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Testing Theory-Based Training in Motivational Interviewing

测试动机访谈中基于理论的培训

基本信息

批准号：
7212980
负责人：
THERESA B MOYERS
金额：
$ 55.28万
依托单位：
UNIVERSITY OF NEW MEXICO
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-07-30 至 2011-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7212980
关键词：
Accounting Address Alcohol or Other Drugs use Attention Audiotape Authoritarianism Behavior Behavior Therapy Behavioral Benchmarking Books Client Clinical Clinical Trials Code Cognitive Dissonance Companions Condition Consult Counseling Data Decision Trees Digital Video-Interactive Drug abuse Educational process of instructing Elements Empathy Evaluation Evidence based treatment Feedback Foundations Frequencies Future Healthcare Hearing Intervention Investigation Laboratories Language Learning Manuals Measures Methods New Mexico Outcome Paper Participant Pattern Process Professional counselor Programmed Learning Psycholinguistics Public Domains Public Health Randomized Randomized Clinical Trials Randomized Controlled Trials Rate Relative (related person)Research Research Personnel Sampling Self Efficacy Self Perception Shapes Speech Staging Standards of Weights and Measures Substance abuse problem Telephone Testing Therapeutic Training Travel Treatment outcome Work base design desire digital improved motivational enhancement therapy programs response skills theories therapy development

项目摘要

DESCRIPTION (provided by applicant): This project will test strategies for training front-line clinicians in one of two methods for implementing motivational interviewing (Ml) in substance abuse treatment settings. Using a randomized clinical trial, we will assign these clinicians to receive either standard Ml Training (MIT) or training that emphasizes the ability to recognize, reinforce and elicit client language toward change (MIT+). Recent research indicates that shaping client language in this manner is associated with better outcomes in substance abuse treatment when Ml is used. Although such "change talk" is a hypothesized active ingredient of Ml, information about how counselors should elicit and respond to it has not been included in either edition of Ml book, and there s a paucity of information about how clinicians should implement this component within an Ml intervention. Therefore, training and evaluation of this element of Ml offers the dual advantage of enhancing dissemination and providing a foundation for future Stage III clinical trials to test causal mechanisms for Ml. Once training is complete, participant-clinicians will submit audiotapes of themselves conducting treatment sessions in Ml and these will be evaluated using an empirically-validated behavioral coding system (the Motivational Interviewing Skills Code). We will compare the amount and intensity of client language during these sessions indicating desire, ability, reason, need and commitment to change between the two training conditions. Our participants will be 140 clinicians working in public substance abuse treatment settings around the U.S. Clinician-participants will travel to New Mexico to receive training from Dr. William Miller and the P.I., after being randomized to one of the two training conditions and submitting a baseline proficiency sample of their clinical practice. Participants also receive telephone consults and coded feedback of their treatment sessions, both of which have been shown in our previous research to enhance skill enhancement in novice clinicians. Relevance to Public Health: This research is intended to streamline and improve the efficiency of a proven treatment for substance abuse, motivational interviewing (Ml). Clinicians will participate in a learning program to improve their treatment skills in a particular element of Ml (changing client language during therapy) and we will compare this with regular Ml treatment. This research will also provide a foundation for future investigations of effective ingredients of substance abuse treatments.

描述（由申请人提供）：