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Exploring Personal Change Mechanisms in Modifying Drinking Behavior

探索改变饮酒行为的个人改变机制

基本信息

批准号：
7503444
负责人：
CARLO C. DI CLEMENTE
金额：
$ 20万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE COUNTY
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：
2007-09-30 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7503444
关键词：
Affect Aftercare Alcohol abuse Area Baltimore Client Clinical Companions Data Data Set Decision Making Dependence Development Dimensions Effectiveness of Interventions Enrollment Event Expectancy Goals Individual Informal Social Control Intervention Interview Interviewer Measurement Measures Mediator of activation protein Methods Modification Motivation Outcome Outpatients Participant Patient Self-Report Patients Phase Pilot Projects Placebos Population Preparation Process Questionnaires Rate Recording of previous events Research Research Project Grants Role Self Efficacy Self-control as a personality trait Staging Stress Structure Testing Time Week Work alcohol abuse therapy alcohol use disorder cognitive function coping craving design drinking drinking behavior early /brief intervention /therapy novel response stress management treatment duration treatment site

项目摘要

DESCRIPTION (provided by applicant): To increase the effectiveness of interventions of alcohol use disorders developmental research is needed to understand and assess critical mechanisms of change that influence the modification of drinking behavior. The proposed R21 research project will examine mechanisms as well as mediators and moderators of the personal process of change that underlies the modification of drinking both in natural or self-change as well as in treatment. Candidate constructs to be considered in this project include stages and processes of change, self-control and executive cognitive functioning, commitment, self-efficacy, craving, affect management, stress, expectancies, and relevant change history. The three phases of this research will 1) explore these candidate change process variables in secondary analyses of Project MATCH and COMBINE data sets examining them within treatment and for relationships with changes in drinking over time; 2) create and evaluate a structured interview assessment, the Change Tasks and Mechanisms Interview (CTMI), designed to capture how well critical tasks of the personal process of change are accomplished by individual drinkers that will be developed with 40 participants currently in treatment, 10 clinical staff and several independent raters of audio taped interviews; and 3) combining both self-report and interview measures we will assemble and evaluate a Comprehensive Change Assessment Battery (CCAB) that measures critical self-regulation and change process dimensions in a pilot study with 80 alcohol treatment patients from two clinical outpatient settings who will be evaluated at baseline, 2, 4, 6, 8, 12 and 24 weeks after enrollment. This pilot will refine and finalize a novel assessment battery that can evaluate the personal change process in order to better understand mechanisms of change that are active both in natural and intervention-assisted change of drinking behaviors.

描述（由申请人提供）：为了提高酒精使用障碍干预措施的有效性，需要进行发展研究，以了解和评估影响饮酒行为改变的关键变化机制。拟议的R21研究项目将研究机制以及个人变化过程的调解人和主持人，这些变化过程是饮酒在自然或自我变化以及治疗中的改变的基础。本项目中要考虑的候选结构包括变革的阶段和过程、自我控制和执行认知功能、承诺、自我效能、渴望、影响管理、压力、期望和相关变革历史。本研究的三个阶段将：1）在项目MATCH和联合收割机数据集的二次分析中探索这些候选变化过程变量，检查它们在治疗中的作用以及与饮酒随时间变化的关系; 2）创建并评估结构化面试评估，即变革任务和机制面试（CTMI），旨在捕捉个人改变过程中的关键任务是如何由个体饮酒者完成的，该研究将与目前正在接受治疗的40名参与者一起开发，10名临床工作人员和几名独立的录音访谈评分员; 3）结合自我报告和访谈的措施，我们将组装和评估一个全面的变化评估电池（CCAB），衡量关键的自我，在两个临床门诊机构的80名酒精治疗患者中进行的一项初步研究中，将在基线、入组后2、4、6、8、12和24周对这些患者进行评估。该试点将完善并最终确定一个新的评估电池，可以评估个人的变化过程，以更好地了解在自然和干预辅助改变饮酒行为中活跃的变化机制。