PDF(Pubmed)
Abstract：
Collective motivational interviewing (CMI) is a novelty motivational approach which optimises the motivational interviewing (MI) for individuals from collectivistic cultures. While MI has been empirically tested as an effective intervention for addictive disorders and has had a positive effect on facilitating lifestyle changes, CMI has retained the potency of MI as an individualistic intervention, and it further invites the social network resources to strengthen the level of motivation and cultivate a joint change partnership. This pilot study was the first clinical study of CMI to work with individuals with drug use problems (IDUPs) by involving concerned significant others (CSOs) in the three-session intervention, and the fidelity control was assessed by the Collective Motivational Interviewing Treatment Integrity (CMITI) scale. This pre-post−follow-up and uncontrolled feasibility study was conducted between 2017 and 2019, with dyads of 20 IDUPs and their CSOs. The potential impacts of CMI were examined by measures at baseline, post-intervention, and 1-month and 3-month post-intervention. All clinical sessions were audio-recorded, and four cases were randomly selected for fidelity review by two trained coders. The normality of data at the baseline was checked by a Shapiro−Wilk test. Non-parametric Wilcoxon-signed-rank test and repeated-measures ANOVA were employed for quantitative analysis. The results showed that six IDUPs had reduced drug use, and ten maintained drug abstinence with the support of CSOs, whereas four IDUPs remained unchanged or increased drug use. Overall, at the 3-month follow-up, drug use was reduced (p > 0.05), social support was strengthened (p < 0.05), and the IDUPs’ motivation for change was enhanced (p < 0.05). However, the small sample sizes, non-random sampling, and lack of control group may limit the generalizability and confirmation of the outcomes and of the “real effects”. This finding of the study suggests that the CMI is a feasible and acceptable therapeutic tool to motivate IDUPs with the support of CSOs to achieve mutually agreed-upon goals. Further development and evaluation with robust methodology are warranted.
摘要：
集体动机访谈（CMI）是一种新颖的动机方法，可优化来自集体主义文化的个人的动机访谈（MI）。虽然MI已作为成瘾性障碍的有效干预措施进行了实证检验，并对促进生活方式的改变产生了积极影响，CMI保留了MI作为个人主义干预的效力，并进一步邀请社会网络资源加强激励水平，培养联合变革伙伴关系。这项初步研究是CMI的第一个临床研究，通过在三个阶段的干预中涉及相关的重要他人（CSO），与有药物使用问题的个人（IDUPs）合作。保真度控制通过集体动机访谈治疗完整性（CMITI）量表进行评估。这项前后后续和不受控制的可行性研究是在2017年至2019年之间进行的，对20名IDUP及其CSO进行了分析。CMI的潜在影响通过基线测量进行了检查，干预后,干预后1个月和3个月。所有临床会议都是录音记录，并由两名经过培训的编码员随机选择4例进行保真度审查。通过Shapiro-Wilk检验检查基线数据的正常性。采用非参数Wilcoxon符号秩检验和重复测量方差分析进行定量分析。结果显示，六名IDUP减少了药物使用，十个在民间社会组织的支持下保持戒毒，而4名IDUP保持不变或药物使用增加。总的来说,在3个月的随访中，药物使用量减少(p>0.05)，社会支持得到加强(p<0.05)，国内流离失所者的变革动机得到了增强(p<0.05)。然而,小样本量，非随机抽样，缺乏对照组可能会限制结果和“实际效果”的普遍性和确认。这项研究的发现表明，CMI是一种可行且可接受的治疗工具，可以在CSO的支持下激励IDUP实现共同商定的目标。有必要使用强大的方法进行进一步的开发和评估。
