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Process Factors Explaining Psycho-Social Outcomes in Adventure Therapy

机译：解释冒险治疗中心理社会成果的过程因素

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The development and factor analysis of the Adventure Therapy Experience Scale (ATES) is the first attempt found in the literature to empirically and quantitatively identify therapeutic factors theorized to affect change in the adventure therapy experience (Russell & Gillis, 2017). This study utilizes the ATES to explore how its inherent factors may impact treatment outcome utilizing a routine outcome monitoring process to empirically test how these factors may contribute to treatment outcome over time. The sample of 168 males 21.5 years of age completed an average of 79.6 days in the 90-day adventure-based substance use disorder residential treatment program. In the model, adventure-based experiences are a primary treatment tool. For outcome monitoring, all clients were administered the Outcome Questionnaire (OQ-45.2) at intake, every 2 weeks, and at discharge. In addition, clients were administered the 18-item ATES every 2 weeks. The ATES contains 2 items measuring how helpful the adventure experience was as well as how mindful they were of their treatment process during the experience. Clients also answer 16 Likert items measuring responses on 4 subscales: group adventure, nature, challenge, and reflection. Results reveal that clients, on average, improved in their psycho-social functioning as measured by the OQ 45.2. Weeks with higher helpfulness, mindfulness, and group adventure scores than the client's average helpfulness, mindfulness, and group adventure score, had greater decreases in OQ scores than weeks with lower helpfulness, mindfulness, and group adventure scores. Clients with higher aggregate helpfulness and group adventure scores, across all treatment weeks, had greater decreases in OQ scores than clients with lower aggregate helpfulness and group adventure scores. Implications for practice and future research are also discussed.
机译：冒险治疗体验规模（ATES）的开发和因子分析是文献中的第一次尝试，以统一和定量确定理论为影响冒险治疗经验的变化（Russell＆Gillis，2017）。本研究利用该研究探讨其固有因素的固有因素​​如何利用常规结果监测过程对治疗结果进行统一地测试这些因素如何随着时间的推移促进治疗结果。 168名男性21.5岁的样本平均完成90天冒险的物质使用障碍住宅治疗方案79.6天。在模型中，基于冒险的经验是主要的治疗工具。对于结果监测，所有客户在摄入量，每2周和放电时都是在摄入量的结果调查问卷（OQ-45.2）。此外，客户还每2周内施用18件物品。 ATES包含2件物品，测量冒险经历的有用程度以及在经验期间的治疗过程中的一种乐观程度。客户还回答16个李克特物品测量响应4分集：组冒险，自然，挑战和反思。结果表明，平均而言，客户在由OQ 45.2衡量的情况下改善了他们的心理社会功能。有乐于助人，心灵和团体冒险分数的几周，而不是客户的平均乐于助人，令人愉快和团体冒险分数，OQ分数比以较高的乐于助人，正念和团体冒险得分更高。所有治疗周的综合助人和团体冒险评分具有更高的总体助人和团体冒险分数，OQ分数比客户宽松和群体冒险得分的客户更大减少。还讨论了对实践和未来研究的影响。

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