Grenard Jerry L, Ames Susan L, Pentz Mary Ann, Sussman Steve
Institute for Health Promotion and Disease Prevention Research, University of Southern California, Alhambra, CA 91803, USA.
Int J Adolesc Med Health. 2006 Jan-Mar;18(1):53-67. doi: 10.1515/ijamh.2006.18.1.53.
This article reviews studies of brief motivational interviewing (MI) interventions applied to adolescents (ages 13 to 18 years) and young adults (ages 19 to 25 years) using alcohol or other psychoactive substances. An overview of the principles of MI is provided followed by a review of 17 clinical studies reported in the literature. This review revealed mixed findings for the efficacy of brief MI among these populations. However, in 29% of the studies (5 of 17), there was a clear advantage of the brief MI demonstrated compared to standard care or other programming. Components common to successful brief MI interventions included one-on-one sessions and feedback on substance use compared to norms. Interviewer empathy has been shown to be a key component in studies with adults, but this was not measured in a standardized manner across the current studies. The studies reviewed here indicate that brief MI might be effective among these populations, but the key components necessary for successful MI interventions have not been fully identified.
本文回顾了针对13至18岁青少年及19至25岁青年使用酒精或其他精神活性物质的简短动机性访谈（MI）干预研究。首先概述了MI的原则，随后回顾了文献中报道的17项临床研究。该综述显示，对于这些人群而言，简短MI的疗效结果不一。然而，在29%的研究中（17项中的5项），与标准护理或其他项目相比，简短MI明确显示出优势。成功的简短MI干预的共同要素包括一对一访谈以及与规范相比的物质使用反馈。在针对成年人的研究中，访谈者的同理心已被证明是一个关键要素，但在当前这些研究中并未以标准化方式进行衡量。此处回顾的研究表明，简短MI在这些人群中可能有效，但成功的MI干预所需的关键要素尚未完全明确。
