TREATMENT MOTIVATION IN DRUG USERS

吸毒者的治疗动机

• 批准号: 6378884
• 负责人: Douglas Y. Longshore
• 金额: $ 46.76万
• 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/6378884
• 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，治疗的成功部分取决于来访者在特定治疗期间和整个治疗生涯中的动机。 但吸毒者的动机在药物治疗研究中仅显示出适度的预测价值，并且对于吸毒者而言，治疗动机的概念尚未得到很好的理解。 我们相信，如果解决三个问题，其相关性和意义将会变得更加清晰。首先，治疗动机的预测强度可能因吸毒者的治疗生涯或其他特征而异。 其次，治疗动机和外部治疗压力（例如法律强制）可能具有重要的交互作用。 第三，变化阶段研究已经确定了认知变量，这些变量似乎与吸烟和酗酒（无论是否接受正规治疗）的恢复具有重要相关性。 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停止吸毒的人决定寻求治疗，而另一些人则试图自行戒烟。 该项目由三项补充研究组成。 研究 A 将探讨治疗动机测量的心理测量学，作为吸毒者治疗生涯和其他特征的函数。 在本研究中，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来更好地了解研究 A 中尚不清楚的治疗动机方面，并将使用调查方法来测试修订后的治疗动机测量（如果需要）以及其他认知变量的测量。 研究 C 将测试治疗动机的预测价值。具体目标是： (1) 评估与吸毒者治疗生涯和其他特征相关的治疗动机测量的心理测量学； (2)考察吸毒者治疗动机与行为改变阶段之间的关系； (3) 检查可能构成吸毒者治疗动机和改变阶段的认知变量（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、治疗预期获益和道德信念）； (4) 评估与使用者的治疗生涯、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相关的治疗动机的预测价值。