Department of Preventive Medicine, University of Southern California, Los Angeles, CA 90089, United States.
Addict Behav. 2012 Dec;37(12):1325-34. doi: 10.1016/j.addbeh.2012.07.001. Epub 2012 Jul 11.
Motivational Interviewing (MI) is a widely-used approach for addressing adolescent substance use. Recent meta-analytic findings show small but consistent effect sizes. However, differences in intervention format and intervention design, as well as possible mediators of change, have never been reviewed. This review of the literature summarizes the most up-to-date MI interventions with adolescents, looks at differences between intervention format and design, and discusses possible theory-based mechanisms of change. Of the 39 studies included in this review, 67% reported statistically significant improved substance use outcomes. Chi square results show no significant difference between interventions using feedback or not, or interventions combined with other treatment versus MI alone. The need for systematic investigation in theory-based mechanisms of change is presented.
动机式晤谈（MI）是一种广泛应用于解决青少年物质使用问题的方法。最近的荟萃分析结果表明，其效果虽小但一致。然而，干预形式和设计的差异，以及可能的变化中介因素，从未被审查过。本文献综述总结了最新的针对青少年的 MI 干预措施，探讨了干预形式和设计之间的差异，并讨论了可能的基于理论的变化机制。在本综述中纳入的 39 项研究中，67%报告了物质使用结果的统计学显著改善。卡方检验结果表明，使用或不使用反馈的干预措施之间，或与其他治疗方法相结合的干预措施与 MI 单独使用之间没有显著差异。提出了对基于理论的变化机制进行系统研究的必要性。
