Goal setting and monitoring with alcohol and other drug use disorders: Principles and practices.
Goal setting and monitoring with alcohol and other drug use disorders: Principles and practices.
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DOI：
10.1016/j.jsat.2021.108650
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发表时间：
2022-01
影响因子：
3.9
通讯作者：
Wampold BE
中科院分区：
文献类型：
--
作者：
Magill M;Martino S;Wampold BE
这项工作建立在一小部分文献的基础上，探索心理治疗、行为改变和循证酒精或其他药物 (AOD) 疗法的核心过程。在这里，本文讨论了两个独立但相互依赖的过程。研究团队将目标设定和目标监控定义为临床医生和客户确定和制定治疗目标的协作过程；可行的目标；随着时间的推移，通过标准化程序重新审视、衡量和重新协商这些计划。研究方法包括文献综述和定性内容分析，以得出一套目标设定和监控的原则和实践。研究团队使用源文件（即文献综述、治疗手册和政府发布的实践指南）和视频（即治疗演示视频），并在 NVIVO 中进行分析。该研究确定了 10 项原则和 32 项实践。这些原则表明，目标设定和监测可以被描述为参与目标导向治疗工作的协作、明确和标准化方法。目标导向的治疗工作一词意味着转向比之前文献中强调的更负责任的护理框架。已确定的实践分为五个子主题，涉及目标设定（10 个实践）、目标监控（10 个实践）以及特定于目标追求和行为改变机制的实践。这些实践涉及关注客户自我决定（4 种实践）、动机（4 种实践）和自我效能（4 种实践）的方法。目标设定和监测是绘制和跟踪相互负责的治疗过程的协作手段。目前的工作为对基于 AOD 和其他行为改变疗法的循证原则和实践的护理感兴趣的学员、临床医生和临床主管提供了一种新颖的资源。
This work builds on a small body of literature that explores core processes in psychotherapy, behavior change, and evidence-based alcohol or other drug (AOD) therapies. Here, this paper discusses two separate but dependent processes. The research team defines goal setting and goal monitoring as collaborative processes where clinicians and clients identify and formulate therapeutic goals; actionable objectives; and revisit, measure, and renegotiate these plans via a standardized procedure over time. Study methods included a literature review and qualitative content analysis to derive a set of principles and practices of goal setting and monitoring. The research team used source documents (i.e., literature reviews, therapy manuals, and government-issued practice guidelines) and videos (i.e., therapy demonstration videos), and we performed analyses in NVIVO. The study identified ten principles and 32 practices. The principles suggest that goal setting and monitoring can be characterized as a collaborative, explicit, and standardized approach to engaging in goal-directed therapeutic work. The term goal-directed therapeutic work connotes a shift toward a more accountable frame for care than has been previously emphasized in the literature. The identified practices were organized into five sub-themes related to goal setting (10 practices), goal monitoring (10 practices), as well as practices specific to mechanisms of goal pursuit and behavior change. These practices involved ways to attend to client self-determination (4 practices), motivation (4 practices), and self-efficacy (4 practices). Goal setting and monitoring are a collaborative means of mapping and tracking a course of mutually accountable treatment. The current work is a novel resource for trainees, clinicians, and clinical supervisors interested in care based on evidence-based principles and practices of AOD and other behavior change therapies.
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