CLINICAL PROCESSES IN DRUG ABUSE PREVENTION

这项研究，首席调查员第一个NIH奖，检查在药物滥用预防干预组的会议行为。本研究的主要目标是启动一项研究计划，以增加临床医生如何影响会话内参与者行为和小组过程的知识库，从而影响近端结果（“出勤”，“父母参与”）。本研究的研究计划借鉴了心理治疗研究文献中已有的理论、方法和程序来研究预防干预组的会期行为。这项研究的结果将为将预防试验的结果转化为提供有效干预措施的即时改进提供基础。小组会议的录像带将被编码（一个陈述一个陈述）并评级（一种行为在一个片段中出现的程度的摩尔水平评估），以识别不同类别的会议中行为。将进行验证性因素分析，以测试临床医生干预（“支持性”、“指导性”和“促进性”）、参与者行为（“与临床医生的联系”和“与团队的联系”）和团队过程（“凝聚力”）结构的存在。分层线性模型将用于检验临床医生干预、参与者行为、群体过程和近端结果（“出勤”和“父母参与”）之间的假设关系。微序列分析将用于阐明临床医生干预与参与者行为之间的直接（言语行为水平）关系。

This study, the Principal Investigators first NIH award, examines in-session behaviors in drug abuse preventive intervention groups. The primary goal of this study is to initiate a program of research that will increase the knowledge-base about how clinicians influence within-session participant behaviors and group processes which, in turn, influence proximal outcomes ('Attendance', 'Parental Involvement'). The research plan in this study borrows established theories, methods, and procedures from the psychotherapy research literature to examine in-session behaviors in preventive intervention groups. Findings from this study will provide a foundation for translating results from prevention trials into immediate improvements in the delivery of effective interventions. Videotapes of group sessions will be coded (statement by statement) and rated (molar level assessment of the extent to which a behavior was present in a segment) to identify distinct classes of in-session behaviors. Confirmatory factor analyses will be conducted to test for the presence of clinician intervention ('Supportive', 'Directive', and 'Facilitative'), participant behavior ('Bonding to Clinician' and 'Bonding to Group'), and group process ('Cohesion') constructs. Hierarchical linear modeling will be used to examine the hypothesized relationships between clinician interventions, participant behaviors, group process, and proximal outcomes ('Attendance' and 'Parental Involvement'). Microsequential analyses will be used to elucidate the immediate (speech act level) relationships between in-session clinician interventions and participant behaviors.