TREATMENT MOTIVATION IN DRUG USERS

吸毒者的治疗动机

• 批准号: 2837908
• 负责人: Douglas Y. Longshore
• 金额: $ 23.96万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-06-01 至 2004-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2837908
• 关键词: alcoholism /alcohol abuse; attitude; behavior prediction; behavior therapy; clinical research; cognition; drug abuse; drug abuse therapy; human data; human therapy evaluation; motivation; psychometrics; tobacco abuse

It is commonly believed that treatment success depends in part on the client's motivation during a given episode of treatment and over the course of the treatment career. But client motivation has shown only modest predictive value in drug treatment research, and the concept of treatment motivation is not yet well understood with regard to drug users. We believe its relevance and meaning will become more clear if three issues are pursued. First, the predictive strength of treatment motivation may vary in relation to drug users' treatment careers or other characteristics. Second, treatment motivation and external pressure for treatment, e.g., legal coercion, may have important interactive effects. Third, stage-of-change research has identified cognitive variables that appear to be important correlates of recovery from smoking and alcohol abuse-with and without formal treatment. Similar research on the stages and correlates of change in drug users may help us understand why some who want to stop using drugs decide to seek treatment while others try to quit on their own. This project consists of three complementary studies. Study A will explore the psychometrics of treatment motivation measures as a function of drug users' treatment careers and other characteristics. For this study we will conduct extensive analyses of in-house datasets. Study B will use focus-group methods to better understand aspects of treatment motivation that remain unclear in Study A and will use survey methods to test revised treatment motivation measures, if needed, as well as measures of other cognitive variables. Study C will test the predictive value of treatment motivation. Specific aims are: (1) Evaluate the psychometrics of treatment motivation measures in relation to drug users' treatment careers and other characteristics; (2) Examine the relationship between treatment motivation and stages of behavior change among drug users; (3) Examine cognitive variables (processes of change, abstinence self-efficacy, temptation to use drugs, attitudes toward quitting drug use, external pressure for treatment, expected benefit of treatment, and moral beliefs) that may underlie treatment motivation and stage of change among drug users; and (4) Assess the predictive value of treatment motivation in relation to users' treatment careers, primary drug, race/ethnicity, external pressure for treatment, stage of change, and other cognitive variables.

人们普遍认为，治疗的成功在一定程度上取决于患者在给定的治疗过程中和整个治疗生涯中的动机。但是，在药物治疗研究中，客户动机只显示出有限的预测价值，对于吸毒者来说，治疗动机的概念还没有得到很好的理解。我们认为，如果探讨三个问题，它的相关性和意义将变得更加清晰。首先，治疗动机的预测强度可能与吸毒者的治疗职业或其他特征有关。第二，治疗动机和治疗的外部压力，例如法律胁迫，可能会产生重要的交互作用。第三，改变阶段的研究已经确定了认知变量，这些变量似乎是吸烟和酗酒后康复的重要相关因素--无论是否接受正式治疗。对吸毒者变化的阶段和相关性的类似研究可能有助于我们理解为什么一些想要戒毒的人决定寻求治疗，而另一些人则试图自行戒毒。该项目由三项互补性研究组成。研究A将探讨戒毒动机措施的心理计量学作为吸毒者戒毒生涯等特征的函数。在这项研究中，我们将对内部数据集进行广泛的分析。研究B将使用焦点小组方法更好地了解研究A中仍不清楚的治疗动机方面，并将使用调查方法测试修订后的治疗动机措施，如有必要，以及其他认知变量的衡量标准。研究C将检验治疗动机的预测价值。具体目标是：(1)评估与吸毒者的戒毒生涯和其他特征相关的治疗动机措施的心理测量学；(2)考察吸毒者的治疗动机与行为改变阶段之间的关系；(3)考察可能影响吸毒者的治疗动机和阶段改变的认知变量(改变过程、戒断自我效能、吸毒诱惑、戒毒态度、治疗的外部压力、预期治疗益处和道德信念)；以及(4)评估治疗动机与使用者的治疗职业、主要药物、种族/民族、治疗的外部压力、变化阶段和其他认知变量有关的预测价值。