Kraepelien Martin, Hadjistavropoulos Heather D, Berman Anne H, Sundström Christopher
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden.
Department of Psychology, University of Regina, Saskatchewan, Canada.
Internet Interv. 2021 Nov 11;26:100483. doi: 10.1016/j.invent.2021.100483. eCollection 2021 Dec.
There is a growing interest in offering therapist-guided internet interventions for alcohol use disorders (AUD) in regular addiction services. Elucidating the therapeutic processes during these interventions may help improve clinical delivery. The aim of this paper was to investigate written messages from client to therapist in a therapist-guided internet intervention for AUD.
Data was extracted from the therapist-guided arm ( = 57) of a randomized trial of internet interventions for AUD. Qualitative content analysis was used to identify distinct categories of client behaviors in written messages to therapists. Coding was deductive (applying categories from past literature) as well as inductive (identifying new categories from the data). Subsequently, exploratory correlational and regression analyses were conducted to investigate whether identified client behaviors predicted module completion and drinking outcomes. Also, client questions posed in messages to therapists were categorized separately.
Eleven distinct behavior categories were identified, of which the two most common were (26.6% of total categorizations) and (22.8%). was the least common category (0.4%). One new behavior category was identified inductively - (4.1%). In the exploratory analyses, no categories consistently predicted module completion or drinking outcomes. Client questions were most commonly posed to improve understanding or use of program content or skills.
The behavior categories, although not predictive of module completion or outcomes, may be of use for therapists, treatment developers and health care providers as a tool for understanding therapeutic processes in internet interventions for AUD.
在常规成瘾服务中，提供由治疗师指导的针对酒精使用障碍（AUD）的互联网干预措施越来越受到关注。阐明这些干预过程中的治疗方法可能有助于改善临床治疗效果。本文旨在研究在由治疗师指导的针对AUD的互联网干预中，客户发给治疗师的书面信息。
数据取自一项针对AUD的互联网干预随机试验中由治疗师指导的分组（n = 57）。采用定性内容分析法，确定客户发给治疗师的书面信息中不同类别的客户行为。编码采用演绎法（应用以往文献中的类别）和归纳法（从数据中识别新类别）。随后，进行探索性相关分析和回归分析，以调查所确定的客户行为是否能预测模块完成情况和饮酒结果。此外，还对客户发给治疗师的信息中提出的问题进行了单独分类。
确定了11个不同的行为类别，其中最常见的两个类别分别是[具体类别1]（占总分类的26.6%）和[具体类别2]（占22.8%）。[具体类别3]是最不常见的类别（0.4%）。通过归纳法确定了一个新的行为类别——[具体类别4]（4.1%）。在探索性分析中，没有任何类别能始终如一地预测模块完成情况或饮酒结果。客户提出问题最常见的目的是为了更好地理解或运用项目内容或技能。
这些行为类别虽然不能预测模块完成情况或结果，但对于治疗师、治疗方案开发者和医疗保健提供者来说，可能是一种了解针对AUD的互联网干预中治疗过程的工具。
