咨询师对在成瘾治疗中使用动机激励的态度。
Counselor attitudes toward the use of motivational incentives in addiction treatment.
机构信息
Institute for Behavioral Research, University of Georgia, Athens, Georgia, USA.
出版信息
Am J Addict. 2010 Nov-Dec;19(6):496-503. doi: 10.1111/j.1521-0391.2010.00081.x. Epub 2010 Sep 21.
Abstract
Counselor attitudes toward evidence-based practices, such as motivational incentives/contingency management (MI/CM), are important in bridging the gap between research and practice. Mailed surveys from 1,959 substance abuse treatment counselors showed ambivalence toward MI/CM and strong disagreement with using monetary rewards for achievement of treatment goals. Attitudes were associated with counselors' educational attainment, a 12-step treatment ideology, affiliation with NIDA's Clinical Trials Network, and working in opioid treatment programs. Exposure to MI/CM via training was more strongly associated with attitudes when counselors worked in programs that had adopted MI/CM. While there is substantial resistance to MI/CM, dissemination and training about the essential elements of MI/CM may enhance counselors' receptivity toward this intervention.
摘要
辅导员对基于证据的实践（如激励/奖惩措施[MI/CM]）的态度在弥合研究与实践之间的差距方面很重要。对 1959 名药物滥用治疗辅导员的邮寄调查显示，他们对 MI/CM 持矛盾态度，强烈反对用金钱奖励来实现治疗目标。态度与辅导员的教育程度、12 步治疗理念、与 NIDA 临床试验网络的隶属关系以及在阿片类药物治疗项目中的工作有关。通过培训接触 MI/CM 与辅导员在采用 MI/CM 的项目中工作时的态度更相关。虽然对 MI/CM 存在很大的抵触，但传播和培训 MI/CM 的基本要素可能会增强辅导员对这种干预的接受度。
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