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首页> 外文期刊>Journal of consulting and clinical psychology >A Meta-Analysis of Motivational Interviewing Process: Technical, Relational, and Conditional Process Models of Change
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A Meta-Analysis of Motivational Interviewing Process: Technical, Relational, and Conditional Process Models of Change

机译：励志面试过程的荟萃分析：技术，关系和有条件的变革过程模型

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Objective: In the present meta-analysis, we test the technical and relational hypotheses of Motivational Interviewing (MI) efficacy. We also propose an a priori conditional process model where heterogeneity of technical path effect sizes should be explained by interpersonal/relational (i.e., empathy, MI Spirit) and intrapersonal (i.e., client treatment seeking status) moderators. Method: A systematic review identified k = 58 reports, describing 36 primary studies and 40 effect sizes (N = 3,025 participants). Statistical methods calculated the inverse variance-weighted pooled correlation coefficient for the therapist to client and the client to outcome paths across multiple target behaviors (i.e., alcohol use, other drug use, other behavior change). Results: Therapist MI-consistent skills were correlated with more client change talk (r = .55, p = .001) as well as more sustain talk (r = .40, p = .001). MI-inconsistent skills were correlated with more sustain talk (r = .16, p = .001), but not change talk. When these indicators were combined into proportions, as recommended in the Motivational Interviewing Skill Code, the overall technical hypothesis was supported. Specifically, proportion MI consistency was related to higher proportion change talk (r = .11, p = .004) and higher proportion change talk was related to reductions in risk behavior at follow up (r = -.16, p = .001). When tested as two independent effects, client change talk was not significant, but sustain talk was positively associated with worse outcome (r = .19, p = .001). Finally, the relational hypothesis was not supported, but heterogeneity in technical hypothesis path effect sizes was partially explained by inter-and intrapersonal moderators. Conclusions: This meta-analysis provides additional support for the technical hypothesis of MI efficacy; future research on the relational hypothesis should occur in the field rather than in the context of clinical trials.
机译：目的：在目前的荟萃分析中，我们测试励志面试的技术和关系假设（MI）效力。我们还提出了一种先验的条件过程模型，其中技术路径效应尺寸的异质性应由人际关系/关系（即，Impathy，MI Spirity）和脑内部（即客户治疗寻求状态）主持人来解释。方法：系统评价鉴定k = 58报告，描述36初级研究和40个效果大小（n = 3,025名参与者）。统计方法计算了对客户端和客户端的反方差加权汇总系数与多个目标行为的结果路径（即，酒精使用，其他药物使用，其他行为改变）。结果：治疗师MI-Acculity技能与更多客户更改谈话相关（R = .55，P = .001）以及更多的维持通话（r = .40，p = .001）。 MI-Funonsist技能与更多维持谈话相关（R = .16，P = .001），但不会改变谈话。当这些指标合并成比例时，按照激励面试技能代码的推荐，总体技术假设得到支持。具体而言，比例MI一致性与较高比例变化谈话（r = .11，p = .004）和更高的比例变化谈话与后续风险行为的减少有关（r = -16，p = .001） 。当测试为两个独立效果时，客户更改谈话并不重要，但维持谈话与更严重的结果正相关（r = .19，p = .001）。最后，不支持关系假设，但通过间和腔内中间剂的技术假设路径效应尺寸的异质性部分地解释。结论：此元分析为MI效能的技术假设提供了额外的支持;对关系假设的未来研究应在现场而不是在临床试验的背景下发生。

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