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首页> 外文期刊>Journal of substance abuse treatment >The relationship between in-session commitment language and daily self-reported commitment to reduce or abstain from drinking
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The relationship between in-session commitment language and daily self-reported commitment to reduce or abstain from drinking

机译：会话与日常承诺语言与日常自我报告的关系，减少或弃绝饮酒

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BackgroundMotivational interviewing is hypothesized to operate by enhancing a client's internal motivation to change. Past research operationalizes this process by measuring in-session statements for change (i.e., change talk), yet relationships between change talk and other measures of motivation have yet to be substantiated. This study tested whether in-session change talk predicted subsequent reports of commitment to abstain or moderate drinking assessed via ecological momentary assessment (EMA), and explored each of their contributions to drinking outcomes. MethodSecondary data analysis was performed on data from 48 study participants who received therapy within a randomized controlled trial testing mechanisms of actions of MI. Multilevel models were used to test whether in-session commitment statements (strength, frequency, and slope of strength) made in two therapy sessions predicted subsequent daily reports of commitment to abstain or not drink heavily and drinking (21?days of data) in the weeks following each respective session. ResultsA weak, negative relationship between in-session commitment and average daily commitment to abstain emerged. No relationship between in-session statements and average daily commitment to not drink heavily emerged. Only EMA commitment predicted drinking outcome. Post hoc analyses demonstrate a moderating impact of EMA commitment to abstain on in-session commitment strength: low pre-treatment commitment to abstain and increasing commitment strength across a session yielded the greatest drink reduction. ConclusionIn-session change talk and EMA commitment may represent distinct aspects of motivation, yet their interaction appears important to treatment prognoses. Commitment to abstain may be important for treatment selection and successful drink reduction.
机译：背景技术采用假设通过增强客户来改变的内部动机来运营。过去的研究通过衡量变更的会话陈述（即，改变谈话）来运作该过程，但更改谈话与其他动机措施之间的关系尚未得到证实。本研究检测了会议变更谈判是否预测了通过生态瞬间评估（EMA）评估的弃权或中等饮酒的承诺报告，并探讨了他们对饮酒结果的贡献。 FarefureSecondardary数据分析对来自在MI的动作的随机对照试验机制中接受治疗的48名研究参与者的数据进行。多级模型用于测试两项治疗课程中的会话承诺陈述（强度，频率和坡度）预测随后的日常报告戒烟或不饮酒（21个？数据）每个相应的会议后几周。结果薄弱，谈判与弃权的平均日常承诺之间的负面关系。局部陈述与不饮酒的平均日常承诺之间没有关系。只有EMA承诺预测饮酒结果。后HOC分析表明EMA承诺对谈判局部承诺实力的调节影响：弃权的低待遇承诺和增加会议承诺实力产生了最大的饮酒。结论 - 会议变更谈话和EMA承诺可能代表激励的独特方面，但它们的相互作用似乎对治疗预后很重要。对弃权的承诺可能对治疗选择和成功的饮料减少是重要的。

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