Under what conditions? Therapist and client characteristics moderate the role of change talk in brief motivational intervention.

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: Final published version
Secondary document(s)
Download: 5_26727413_Postprint.pdf (694.02 [Ko])
State: Public
Version: author
Serval ID
serval:BIB_5DF7E1FA0831
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Under what conditions? Therapist and client characteristics moderate the role of change talk in brief motivational intervention.
Journal
Journal of Consulting and Clinical Psychology
Author(s)
Gaume J., Longabaugh R., Magill M., Bertholet N., Gmel G., Daeppen J.B.
ISSN
1939-2117 (Electronic)
ISSN-L
0022-006X
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
84
Number
3
Pages
211-220
Language
english
Abstract
OBJECTIVE: Client change talk has been proposed as a mechanism of change in motivational interviewing (MI) by mediating the link between therapist MI-consistent behaviors (MICO) and client behavioral outcomes. We tested under what circumstances this mechanism was supported in the context of a clinical trial of brief MI for heavy drinking among nontreatment seeking young men.
METHOD: We conducted psycholinguistic coding of 174 sessions using the MI Skill Code 2.1 and derived the frequency of MICO and the strength of change talk (CTS) averaged over the session. CTS was examined as a mediator of the relationship between MICO and a drinking composite score measured at 3-month follow-up, controlling for the composite measure at baseline. Finally, we tested therapist gender and MI experience as well as client readiness to change and alcohol problem severity as moderators of this mediation model.
RESULTS: CTS significantly predicted outcome (higher strength related to less drinking), but MICO did not predict CTS. However, CTS mediated the relationship between MICO and drinking outcomes when therapists had more experience in MI and when clients had more severe alcohol problems (i.e., significant conditional indirect effects).
CONCLUSIONS: The mechanism hypothesized by MI theory was operative in our brief MI with heavy drinking young men, but only under particular conditions. Our results suggest that attention should be paid to therapist selection, training, and/or supervision until they reach a certain level of competence, and that MI might not be appropriate for nontreatment seeking clients drinking at a lower level of risk. (PsycINFO Database Record
Pubmed
Web of science
Create date
15/02/2016 13:39
Last modification date
20/08/2019 15:16
Usage data