Change Talk During Brief Motivational Intervention With Young Adult Males: Strength Matters.

Détails

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Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_7B9B7553DB98
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Change Talk During Brief Motivational Intervention With Young Adult Males: Strength Matters.
Périodique
Journal of substance abuse treatment
Auteur(s)
Gaume J., Magill M., Mastroleo N.R., Longabaugh R., Bertholet N., Gmel G., Daeppen J.B.
ISSN
1873-6483 (Electronic)
ISSN-L
0740-5472
Statut éditorial
Publié
Date de publication
06/2016
Peer-reviewed
Oui
Volume
65
Pages
58-65
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Client change talk (CT) during motivational interviewing (MI) has been described as a predictor of change in alcohol use. We examined the predictive validity of different strength levels of CT within a brief MI session for 174 young men from the general population screened as hazardous drinkers. CT was measured using the MI Skill Code (MISC 2.1) and categorized with positive (toward change) and negative (against change) valence and 3 strength levels (1=low, 2=medium, 3=high). Analyses included linear regression models predicting drinking at 3-month follow-up, while controlling for baseline drinking. Frequency of overall negative CT (i.e., sum of -1, -2, -3) significantly predicted poorer drinking outcomes. In a multivariate model entering frequency of CT utterances at each level of strength (i.e. +1, +2, +3, -1, -2, -3), the directionality of negative strength ratings was consistently in the expected direction, but only CT-2 was statistically significant. In contrast, overall CT positive (i.e., sum of +1, +2, +3) was not a significant predictor of less alcohol use, but the multivariate model showed that the presence of CT+3 significantly predicted less drinking at 3-month follow-up. Averaged strength summary score (i.e. on the scale from -3 to +3) was a significant predictor of better outcome, while percent positive CT was not. Moderation analyses showed that young men with lower baseline readiness to change or lower alcohol problem severity had higher follow-up drinking when they expressed more CT+1 or CT+2, while the opposite pattern was observed with those reporting higher baseline readiness to change or higher alcohol problem severity. Mixed findings for varying levels of positive CT strength might explain previous studies showing poor predictive validity of positive client language in MI. Together with other studies in similar settings, these findings suggest the importance of advanced MI techniques to shape client language to soften negative change talk (also known as sustain talk) and elicit positive CT verbalized with high intensity.

Mots-clé
Alcoholism, Humans, Male, Models, Psychological, Motivation, Motivational Interviewing/methods, Professional-Patient Relations, Treatment Outcome, Young Adult, Alcohol, Brief motivational intervention, Change talk, Motivational interviewing, Young adults
Pubmed
Web of science
Open Access
Oui
Création de la notice
10/03/2016 19:23
Dernière modification de la notice
20/08/2019 15:37
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