students, and used observer-, therapist- and participant-completed measures to evaluate fidelity. Therapists met beginner proficiency in MI fidelity and participant gave high ratings of therapist adherence to MI and working alliance, demonstrating intervention feasibility. Also, participants reported significant reductions in hazardous drinking and evaluation fears, but not in social interaction anxiety. We offer preliminary evidence that pure MI can be manualized and effective. Specifically, MI-RSD represents an alternative to MI adaptations in mitigating alcohol-related harm for young adults.
登录
查看更多内容
DOI：
10.15288/jsa.1990.51.356
发表时间：
1990-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
KUCHIPUDI, V;HOBEIN, K;IBER, FL
通讯作者：
IBER, FL
DOI：
10.1111/acer.13770
发表时间：
2018-07
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Colby SM;Orchowski L;Magill M;Murphy JG;Brazil LA;Apodaca TR;Kahler CW;Barnett NP
通讯作者：
Barnett NP
影响因子：
3.9
作者：
Hatcher, RL;Gillaspy, JA
通讯作者：
Gillaspy, JA
影响因子：
4.1
作者：
Mattick, RP;Clarke, JC
通讯作者：
Clarke, JC
影响因子：
16.2
作者：
Channon, Sue J.;Huws-Thomas, Michelle V.;Gregory, John W.
通讯作者：
Gregory, John W.