How Does Motivational Interviewing Reduce Alcohol Abuse?

描述(由申请人提供)： 尽管有明确的有效性证据，但人们对激励性面试背后的变化机制知之甚少。本项目将通过检查受试者和治疗师在项目比赛过程中的行为来评估激励访谈(MI)有效性的一个有前景的理论模型。我们的因果模型是，ML是成功的，因为(并且在一定程度上)咨询师使用特定的治疗行为，导致客户的言语有利于改变。如果这一模型得到支持，未来的激励性面试者将能够更好地专注于这种方法中影响结果的部分，减少不相关的迷信治疗行为。此外，阐明患者在会议期间的行为与饮酒结果之间的关系将有一个好处，即为治疗师提供关于其临床干预有效性的持续即时反馈，无论他们的理论取向是什么。这项研究提供的优势是，无需花费新的临床试验费用，就可以测试关于ML偶然机制的理论驱动的假说。项目匹配动机增强疗法(MET)的完整性和在该项目中已经收集的全面的客户跟踪数据为研究心肌梗死的作用机制提供了一个具有成本效益的工具。

DESCRIPTION (provided by applicant): Despite clear evidence of efficacy, little is known about the mechanisms of change underlying motivational interviewing. This project will evaluate a promising theoretical model for the effectiveness of motivational interviewing (MI) by examining client and therapist in-session behaviors during Project MATCH sessions. Our causal model is that Ml is successful because (and to the extent that) the counselor uses specific therapeutic behaviors that elicit client speech favoring change. If this model is supported, future motivational interviewers will be better able to focus on the components of this method that influence outcome, reducing irrelevant superstitious therapeutic behaviors. In addition, illuminating a relationship between in-session client behaviors and drinking outcomes would have the advantage of providing therapists with ongoing immediate feedback about the effectiveness of their clinical interventions, whatever their theoretical orientation. This study offers the advantage of testing theory-driven hypotheses about casual mechanisms for Ml without the expense of a new clinical trial. The integrity of the Project MATCH motivational enhancement therapy (MET) and the comprehensive client follow up data already collected in that project provide a vehicle for cost-effective investigation of mechanisms of action in MI.