Dickerson Daniel, Moore Laurie A, Rieckmann Traci, Croy Calvin D, Venner Kamilla, Moghaddam Jacquelene, Gueco Rebekah, Novins Douglas K
Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
J Behav Health Serv Res. 2018 Jan;45(1):31-45. doi: 10.1007/s11414-016-9549-0.
Motivational interviewing (MI) offers a treatment modality that can help meet the treatment needs of American Indians/Alaska Natives (AI/ANs) with substance use disorders. This report presents results from a national survey of 192 AI/AN substance abuse treatment programs with regard to their use of MI and factors related to its implementation, including program characteristics, workforce issues, clinician perceptions of MI, and how clinicians learned about MI. Sixty-six percent of programs reported having implemented the use of MI in their programs. In the final logistic regression model, the odds of implementing MI were significantly higher when programs were tribally owned (OR = 2.946; CI 1.014, 8.564), where more than 50% of staff were Certified Alcohol and Drug Counselors (CADCs) (OR = 5.469; CI 1.330, 22.487), and in programs in which the survey respondent perceived that MI fit well with their staff's expertise and training (OR = 3.321; CI 1.287, 8.569).
动机性访谈（MI）提供了一种治疗方式，有助于满足患有物质使用障碍的美国印第安人/阿拉斯加原住民（AI/ANs）的治疗需求。本报告展示了一项针对192个AI/AN物质滥用治疗项目的全国性调查结果，内容涉及MI的使用情况以及与其实施相关的因素，包括项目特征、劳动力问题、临床医生对MI的看法，以及临床医生了解MI的途径。66%的项目报告称已在其项目中实施了MI的使用。在最终的逻辑回归模型中，当项目为部落所有时（OR = 2.946；CI 1.014，8.564）、超过50%的员工为认证酒精和药物顾问（CADCs）时（OR = 5.469；CI 1.330，22.487），以及在调查对象认为MI与员工的专业知识和培训非常契合的项目中（OR = 3.321；CI 1.287，8.569），实施MI的几率显著更高。
