Martínez-Martínez KI, Carrascosa-Venegas C, Ayala-Velázquez H

Language: Spanish
References: 22
Page: 5-12
PDF size: 93.99 Kb.

ABSTRACT

Objective. To assess whether interactive workshops are an effective strategy for promoting a psychological intervention model among healthcare providers, to treat problem drinkers. Material and Methods. The study was conducted between the years 1999 and 2000, among 206 healthcare providers at seven Instituto Mexicano del Seguro Social (Mexican Institute of Social Security, IMSS) clinics. Study subjects were selected by hospital executive officers. The study design is a quasi-experimental pre-test/post-teststudy. Data on providers’ attitudes, interests, and knowledge were collected using a questionnaire. After that, interactive workshops were conducted, and the same questionnaire was applied again at the end of the workshops. Statistical analysis was carried out using Student’s t test for matched samples. Results. Statistically significant differences were found in participants’ knowledge on alcoholism t (206, 205)= -9.234, p= 0.001, as well as in their interest t (206, 205)= -2.318, p=0.021. Conclusions. Interactive workshops are an effective tool to disseminate the Guided Self-Help Program conducted in IMSS clinics. Healthcare providers can become change-inducing/promoting agents of psychological innovations.

REFERENCES

1. Barlow DH. On the relation of clinical research to clinical practice: Current issues, new directions. J Consult Clin Psychol 1981;49(2): 147-155.

2. McCrady BS. Implications for behavior therapy of the changing alcoholism health care delivery system. Behav Ther 1986;9:171-179.

3. Wilson KG. The revolution to come: Commentary on “promises to keep”. Behav Ther 1997;28:597-600.

4. Persons JB. Dissemination of effective methods: Behavior therapy’s next challenge. Behav Ther 1997;28:465-471.

5. Miller WR, Brown JM, Simpson TL, Handmaker NS, Bien TH, Luckie LF et al. What works? A methodological analysis of the alcohol treatment outcome literature. En: Hester RK, Miller WR, ed. Handbook of alcoholism treatment approaches: Effective alternatives. Boston (MA): Allyn and Bacon, 1995:457-472.

6. Barlow H. Psychological interventions in the era of managed competition. Clin Psychol Science Pract 1994;1:109-122.

7. Boudewyns SP, Fry T, Nightingale E. Token economy programs in the V. A. medical centers: Where are they today? Behav Ther 1986;6:126-127.

8. Rushton HG. Nocturnal enuresis: Epidemiology, evaluation, and currently available treatment options. J Pediatr 1989;114:691-696.

9. Barlow DH. Promises to keep. Behav Ther 1997; 28: 589-596.

10. Crosswaite C, Curtice L. Disseminating research results - The challenge of bridging the gap between health research and health action. Health Promot Internation 1994;9(4):289-296.

11. Rogers EM. Diffusion of innovations. 4th edition. Nueva York (NY): Free Press, 1995.

12. Hayward S, Ciliska D, DiCenso A, Thomas H, Underwood EJ, Rafael A. Evaluation research in public health: Barriers to the production and dissemination of outcomes data. Can J Public Health 1996;87:413-417.

13. Zayfert C, Black C. Implementation of empirically supported treatment for PTSD: Obstacles and innovations. Behav Ther 2000;23(8): 161-168.

14. Sobell LC. Bridging the gap between scientists and practitioners: The challenge before us. Behav Ther 1996;27:297-320.

15. Goldfried MR, Wolfe BE. Toward a more clinically valid approach to therapy research. J Consult Clin Psychol 1998;66(1):143-150.

16. American Psychological Association. Task force on the promotion and dissemination of psychological procedures. En: The meeting of the American Psychological Association; 1993 August; Toronto, Canadá.

17. Rivers PC, Sarata BP, Book T. Effect of an alcoholism workshop on attitudes, job satisfaction and job performance of secretaries. Q J Stud Alcohol 1974;35:1382-1388.

18. 18.Shanley C, Lodge M, Mattick R. Dissemination of research findings to alcohol and other drug practitioners. Drug Alcohol Rev 1996;15:89-94.

19. Ayala H, Echeverría L, Sobell M, Sobell L. Una alternativa de intervención breve y temprana para bebedores problema en México. Acta Comportamentalia 1998;6:71-93.

20. Ayala H, Echeverría L. Detección temprana e intervención breve. En: Medina-Mora ME, ed. Beber de tierra generosa: ciencia de bebidas alcohólicas en México. México, D.F.: Fundación de Investigaciones Sociales, 1998:148-163.

21. Sobell LC, Sobell MB. Guided Self-Change clinical treatment manual. Toronto: Addiction Research Foundation, 1995.

22. Montgomery R, Ayllon T. Matching verbal repertoires: Understanding the contingencies of practice in order to functionally comunicate with clinicians. J Behav Ther Exp Psychiatry 1995;26(2):99-105.