CLINICAL PROCESSES IN DRUG ABUSE PREVENTION

这项研究，主要研究者的第一个国家卫生研究院奖，检查在会议中的行为，药物滥用预防干预组。 本研究的主要目标是启动一项研究计划，以增加临床医生如何影响会议内参与者行为和小组进程的知识基础，进而影响近端结果（“出勤率”，“家长参与”）。 本研究借由心理治疗研究文献中已建立的理论、方法与程序，来探讨预防性介入团体中的会话行为。 这项研究的结果将为将预防试验的结果转化为立即改善有效干预措施提供基础。将对小组会议的录像带进行编码（逐个陈述）和评级（对行为在一个片段中存在的程度进行摩尔水平评估），以确定会议中行为的不同类别。 将进行验证性因素分析，以检验是否存在临床医生干预（“支持性”、“指导性”和“促进性”）、参与者行为（“与临床医生的联系”和“与小组的联系”）和小组过程（“凝聚力”）结构。 将使用分层线性模型来检查临床医生干预、参与者行为、小组过程和近端结局（“出勤率”和“家长参与”）之间的假设关系。 微序贯分析将被用来阐明会议中的临床医生干预和参与者的行为之间的直接（言语行为水平）的关系。

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.