Using a Film Intervention in Early Addiction Treatment: a Qualitative Analysis of Process
Using a Film Intervention in Early Addiction Treatment: a Qualitative Analysis of Process
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DOI：
10.1007/s12529-017-9654-3
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发表时间：
2017-10-01
影响因子：
2.7
通讯作者：
Brendryen, Havar
中科院分区：
文献类型：
--
作者：
Bjelland, Ingerid Elgesem;Johansen, Ayna;Brendryen, Havar
有必要了解如何自助材料可以在治疗药物滥用障碍（SUD）有用，作为一个补充正在进行的治疗，或作为独立的工具change.In这项研究中，我们探讨了使用自助电影在早期成瘾治疗，同时考虑到患者和治疗师的角度，以及二元函数。我们探讨了如何积极的机制可能与干预形式和实施环境。第二个目的是检查与干预的具体内容相关的潜在机制：正念和接受心理教育。一个定性的探索性研究设计，包括一般归纳分析法，建构主义扎根理论，和源三角特征，被用来编码和分析访谈材料。新出现的主题被发展成概念，最后成为一个业务模式。参与者包括12名患者和22名治疗师，在/门诊成瘾诊所，所有在挪威的城市地区。设计的目的是开发概念的经验接地，以促进不同的潜在用户的观点（患者和治疗师的），并获得过程数据。构建的核心概念，“联盟作为经验过程”，给出了一个数据的描述，其中患者和治疗师接受或拒绝的电影作为一个经验过程概念化为联盟的形成。联盟过程模型反映了观察到的患者自主构建联盟，而治疗师间接建立联盟，通过他们的patientsexperiences.Use的自助电影可能是一个有用的辅助面对面治疗的患者谁创建一个个人有意义的附件的电影。正念/接受可以为这种连接的发生提供一个基本框架。
There is a need for knowledge about how self-help materials can be made useful in treatment for Substance Abuse Disorders (SUD), as a supplement to ongoing treatment, or as independent tools for change.In this study, we explored the use of self-help films in early addiction treatment, taking into account both patient and therapist perspectives, as well as dyadic functions. We explored how active mechanisms might be related to intervention format and implementation context. A secondary aim was to examine the potential mechanisms related to the specific content of the intervention: mindfulness and acceptance psychoeducation.A qualitative exploratory research design, including a general inductive analytic approach, constructivist grounded theory, and source triangulation features, was used to code and analyze interview material. Emerging themes were developed into concepts, and finally an operational model. Participants included 12 patients and 22 therapists, in in-/outpatient addiction clinics, all in urban areas of Norway. The purpose of the design was empirical grounding of developed concepts, to promote different potential user perspectives (patients' and therapists') and obtain process data.The core concept constructed, "Alliance as experiential process," gives a description of the data where patients and therapists accept or reject the film as a result of an experience process conceptualized as alliance formation. The alliance process model reflects the observation that patients constructed alliances autonomously, while therapists built alliances indirectly through their patients' experiences.Use of a self-help film may be a helpful adjunct to face-to-face therapy for patients who create a personally meaningful attachment to the film. Mindfulness/acceptance may offer one basic framework for such connection to take place.