Client commitment language during motivational interviewing predicts drug use outcomes
Client commitment language during motivational interviewing predicts drug use outcomes
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DOI：
10.1037/0022-006x.71.5.862
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发表时间：
2003-10-01
影响因子：
5.9
通讯作者：
Fulcher, L
中科院分区：
文献类型：
--
作者：
Amrhein, PC;Miller, WR;Fulcher, L
调查了激励性访谈(MI)的客户语言和药物使用结果。对84名吸毒者的访谈录像带进行了编码，以确定表达承诺、欲望、能力、需要、准备以及改变或保持习惯的理由的频率和强度。对戒断天数比例(PDA)进行聚类分析，可分为3组：摄入量和随访期(3、6、9、12个月)高PDA组；低摄入量/高随访组(改变组)；低摄入量/低至中度随访组(奋斗组)。在MI期间，承诺强度(CS)出现了不同的组模式。不诚实的客户在清单自我报告中表现出类似挣扎者的CS。用于客户评估变更计划预测结果的CS PDA。CS可以通过欲望、能力、需要和原因的强度来预测，但对结果的预测作用更强，这表明CS是它们影响行为的一条途径。
Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (strugglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to strugglers. CS for client evaluation of a change plan predicted outcome PDA. CS was predicted by strength of desire, ability, need, and reasons, but more strongly predicted outcome PDA, suggesting CS is a pathway for their influence on behavior.