Christina S Lee1, Molly Magill2, Victor J Figuereo3, Kristina Jackson4, Suzanne M Colby5. 1. Boston University School of Social Work, 264 Bay State Road, Boston, MA 02215, United States of America. Electronic address: leecs@bu.edu. 2. Department of Psychiatry & Human Behavior, Center for Alcohol and Addiction Studies, Alpert Medical School of Brown University, Providence, RI 02903, United States of America. Electronic address: Molly_Magill@Brown.edu. 3. Boston College School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA 02467, United States of America. Electronic address: Figuereo@bc.edu. 4. Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Alpert Medical School of Brown University, Providence, RI 02903, United States of America. Electronic address: Kristina_Jackson@Brown.edu. 5. Department of Psychiatry & Human Behavior, Center for Alcohol and Addiction Studies, Alpert Medical School of Brown University, Providence, RI 02903, United States of America. Electronic address: Suzanne_Colby@Brown.edu.
Abstract
PURPOSE: We examine in-session self-exploration among Latinx heavy drinkers who received a motivational interview (MI) to reduce heavy drinking. The goals of this study are to report the validity and reliability of an adaptation of the Global Client Rating for Self-Exploration from the Motivational Interviewing Skill Code (MISC SE). METHOD: The study measured the MISC SE as three subscales (Emotional, Cognitive, New Learning/Developing Discrepancy SE) to assess underlying processes that might allow for higher predictive validity in relation to behavioral change (drinking) outcomes. The study created a dichotomous variable, Personally Relevant Vulnerable Making (PR-VM), to distinguish the disclosure of particularly sensitive material related to drinking behavior. The study used the measure of Everyday Discrimination as a criterion variable for the PR-VM measure. The study collected observationally rated data for n = 158 participants. RESULTS: Subscales showed moderate correlations with the MISC SE (r = 0.421 to 0.574, p < .001). The MISC SE was not associated with number of drinking days or percent heavy drinking days at 3-month follow-up. Cognitive and New Learning/Developing Discrepancy SE were associated with fewer drinking days (r = -0.247 to -0.266, p < .005), and Cognitive SE was associated with percent heavy drinking days (r = -0.169, p < .05), Subscale interrater reliability was comparable to the MISC SE (ICC = 0.72 to 0.86). The study observed higher mean scores on the Everyday Discrimination scale when session PR-VM was present than when not present (t (df = 118) = -3.02, p < .005). CONCLUSIONS: The subscale adaptation of the SE measure may provide a sensitive approach to understanding how self-exploration relates to behavior change in the context of MI.
PURPOSE: We examine in-session self-exploration among Latinx heavy drinkers who received a motivational interview (MI) to reduce heavy drinking. The goals of this study are to report the validity and reliability of an adaptation of the Global Client Rating for Self-Exploration from the Motivational Interviewing Skill Code (MISC SE). METHOD: The study measured the MISC SE as three subscales (Emotional, Cognitive, New Learning/Developing Discrepancy SE) to assess underlying processes that might allow for higher predictive validity in relation to behavioral change (drinking) outcomes. The study created a dichotomous variable, Personally Relevant Vulnerable Making (PR-VM), to distinguish the disclosure of particularly sensitive material related to drinking behavior. The study used the measure of Everyday Discrimination as a criterion variable for the PR-VM measure. The study collected observationally rated data for n = 158 participants. RESULTS: Subscales showed moderate correlations with the MISC SE (r = 0.421 to 0.574, p < .001). The MISC SE was not associated with number of drinking days or percent heavy drinking days at 3-month follow-up. Cognitive and New Learning/Developing Discrepancy SE were associated with fewer drinking days (r = -0.247 to -0.266, p < .005), and Cognitive SE was associated with percent heavy drinking days (r = -0.169, p < .05), Subscale interrater reliability was comparable to the MISC SE (ICC = 0.72 to 0.86). The study observed higher mean scores on the Everyday Discrimination scale when session PR-VM was present than when not present (t (df = 118) = -3.02, p < .005). CONCLUSIONS: The subscale adaptation of the SE measure may provide a sensitive approach to understanding how self-exploration relates to behavior change in the context of MI.
Authors: Mary Beth Miller; Ellen Meier; Nathaniel Lombardi; Eleanor L Leavens; DeMond M Grant; Thad R Leffingwell Journal: Psychol Assess Date: 2016-09
Authors: Miguel Ángel Cano; Mariana Sánchez; Mary Jo Trepka; Frank R Dillon; Diana M Sheehan; Patria Rojas; Mariano J Kanamori; Hui Huang; Rehab Auf; Mario De La Rosa Journal: J Clin Psychol Date: 2016-05-26