Timothy R Apodaca1, Kristina M Jackson2, Brian Borsari3, Molly Magill2, Richard Longabaugh4, Nadine R Mastroleo2, Nancy P Barnett2. 1. Children's Mercy Kansas City, Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Children's Mercy Hospitals and Clinics, 2401 Gillham Rd., Kansas City, Missouri, 64108. Electronic address: trapodaca@cmh.edu. 2. Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University, Box G-S121-4, Providence, RI, 02912. 3. Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University, Box G-S121-4, Providence, RI, 02912; Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI, 02908. 4. Department of Psychiatry and Human Behavior, Center for Alcohol and Addiction Studies, Brown University, Box G-S121-4, Providence, RI, 02912.
Abstract
OBJECTIVE: To identify individual therapist behaviors which elicit client change talk or sustain talk in motivational interviewing sessions. METHOD: Motivational interviewing sessions from a single-session alcohol intervention delivered to college students were audio-taped, transcribed, and coded using the Motivational Interviewing Skill Code (MISC), a therapy process coding system. Participants included 92 college students and eight therapists who provided their treatment. The MISC was used to code 17 therapist behaviors related to the use of motivational interviewing, and client language reflecting movement toward behavior change (change talk), away from behavior change (sustain talk), or unrelated to the target behavior (follow/neutral). RESULTS: Client change talk was significantly more likely to immediately follow individual therapist behaviors [affirm (p=.013), open question (p<.001), simple reflection (p<.001), and complex reflection (p<.001)], but significantly less likely to immediately follow others (giving information (p<.001) and closed question (p<.001)]. Sustain talk was significantly more likely to follow therapist use of open questions (p<.001), simple reflections (p<.001), and complex reflections (p<.001), and significantly less likely to occur following therapist use of therapist affirm (p=.012), giving information (p<.001), and closed questions (p<.001). CONCLUSIONS: Certain individual therapist behaviors within motivational interviewing can either elicit both client change talk and sustain talk or suppress both types of client language. Affirm was the only therapist behavior that both increased change talk and also reduced sustain talk.
OBJECTIVE: To identify individual therapist behaviors which elicit client change talk or sustain talk in motivational interviewing sessions. METHOD: Motivational interviewing sessions from a single-session alcohol intervention delivered to college students were audio-taped, transcribed, and coded using the Motivational Interviewing Skill Code (MISC), a therapy process coding system. Participants included 92 college students and eight therapists who provided their treatment. The MISC was used to code 17 therapist behaviors related to the use of motivational interviewing, and client language reflecting movement toward behavior change (change talk), away from behavior change (sustain talk), or unrelated to the target behavior (follow/neutral). RESULTS: Client change talk was significantly more likely to immediately follow individual therapist behaviors [affirm (p=.013), open question (p<.001), simple reflection (p<.001), and complex reflection (p<.001)], but significantly less likely to immediately follow others (giving information (p<.001) and closed question (p<.001)]. Sustain talk was significantly more likely to follow therapist use of open questions (p<.001), simple reflections (p<.001), and complex reflections (p<.001), and significantly less likely to occur following therapist use of therapist affirm (p=.012), giving information (p<.001), and closed questions (p<.001). CONCLUSIONS: Certain individual therapist behaviors within motivational interviewing can either elicit both client change talk and sustain talk or suppress both types of client language. Affirm was the only therapist behavior that both increased change talk and also reduced sustain talk.
Authors: Elizabeth Barnett; Donna Spruijt-Metz; Theresa B Moyers; Caitlin Smith; Louise A Rohrbach; Ping Sun; Steve Sussman Journal: Psychol Addict Behav Date: 2014-06-23
Authors: Molly Magill; Jacques Gaume; Timothy R Apodaca; Justin Walthers; Nadine R Mastroleo; Brian Borsari; Richard Longabaugh Journal: J Consult Clin Psychol Date: 2014-05-19
Authors: Timothy R Apodaca; Brian Borsari; Kristina M Jackson; Molly Magill; Richard Longabaugh; Nadine R Mastroleo; Nancy P Barnett Journal: Psychol Addict Behav Date: 2014-09
Authors: Brian Borsari; Timothy R Apodaca; Kristina M Jackson; Anne Fernandez; Nadine R Mastroleo; Molly Magill; Nancy P Barnett; Kate B Carey Journal: J Consult Clin Psychol Date: 2017-11-27
Authors: Maureen A Walton; Quyen M Ngo; Stephen T Chermack; Frederic C Blow; Peter F Ehrlich; Erin E Bonar; Rebecca M Cunningham Journal: J Stud Alcohol Drugs Date: 2017-09 Impact factor: 2.582
Authors: M Barton Laws; Molly Magill; Nadine R Mastroleo; Kristi E Gamarel; Chanelle J Howe; Justin Walthers; Peter M Monti; Timothy Souza; Ira B Wilson; Gary S Rose; Christopher W Kahler Journal: J Subst Abuse Treat Date: 2018-06-19