CLINICAL PROCESSES IN DRUG ABUSE PREVENTION

这项研究是美国国立卫生研究院颁发的第一个首席调查者奖，它考察了药物滥用预防干预组的会话期间行为。这项研究的主要目标是启动一项研究计划，以增加关于临床医生如何影响会议期间参与者的行为和小组过程的知识基础，这反过来又会影响近期结果(出席率、父母参与)。本研究的研究计划借用心理治疗研究文献中既定的理论、方法和程序来考察预防性干预组的会话期间行为。这项研究的结果将为将预防试验的结果转化为立即改进有效干预措施的提供奠定基础。小组会议的录像带将被编码(逐个声明)和评级(行为在片段中出现的程度的摩尔水平评估)，以识别会话中的不同类别的行为。验证性因素分析将被用来测试临床医生干预(“支持性”、“指导性”和“促进性”)、参与者行为(“与临床医生的联系”和“与团体的联系”)以及群体过程(“凝聚力”)结构的存在。分层线性模型将被用来检验临床医生干预、参与者行为、小组过程和近期结果(出席率和家长参与)之间的假设关系。微序列分析将被用来阐明会议期间临床医生干预和参与者行为之间的直接(言语行为水平)关系。

This study, the Principal Investigators first NIH award, examines in-session behaviors in drug abuse preventive intervention groups. The primary goal of this study is to initiate a program of research that will increase the knowledge-base about how clinicians influence within-session participant behaviors and group processes which, in turn, influence proximal outcomes ('Attendance', 'Parental Involvement'). The research plan in this study borrows established theories, methods, and procedures from the psychotherapy research literature to examine in-session behaviors in preventive intervention groups. Findings from this study will provide a foundation for translating results from prevention trials into immediate improvements in the delivery of effective interventions. Videotapes of group sessions will be coded (statement by statement) and rated (molar level assessment of the extent to which a behavior was present in a segment) to identify distinct classes of in-session behaviors. Confirmatory factor analyses will be conducted to test for the presence of clinician intervention ('Supportive', 'Directive', and 'Facilitative'), participant behavior ('Bonding to Clinician' and 'Bonding to Group'), and group process ('Cohesion') constructs. Hierarchical linear modeling will be used to examine the hypothesized relationships between clinician interventions, participant behaviors, group process, and proximal outcomes ('Attendance' and 'Parental Involvement'). Microsequential analyses will be used to elucidate the immediate (speech act level) relationships between in-session clinician interventions and participant behaviors.