Significant Others in MET for Alcohol Use Disorders

描述(由申请人提供)：这项为期两年的研究将开发和试点测试一种动机增强疗法(MET)和支持性重要他人(SSO)干预(MET SSO)，对象是寻求治疗初级酒精使用障碍的成年人。我们的主要前提是：(A)经验证据支持SSO在治疗中的有效性和有效性，(B)经验证据支持MET的有效性和有效性。(C)然而，MET和SSO参与的结合虽然在理论上是合理的，但还没有作为MET的一个关键的积极因素进行调查，以及(D)MET的SSO干预部分没有像MET的其他部分那样得到充分发展。因此，本研究的目的是：初步测试动机强化疗法(MET)加支持性重要他人干预(MET SSO)；初步评估其对酒精使用的影响、酒精使用的后果以及治疗保留。为此，本研究将：在MET中全面实施SSO干预；制定MET SSO干预手册；制定评级表，以评估实施MET SSO干预的遵从性和能力；为治疗师制定实施MET SSO干预的培训课程；试行MET SSO干预，以评估干预的过程和可行性。

DESCRIPTION (provided by applicant): This two-year study will develop and pilot-test a Motivational Enhancement Therapy (MET) plus supportive significant other (SSO) Intervention (MET+SSO) with adults seeking treatment for primary alcohol use disorders. Our central premises are: (a) The empirical evidence supports the efficacy and effectiveness of involving SSO's in treatment, (b) Empirical evidence supports the efficacy and effectiveness of MET. (c) However, the integration of MET plus SSO involvement, though theoretically sound, has not been investigated as a critical active ingredient of MET, and (d) the SSO intervention component of MET has not been developed as fully as other components of MET. Therefore, the present study aims to: Pilot-test the Motivational Enhancement Therapy (MET) plus supportive significant other (SSO) Intervention (MET+SSO) ; to preliminarily evaluate the impact upon alcohol use, consequences due to alcohol use, and treatment retention. Toward this aim this study will: Fully operationalize the SSO intervention within MET; Develop a manual for the MET+SSO intervention; Develop a rating scale to evaluate adherence and competency in implementing the MET+SSO intervention; Develop a training curriculum for therapists to implement the MET+SSO interventions; Pilot-test the MET+SSO intervention to evaluate the processes and feasibility of the intervention.