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Enhancing Motivation to Change in Clients with Alcohol Use Disorders: Video Feedback as a Brief Intervention

This research examined whether videotaped self-observation of drinking behavior combined with a one-session motivationally-based interview resulted in higher levels of motivation to change drinking behavior, lower levels of quantity and frequency of alcohol consumption, decreases in alcohol-related problem behaviors, and expectations of the positive effects of alcohol for individuals mandated to treatment for alcohol-use disorders. DUI offenders (n = 8) and heavy drinking college students (n = 13) mandated to treatment were randomly assigned to receive treatment as usual at their respective agencies or an experimental video intervention in addition to their regular treatment requirements. Participants were assessed at baseline and at one-month following treatment. Participants in both conditions self-reported significantly fewer alcohol-related problem behaviors at the one month follow-up. A non-significant trend was found between the groups over time for alcohol-related problem behaviors; participants assigned to treatment as usual reported fewer alcohol-related problem behaviors at follow-up relative to participants assigned to the experimental video intervention. An additional non-significant trend was found for movement along the stages of change. Two participants who received the video intervention regressed to previous stage levels and one participant who received treatment as usual moved forward one stage. Most participants assigned to the video intervention reported increased insight into their own drinking behavior following the video viewing. Results from this study suggest that aside from increasing awareness about drinking behavior, the data do not support the use of video self-monitoring of drinking behavior as a treatment intervention for individuals with alcohol-use disorders. Future research may want to incorporate some modified components of the video intervention into existing motivationally-based treatments as a way to increase awareness about drinking behavior.

Identiferoai:union.ndltd.org:MONTANA/oai:etd.lib.umt.edu:etd-10132009-105341
Date15 October 2009
CreatorsRothman, Wendy M.
ContributorsChristine Fiore, Stephen Yoshimura, Gydn Swaney, David Schuldberg, Bryan Cochran
PublisherThe University of Montana
Source SetsUniversity of Montana Missoula
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.lib.umt.edu/theses/available/etd-10132009-105341/
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