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用于减少物质使用的激励面试.

Rosemarie Schwenker1, Carla Emilia Dietrich1, Selamawit Hirpa1,2

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概括

与没有干预相比,激励面试 (MI) 可能会减少物质使用,但其有效性因对照组和随访持续时间而异. 对变化准备度和治疗持续度的影响的证据仍然不清楚.

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科学领域:

  • 成研究 研究成研究
  • 临床心理学 临床心理学
  • 公共卫生 公共卫生

背景情况:

  • 药物使用障碍影响全球数百万人,需要有效的干预措施.
  • 激励面试 (MI) 是一种以客户为中心的方法,旨在增强对变革的动机.
  • 这次审查更新了先前关于MI对物质使用有效性的证据.

研究的目的:

  • 评估使用物质的动机面试 (MI) 的有效性.
  • 评估MI对物质使用程度,变化准备和治疗保留的影响.

主要方法:

  • 对93项随机对照试验 (22,776名参与者) 的系统综述和元分析.
  • 包括干预措施:面对面提供MI或动机增强疗法 (MET).
  • 与没有干预,通常治疗,评估/反或其他积极干预相比,MI.

主要成果:

  • 与没有干预 (低确定性证据) 相比,MI在干预后对减少物质使用产生了小到中等的影响.
  • 效果因比较而异:小益与评估/反长期 (中等确定性),与通常治疗或其他积极干预 (低确定性) 相比几乎没有差异.
  • 对MI对变化准备和治疗维持的影响的证据不清楚或确定性非常低.

结论:

  • 激励面试可以为减少物质使用提供好处,特别是与没有干预或评估/反相比.
  • 证据的确定性是中等到低的,在研究中存在显著的异质性.
  • 需要进一步的研究,强调遵守MI协议和质量报告,以澄清其在物质使用治疗中的作用.