Longabaugh Richard, Zweben Allen, Locastro Joseph S, Miller William R
Center for Alcohol and Addiction Studies, Brown Medical School, Box G-Butler Hospital, Providence, Rhode Island 02912, USA.
J Stud Alcohol Suppl. 2005 Jul(15):179-87; discussion 168-9. doi: 10.15288/jsas.2005.s15.179.
The aim of the investigators was to develop a moderate intensity comprehensive behavioral treatment based on the principles of motivational interviewing and Cognitive Behavioral Therapy that, within the confines of a standardized abstinence-oriented treatment, would provide a broad spectrum of modules to assist those seeking treatment to achieve reduction of problematic drinking.
The core issue of how to deliver a flexible therapy tailored to the needs of individual clients while at the same time providing a standardized treatment protocol for a randomized clinical trial provided the dilemma out of which this unique standardized protocol arose. By using a single decision tree, client choice, combined with limited options, we were able to reconcile these conflicting demands.
Key decisions that were made in developing the treatment protocol and the thinking leading to these decisions are described.
Understanding these key issues and the factors that led to the decisions made will assist would-be users in their own clinical and/or clinical research needs.
研究者的目标是基于动机访谈和认知行为疗法的原则开发一种中等强度的综合行为治疗方法，该方法在以戒酒为导向的标准化治疗范围内，将提供广泛的模块，以帮助寻求治疗的人减少问题饮酒。
如何提供一种根据个体客户需求量身定制的灵活治疗方法，同时为随机临床试验提供标准化治疗方案，这一核心问题导致了这个独特的标准化方案的产生。通过使用单一决策树、客户选择以及有限的选项，我们能够协调这些相互冲突的需求。
描述了在制定治疗方案过程中做出的关键决策以及导致这些决策的思路。
理解这些关键问题以及导致这些决策的因素，将有助于潜在使用者满足他们自己的临床和/或临床研究需求。
