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动机增强疗法（MET）加支持性重要他人（SSO）干预（MET+SSO），用于寻求原发性酒精使用障碍治疗的成年人。我们的中心前提是：(a)经验证据支持将SSO纳入治疗的有效性和有效性，(b)经验证据支持MET的有效性和有效性。(c)然而，MET与单点干预的结合虽然理论上是合理的，但作为MET的关键活性成分尚未进行研究；(d) MET的单点干预成分尚未像MET的其他成分那样得到充分发展。因此，本研究旨在：对动机增强疗法（MET）加支持性显著他人干预（MET+SSO）进行中试；初步评估对酒精使用的影响、酒精使用的后果和治疗效果。为此，本研究将：在MET中充分实施SSO干预；制定MET+SSO干预手册；制定一个评估量表，以评估实施MET+SSO干预的依从性和能力；为治疗师制定培训课程，以实施MET+SSO干预措施；对MET+SSO干预进行试点测试，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.