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Matching motivation enhancement treatment to client motivation: re-examining the Project MATCH motivation matching hypothesis.

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Title: Matching motivation enhancement treatment to client motivation: re-examining the Project MATCH motivation matching hypothesis.
Authors: Witkiewitz, Katie (AUTHOR), Hartzler, Bryan (AUTHOR), Donovan, Dennis (AUTHOR)
Source: Addiction. Aug2010, Vol. 105 Issue 8, p1403-1413. 11p. 1 Diagram, 3 Charts, 3 Graphs.
Subjects: Alcohol drinking, Remotivation therapy, Cognitive therapy, Behavior therapy, Developmental psychology & motivation, Alcoholism treatment, Maturation (Psychology), Behavioral assessment, Controlled drinking
Abstract: Aims The current study was designed to re-examine the motivation matching hypothesis from Project MATCH using growth mixture modeling, an analytical technique that models variation in individual drinking patterns. Design, setting and participants Secondary data analyses of data from Project MATCH ( n = 1726), a large multi-site alcoholism treatment-matching study. Measurements Percentage of drinking days was the primary outcome measure, assessed from 1 month to 12 months following treatment. Treatment assignment, alcohol dependence symptoms and baseline percentage of drinking days were included as covariates. Findings The results provided support for the motivation matching hypothesis in the out-patient sample and among females in the aftercare sample: the majority of individuals with lower baseline motivation had better outcomes if assigned to motivation enhancement treatment (MET) compared to those assigned to cognitive behavioral treatment (CBT). In the aftercare sample there was a moderating effect of gender and alcohol dependence severity, whereby males with lower baseline motivation and greater alcohol dependence drank more frequently if assigned to MET compared to those assigned to CBT. Conclusions Results from the current study lend partial support to the motivation-matching hypothesis and also demonstrated the importance of moderating influences on treatment matching effectiveness. Based upon these findings, individuals with low baseline motivation in out-patient settings and males with low levels of alcohol dependence or females in aftercare settings may benefit more from motivational enhancement techniques than from cognitive–behavioral techniques. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Matching motivation enhancement treatment to client motivation: re-examining the Project MATCH motivation matching hypothesis.
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  Data: <searchLink fieldCode="AR" term="%22Witkiewitz%2C+Katie%22">Witkiewitz, Katie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hartzler%2C+Bryan%22">Hartzler, Bryan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Donovan%2C+Dennis%22">Donovan, Dennis</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Aug2010, Vol. 105 Issue 8, p1403-1413. 11p. 1 Diagram, 3 Charts, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Alcohol+drinking%22">Alcohol drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Remotivation+therapy%22">Remotivation therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Developmental+psychology+%26+motivation%22">Developmental psychology & motivation</searchLink><br /><searchLink fieldCode="DE" term="%22Alcoholism+treatment%22">Alcoholism treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Maturation+%28Psychology%29%22">Maturation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Behavioral+assessment%22">Behavioral assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Controlled+drinking%22">Controlled drinking</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Aims The current study was designed to re-examine the motivation matching hypothesis from Project MATCH using growth mixture modeling, an analytical technique that models variation in individual drinking patterns. Design, setting and participants Secondary data analyses of data from Project MATCH ( n = 1726), a large multi-site alcoholism treatment-matching study. Measurements Percentage of drinking days was the primary outcome measure, assessed from 1 month to 12 months following treatment. Treatment assignment, alcohol dependence symptoms and baseline percentage of drinking days were included as covariates. Findings The results provided support for the motivation matching hypothesis in the out-patient sample and among females in the aftercare sample: the majority of individuals with lower baseline motivation had better outcomes if assigned to motivation enhancement treatment (MET) compared to those assigned to cognitive behavioral treatment (CBT). In the aftercare sample there was a moderating effect of gender and alcohol dependence severity, whereby males with lower baseline motivation and greater alcohol dependence drank more frequently if assigned to MET compared to those assigned to CBT. Conclusions Results from the current study lend partial support to the motivation-matching hypothesis and also demonstrated the importance of moderating influences on treatment matching effectiveness. Based upon these findings, individuals with low baseline motivation in out-patient settings and males with low levels of alcohol dependence or females in aftercare settings may benefit more from motivational enhancement techniques than from cognitive–behavioral techniques. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/j.1360-0443.2010.02954.x
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              Text: Aug2010
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