Rozprawy doktorskie: „Motivational interviewing”

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Ginley, Meredith K. "Motivational Interviewing". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8883.

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Stinson, Jill D. "Motivational Interviewing With Offenders". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7982.

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Cafmeyer, Helene, i Maria Carlsson. "Motivational Interviewing (MI) : en litteraturstudie". Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-46.

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Bakgrund: Rökning skapar både ett fysiskt och ett psykologiskt beroende vilket gör vanan svår att bryta. En del av sjuksköterskans ansvarsområde är att arbeta hälsofrämjande och att använda sig av kunskapsbaserade metoder. En av dessa är Motivational Interviewing (MI) som är en patientcentrerad samtalsmetod som kan användas inom omvårdnad i syfte att hjälpa patienter till hälsofrämjande livsstilsförändringar. Inga tydliga riktlinjer finns dock för metodens effektivitet vid rökavvänjning. Syfte: Att undersöka forskningsresultat som stödjer eller avfärdar MI som rökavvänjningsmetod. Design: En litteraturöversikt användes i denna uppsats. Resultat: Resultatet sammanställdes utifrån den vetenskapliga litteraturen. Stöd framkom gällande rökstopp, minskat bruk av cigaretter, motivation, minskat röksug samt kostnadseffektivitet vid återfallsprevention. Avfärdande resultat framkom gällande rökstopp och kostnadseffektivitet vid rökstopp. Slutsats: Resultaten indikerar att metoden kan användas framgångsrikt om den anpassas efter de förutsättningar som ges gällande exempelvis patientens rökvanor och aktuella motivation. Mer forskning behövs dock.
Background: Smoking creates a physiological and psychological dependence which makes the habit difficult to break. Nurses are responsible, as part of their professional duty, to work with lifestyle prevention using evidence-based methods. One of them is Motivational Interviewing, MI, a patient-centered technique, which aims to help patients with health-promoting lifestyle changes. There are no clear guidelines regarding this method's efficiency on smoking cessation. Aim: To study the research findings that support or reject MI on smoking cessation. Design: A literature review was used to perform this study. Results: The results were extracted from the scientific literature. Support were found in relation to smoking cessation, reduced smoking, motivation, reduced temptation to smoke and cost-effectiveness on relapse prevention. However, rejection emerged regarding smoking cessation and cost-effectiveness on smoking cessation. Conclusion: The results indicate that the method can be successfully used if adjusted for the conditions given, for example the patient´s smoking history and current motivation. Further research is needed.

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Lindhe, Söderlund Lena. "Motivational Interviewing in Theory and Practice". Doctoral thesis, Linköpings universitet, Socialmedicin och folkhälsovetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60330.

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An estimated 50% of mortality from the 10 leading causes of death is due to behaviour. Individuals can make important contributions to their own health by adopting health-related behaviours and avoiding others. Motivational interviewing (MI) has emerged as a counselling approach for behavioural change that builds on a patient empowerment perspective by supporting autonomy and self-efficacy. The overall aim of this thesis is to contribute to improved understanding of the different factors that impact on general health care professionals’ learning and practice of MI. Specific aims are; study I was to identify barriers, facilitators and modifiers to use MI with pharmacy clients in community pharmacies; study II was to identify barriers and facilitators to use MI with overweight and obese children in child welfare and school health services; study III was to evaluate the attitudes towards MI and clinical use of MI with children´s weight issues one year after child health care nurses’ participation in MI training; study IV was to systematically review studies that have evaluated the contents and outcomes of MI training for general health care professionals. Participants in study I were 15 community pharmacy pharmacists in Östergötland, Sweden. Participants in study II were five child welfare centre nurses from the county council and six municipally-employed school health service nurses, all from Östergötland, Sweden. Data for both studies were obtained through focus group interviews. Study III, participants were 76 nurses from child health care centres in Östergötland, Sweden. 1-year after MI training they answered a survey. Study IV, the material was 10 empirical studies that have evaluated different aspects of MI training. MI training for general health care providers is generally of short duration and tends to focus on specific topics such as diabetes, smoking, and alcohol. The training seems to contain more training on phase I elements, such as clients’ inner motivation, than on phase II, which involves strengthening clients’ commitment to change. MI is seen as practical and useful in work with lifestyle and health promotion issues, especially with issues that may be perceived as sensitive, such as alcohol and obesity. General health care providers have positive attitudes to MI and view MI as being compatible with their values and norms about how they want to work. Clients’ resistance reactions are difficult to handle in the first stages of learning MI, and may lead to frustration. Strategies to avoid resistance are including in the final stages of learning MI. Learning and clinical use of MI for general health care providers is influenced by interactions with their environment (colleagues, staff and organization). Unlearning of old knowledge can be a problem for general health care providers in the learning and clinical use of MI.

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Stinson, Jill D. "Motivational Interviewing With Court-Ordered Populations". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8002.

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Book Summary: This book reviews how new and promising evidence-based interventions are being used with those involved in the criminal justice system. While there has been an increased emphasis on evidence-based practice within forensic treatment, there remains a disjoint between what we know works and adapting these interventions to those involved in the criminal justice system. This book seeks to bridge that gap by providing an overview of what we know works and how that information has been translated into offender treatment. In addition, it highlights avenues where additional research is needed.

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Lindhe, Söderlund Lena. "Challenges of learning and practicing motivational interviewing". Licentiate thesis, Linköping University, Linköping University, Division of Preventive and Social Medicine and Public Health Science, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-17351.

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Background: The past three decades have seen a growth in health promotion research and practice, stimulated by the epidemiologic transition of the leading causes of death from infectious to chronic diseases. An estimated 50% of mortality from the 10 leading causes of death is due to behaviour, which suggests individuals can make important contributions to their own health by adopting some health-related behaviours and avoiding others. Motivational interviewing (MI) has emerged as a brief counselling approach for behavioural modification that builds on a patient empowerment perspective by supporting self-esteem and self-efficacy. MI has become increasingly popular in a variety of health care settings as well as non-health care settings.

Aims: The overall aim of this thesis is to contribute to improved understanding of the different factors that impact on the learning and practice of MI. The aim of study I was to identify barriers and facilitators to use MI with overweight and obese children in child welfare and school health services. The aim of study II was to identify barriers, facilitators and modifiers to use MI with pharmacy clients in community pharmacies.

Methods: Participants in study I were five child welfare centre nurses from the county council and six municipally-employed school health service nurses, all from Östergötland, Sweden. Participants in study II were 15 community pharmacy pharmacists in Östergötland Sweden. Data for both studies were obtained through focus group interviews with the participants, using interview guides containing open-ended questions related to the aims of the studies. Study II also included five individual interviews. Interview data were interpreted from a phenomenological perspective.

Results: In study I, important barriers were nurses’ lack of recognition that overweight and obesity among children constitutes a health problem, problem ambivalence among nurses who felt that children’s weight might be a problem although there was no immediate motivation to do anything, and parents who the nurses believed were unmotivated to deal with their children’s weight problem. Facilitators included nurses’ recognition of the advantages of MI, parents who were cooperative and aware of the health problem, and working with obese children rather than those who were overweight. In study II, pharmacists who had previously participated in education that included elements similar to MI felt this facilitated their use of MI. The opportunity to decide on appropriate clients and/or healthrelated behaviours for counselling was also an important facilitator. The pharmacists believed the physical environment of the pharmacies was favourable for MI use, but they experienced time limitations when there were many clients on the premises. They also experienced many difficulties associated with the practical application of MI, including initiating and concluding client conversations.

Conclusions: Learning and practicing MI effectively is difficult for many practitioners as it requires a new way of thinking and acting. Practitioners’ use of MI is not effective unless there is recognition that there is an important health-related problem to be solved. Practitioners feel more confident using MI with clients who have health-compromising behaviours and/or risks in which the practitioners feel they have expertise. Possessing considerable MI counselling skills does not compensate for insufficient knowledge about a targeted health-related behaviour and/or risk. Feedback from clients plays an important role for the quality and quantity of practitioners’ MI use.

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Dodd, Julia. "Theories of Behavior Change and Motivational Interviewing". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7346.

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Dodd, Julia. "Theories of Behavior Change and Motivational Interviewing". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7349.

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Stinson, Jill D. "Motivational Interviewing for Offender Rehabilitation and Engagement". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7911.

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Stinson, Jill D. "Motivational Interviewing: Promoting Client Collaboration and Change". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7980.

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Stinson, Jill D. "Motivational Interviewing for Offender Rehabilitation and Reentry". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7986.

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Hagen, Jutta [Verfasser], i Ralf [Akademischer Betreuer] Demmel. "Motivational Interviewing / Jutta Hagen ; Betreuer: Ralf Demmel". Münster : Universitäts- und Landesbibliothek Münster, 2010. http://d-nb.info/1141178133/34.

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Moritz, Charlotta, i Hanne Kirsten. "Motiverande samtal i skolan (School based Motivational Interviewing)". Thesis, Malmö högskola, Fakulteten för lärande och samhälle (LS), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-27384.

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AbstractCharlotta Moritz och Hanne Kirsten 2016 Motiverande samtal i skolan (School based Motivational interviewing). Specialpedagogprogrammet, Lärande och samhälle – Skolutveckling och ledarskap, Malmö högskola.Den svenska skolan idag lider brist på motivationskapital. Det leder till att elevernas resultat sjunker och lärarnas sjukskrivningar ökar. Skoldebatten har en tendens att inta problemfokus istället för att finna lösningar. Det är därför viktigt att skolutveckling handlar om att försöka hitta, eller utveckla och anpassa, sätt att möta de problem som finns i skolvardagen.Vi vill undersöka om samtalsmetoden MI kan vara ett användbart redskap för specialpedagoger när de möter behovet av motivation hos pedagoger och elever i skolan. Vidare vill vi problematisera kring arbetets empiri med hjälp av motivationsteori kompetensutvecklingsteori och KASAM. Detta för att, med vetenskapligt förhållningssätt, kunna bidra med underlag för överväganden kring MI i en skolkontext.Arbetet har tre huvudsakliga frågeställningar:•Vilka erfarenheter har de intervjuade specialpedagogerna av metoden MI?•Har MI bidragit till kompetensutveckling hos specialpedagogerna?•Finns skillnader mellan specialpedagogernas uppfattning av MI och upphovsmännens definition av metoden, och vad gör det i så fall med användbarheten i en skolkontext?Arbetets upplägg är induktivt. Kvalitativa intervjuer utgör empirin. Tre specialpedagoger intervjuades i ett inledningsskede, därefter intervjuades en utbildare av metoden MI. Noggranna jämförelser mellan empiri och forskning ligger till grund för resultaten. Som analysverktyg i arbetet används dels Dreyfus och Dreyfus ”Skill Acquisition” modell dels motivationsteorier: Rogers ”Client Centered Therapy”, Deci och Ryans ”Self Determination Theory”, och Banduras ”Self-efficacy Theory".Resultaten visar på breda möjligheter för användandet av MI i skolan. Resultaten visar också att skolans praktiska aspekter gör att möjligheterna kan begränsas.Kompetensutvecklingen inom MI har bidragit till en upplevd förstärkning av relations-kompetensen hos specialpedagogerna. Den tekniska delen av MI-kompetensen hos informanterna förblir, i vårt arbete, till viss del otydlig.MI som metod och förhållningssätt rimmar väl med KASAM vilket kan sägas vara en del av kärnan i specialpedagogens yrkesutövande. De specialpedagogiska implikationerna blir följaktligen att ta ställning till om den egna verksamheten har, eller kan skapa, förutsättningar som gör att MI kan leda till positiva resultat.Elevers och lärares motivation i svensk skola är ett relativt outforskat område. Kontextbunden forskning inom både motivation och MI är därför angeläget.Nyckelord: Motivation, Motivational Interviewing, samtal, relationskompetens, kompetensutveckling.

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Jeremic, Martin, i Markus Vilhelmsson. "Implementering av Motivational Interviewing : Utbildningen som inte utnyttjas". Thesis, Linnéuniversitetet, Institutionen för pedagogik (PED), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-33704.

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Syftet med denna studie var att undersöka hur behandlare uppfattar implementeringen av MI inom SiS-ungdomsvård. Studien utgår från en hermeneutisk forskningstradition med en kvalitativ ansats. Undersökningen bygger på semistrukturerade intervjuer med fem behandlingspedagoger där alla har erfarenhet av MI som förhållningssätt. Resultatet visar att MIs grundutbildning uppfattas som lärorik, givande och proffsigt utförd. Men när kunskapen sedan skall införas i det praktiska arbetet skapas problem. Detta framförallt med anledning av tidsbrist och avsaknad av engagemang, vilket i sin tur leder till att det inte finns en tydlig struktur för hur kunskapen skall användas och utvecklas. För att tolka resultatet har vi utgått från studiens teoretiska utgångspunkt som är implementeringsteorin. I diskussionen framgår att implementeringen av ett förhållningssätt är en komplex process vilket leder till att förklaringsfaktorerna till stor del överlappas, vilket i sin tur medför att det är svårt och urskilja vad som slutligen är avgörande i implementeringsprocessen.

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Bluhm, Cheyenne A. "Motivational interviewing| An online curriculum for nutrition counseling". Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10141529.

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The purpose of this directed project was to develop a free online curriculum on the basics of motivational interviewing intended for professionals or students in the field of dietetics. The goal was to develop a website called, “A Dietetics-Focused Motivational Interviewing Basics Course” at no cost that would be easily accessible by the target audience. This website was intended to be a resource to sharpen the skills of dietetics professionals and students in the basics of motivational interviewing by incorporating interactive learning with four PowerPoint presentations, class quizzes, written activities, example counseling videos, and a pre/post-test. The program curriculum was developed based on the most recent literature on motivational interviewing and nutrition and online curriculum development. It is the job of dietitians to promote positive behavior change of their patients or clients. Availability of a free, easily accessible MI resource, may help dietitians to maintain client-centered counseling skills.

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Stinson, Jill D., i Michael D. Clark. "Motivational Interviewing with Offenders: Engagement, Rehabilitation, and Reentry". Digital Commons @ East Tennessee State University, 2017. https://www.amzn.com/1462529887.

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From experts on working with court-mandated populations, this book shows how motivational interviewing (MI) can help offenders move beyond resistance or superficial compliance and achieve meaningful behavior change. Using this evidence-based approach promotes successful rehabilitation and reentry by drawing on clients' values, goals, and strengths--not simply telling them what to do. The authors clearly describe the core techniques of MI and bring them to life with examples and sample dialogues from a range of criminal justice and forensic settings. Of crucial importance, the book addresses MI implementation in real-world offender service systems, including practical strategies for overcoming obstacles.
https://dc.etsu.edu/etsu_books/1135/thumbnail.jpg

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Pincus, Robert. "Professional School Counselors and Motivational Interviewing with Student Clients". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5773.

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Mental health counselors who counsel adolescents suffering from substance abuse and obesity issues have successfully used motivational interviewing with their clients; however there is little data that has explored motivational interviewing when it has been used to address academic concerns in schools. The purpose of this study was to explore the experiences of school counselors who have used motivational interviewing to improve student academic performance. This heuristic phenomenological qualitative study examined the perceptions and experiences of professional school counselors who had used motivational interviewing in their schools. Criterion sampling was used to recruit 9 middle and high schools counselors from across the United States. Interview data was analyzed using NVivo software and provisional coding, which revealed four specific themes: defining motivational interviewing in schools, explaining specific techniques, combining motivational interviewing with other theories, and training opportunities for school counselors. The themes that emerged from this study strengthen existing research and provide current and future school counselors with insight into the potential that motivational interviewing could bring to their school counseling programs.

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Osterman, Robin Lynn. "Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy". University of Cincinnati / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243021605.

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Satomi, Akira. "The efficacy of Motivational Interviewing for the criminal population /". Available to subscribers only, 2007. http://proquest.umi.com/pqdweb?did=1456295541&sid=3&Fmt=2&clientId=1509&RQT=309&VName=PQD.

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Burke, Brian A. "Motivational interviewing: A meta-analysis of controlled clinical trials". Diss., The University of Arizona, 2003. http://hdl.handle.net/10150/280346.

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This is a meta-analytic review of controlled clinical trials investigating adaptations of motivational interviewing (AMIs), a promising approach to treating problem behaviors. For each study, descriptive characteristics were coded and individual effect sizes (Cohen's d) were computed. In order to evaluate comparative efficacy, combined effect sizes for AMIs were calculated, separated by comparison group and problem area. To test for sustained efficacy, post-treatment & follow-up effect sizes for AMIs were compared. Additional data were compiled to evaluate the clinical impact of AMIs. Finally, potential moderators were analyzed to test five specific hypotheses related to the effects of AMIs. Thirty clinical trials were included in this review, representing a wide variety of studies. AMIs were equivalent to other active treatments and yielded moderate effects (ranging from .25 to .57) compared to no-treatment or placebo controls for problems involving alcohol, drugs, and diet & exercise. These effects were sustained through an average of 67 weeks of follow-up and for as long as 4 years post-treatment. Based on four studies, there was weak evidence for AMIs in the areas of smoking cessation and HIV-risk behaviors. Overall, AMIs demonstrated considerable clinical impact, with 51% improvement rates, a mean within-group effect size of .82, a 56% reduction in client drinking, and moderate effects on social impact measures (d = .47) such as days of work lost due to substance use. Each of the five specific hypotheses in this meta-analysis was at least partially confirmed. Miller's lab (the founder of motivational interviewing) produced the best outcomes for AMIs, while AMI treatments were most efficacious for severe client samples. AMIs generated the best results when used as preludes to further clinical services rather than as stand-alone treatments. Studies of low methodological quality yielded better outcomes for AMIs than did high quality studies, although the overall picture with regards to quality was unclear. Finally. AMIs showed a significant dose-effect relationship, with higher treatment doses resulting in better study outcomes. Additional analyses provided evidence that the conclusions of this meta-analysis are reasonably immune to the effects of client attrition as well as to publication bias.

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Livitz, Irina E. "Using a Web-Based Motivational Interview to Enhance Donor Motivation, Intention, andBehavior". Ohio University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1525860038297404.

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Huws-Thomas, Michelle Victoria. "Study of Motivational Interviewing in adolescents with type 1 diabetes". Thesis, Cardiff University, 2007. http://orca.cf.ac.uk/54601/.

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Motivational Interviewing (MI) has been shown to be effective in facilitating change in health-related behaviour in adults. The objective of this study was to examine the efficacy of MI for adolescents aged 14-17 years with type 1 diabetes. The study was divided into two parts. Study I was a randomised controlled trial (RCT) analysed by intention to treat. Sixty six adolescents with type 1 diabetes, attending diabetes clinics in South Wales, were randomly assigned to the MI intervention group (n=38) and to the control group (n=28) who received support counselling based on education and self management skills. All participants received individual sessions over 12 months. The main outcome measures were serum glycosylated haemoglobin (HbAic) concentrations and psychosocial measures which included quality of life and well- being. These were assessed at baseline, 12 months (end of intervention) and at 24 months (one year post intervention). Sixty patients completed data at 12 months. At 12 months the mean HbA C in the MI group was significantly lower than in the control group (p=0.04), after adjusting for baseline values. At 24 months follow up, this difference in HbAic had increased (p=0.003). There were differences in psychosocial variables at 12 months, with the MI group indicating more positive well-being, enhanced quality of life and differences in their personal models of illness (all p<0.001). Some of these differences were maintained at 24 months. Study II explored the relationships between quality of life and HbAic retrospectively based on a priori hypotheses. Better quality of life (satisfaction and impact) predicted reductions in HbAic at 24 months explaining 0.9% of the variance in HbAic. Conclusions: Motivational Interviewing appeared to be an effective method of facilitating adolescents with type 1 diabetes to reduce their HbAic, along with enhancements in some aspects of psychosocial functioning.

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Asvat, Patel Yasmin. "Motivational Interviewing to Promote Physical Activity in Breast Cancer Survivors". Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4629.

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Abstract Despite documented health benefits, most breast cancer survivors (BCS) do not meet physical activity (PA) guidelines. Hence, evaluating diverse intervention approaches to promote PA in BCS is imperative. Motivational Interviewing (MI) offers a non-prescriptive, client-centered approach to PA promotion that has not been adequately evaluated in BCS. In this randomized-controlled trial, 66 Stage 0-IIIa BCS within three years post-treatment, insufficiently active and contemplating increasing PA were randomly assigned to a MI intervention or an active control condition. The MI intervention implemented motivational and behavior change strategies consistent with MI principles. The active control condition provided education and prescriptive recommendations on diet, PA, and stress management. Participants completed two in-person and one phone-based sessions over 4 weeks. Outcomes were assessed at baseline, 6-week, and 12-week follow-up. The primary outcome was efficacy of the MI intervention to promote PA. Contrary to the hypothesis that the MI intervention would be superior, PA improvements were evident for both groups, with 60% of all participants meeting PA guidelines at 12-week follow-up. Secondary outcomes involved intervention effects on depressive symptoms, fatigue, vigor, and aerobic fitness. Contrary to hypotheses, improvements in secondary outcomes were evident for both groups. Exploratory moderation analyses yielded no group differences in PA outcomes based on baseline activity level, perceived stress, age, or body mass index. Exploratory mediation analyses indicated that the relationships between group assignment and change in secondary outcomes were not mediated by change in PA. In analyses of the combined sample, higher baseline aerobic fitness predicted greater improvement in PA over time. Overall, results suggest that diverse intervention approaches can help promote PA in BCS. Future research should evaluate long-term maintenance of gains and theoretical mechanisms of the intervention effect.

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Cohen, Julie Laura. "Enhancing Retention of Foster Parents: The Role of Motivational Interviewing". Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/195528.

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About half of new foster parents quit fostering in their first year, which contributes to the national shortage of foster parents. The purpose of this longitudinal project was to implement and then evaluate a brief motivational interviewing (MI) intervention for new foster parents to support them in their transition to foster parenting. The study participants are a community sample of 112 new foster parents, half of whom were randomly selected to receive two sessions of MI and half of whom served as a control group. The goal was to improve the retention rates and the quality of the fostering experience of new foster parents, but the result was that neither retention nor quality of experience was different between the MI and control groups. Ambivalence about fostering was reduced in the MI group, and the MI group's commitment to fostering was greater than the control group's commitment by the one-year follow-up. A somewhat surprising observation was that only 47 of the 78 families in the study actually got licensed during the one-year study period, and it took participants about 125 days, on average, to get licensed. This suggests that licensing is taking too long and that many participants, without support and encouragement along the way, are abandoning the idea of fostering before they even begin. The results from this study are mixed and somewhat inconclusive, but what is evident is that more support and guidance for new foster parents is surely needed. Further study is warranted to try to create a more effective intervention to support new foster parents.

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Moore, Martina S. "The Effects of Motivational Interviewing with the Dual Diagnosis Population". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/549.

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Dual diagnosis clients continue to have low treatment completion rates. The purpose of the current study was to understand if motivational interviewing helped to increase completion rates for clients receiving cognitive behavioral therapy (CBT). Studying the problem was necessary for identifying an evidenced-based model for mental health counselors to help clients with dual diagnoses complete CBT treatment. There were no studies available for understanding the effectiveness of motivational interviewing as a tool for improving treatment completion rates for dual diagnoses clients in intensive outpatient programs. The research question examined if motivational interviewing was effective for improving treatment completion rates for the dual diagnosis population. A quantitative methodology with a quasi-experimental design used for this study and included a paired samples t test, a chi-square test, and a logistic regression analysis. The results showed a statistically significant association between receiving the motivational interviewing techniques and completing CBT. Clients who received motivational interviewing were 4 times more likely to complete CBT treatment compared to clients who did not receive the technique. Clients with increased self-efficacy levels were 2 times more likely to complete treatment, thus addressing the problem of dual diagnosis clients having low treatment completion rates. The overall results demonstrated that clients reduced substance use relapse and recidivism improved. Completing treatment helped to reduce crimes related to drug use; it also prepared substance users for return to society as productive citizens, which promoted positive social change.

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Onesty, Victoria M. "Assessment of Pediatric-Focused Brief Motivational Interviewing Training of Dental Students and Pediatric Dental Residents". VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5309.

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Purpose: To assess dental students and pediatric dental residents’ knowledge and attitudes towards motivational interviewing and evaluate the efficacy of a pediatric-focused brief motivational interviewing training program. Methods: A total of 66 participants were enrolled; 35% were third year dental students, 46% were fourth year dental students and 18% were pediatric dental residents. Participants completed three questionnaires: the first before the training, the second immediately after the training and the third approximately 3.5 months after the training. Results: A significant increase in correct responses was found for 4 of the 5 questions assessing participants’ knowledge. Participants were satisfied with the training (94%) and were interested in further training (89%). Participants believed patients and their parents would benefit from the intervention (97%). Conclusions: The pediatric-focused BMI training program is a valuable addition to pre-doctoral and residency curricula by preparing students and residents to employ this beneficial technique.

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Cryer, Sarah. "Exploration of the use of Motivational Interviewing with disengaged primary aged children". Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/exploration-of-the-use-of-motivational-interviewing-with-disengaged-primary-aged-children(f905d9f6-0bea-4d58-9954-31adc31b4172).html.

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Motivational Interviewing (MI) techniques have been shown to be effective with young people in secondary education. The techniques have increased pupils’ self-efficacy, self-esteem and motivation towards learning. The literature search revealed that there is no published research that has investigated MI techniques with children aged between nine and eleven but some informal evidence suggests there are potential benefits. The aim of this study was to investigate whether MI techniques can be used successfully with nine and ten year old children, attending mainstream primary schools and who had been identified as disengaged by the class teacher. A multiple case study analysis was conducted with 3 nine and ten year old pupils, identified as disengaged by the class teacher. The pupils took part in 3/4 sessions of an MI package specifically produced for younger children. Each pupil and their teacher took part in a semi-structured interview, which were recorded and transcribed verbatim. A researcher diary was used to record researcher observations. All data were analysed using thematic analysis. An assessment sheet was formulated by the researcher and used to assess adherence to the MI aims and principles. Results showed that adapted MI techniques had a significant impact on the pupils’ motivation to learn and on their behaviour in the classroom. Implications of the findings are discussed in relation to the use of school-based therapeutic interventions by school psychologists.

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Johansson, Nina. "Interbedömarreliabilitet i kodningsverktyget "Motivational Interviewing Treatment Integrity Code" 3.0 (MITI 3.0)". Thesis, Stockholm University, Department of Psychology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-8067.

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Med metoden Motiverande samtal (MI från engelska Motivational Interviewing) kan rådgivare höja klienters motivation. Genom att koda rådgivarbeteende i MI-sessioner med kodningsverktyget ”Motivational Interviewing Treatment Integrity” (MITI) kan sessionen utvärderas. Det är viktigt att kodningsverktyget har hög reliabilitet för att ge tillförlitlig feedback till rådgivare och upprätthålla metodens kvalitet. Det primära syftet med studien är att undersöka interbedömarreliabiliteten i den nya versionen MITI 3.0. Interbedömarreliabiliteten analyseras enligt Cronbachs α och ICC på dubbelkodat material och hypotesprövning av skillnader mellan korrelationer genomförs för att undersöka skillnader i interbedömarreliabilitet mellan MITI 2.0 och MITI 3.0. Ett ytterligare syfte är att undersöka om MITI 3.0 mäter samma sak som dess föregångare, MITI 2.0. Diskrepans mellan MITI-versionerna undersöks genom att samma material som använts tidigare även dubbelkodas enligt MITI 2.0 och prövas enligt oberoende t-test. Resultatet tyder på att MITI 3.0 motsvarar sitt syfte samtidigt som interbedömarreliabiliteten har ökat. Omarbetningen av MITI-verktyget kan bedömas som lyckad med positiv effekt på interbedömarreliabiliteten samtidigt som diskrepansen mellan MITI-versionerna var låg.

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Lyon, R. "Increasing physical activity through motivational interviewing with adult forensic psychiatric inpatients". Thesis, University of the West of England, Bristol, 2014. http://eprints.uwe.ac.uk/22276/.

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The treatment and recovery of forensic psychiatric inpatients can take many months and often years, within which time health issues such as obesity and diabetes can develop. Encouraging beneficial health behaviours with this client group is notoriously difficult for a variety of reasons and anti-psychotic medication paradoxically often serves to exacerbate physical health concerns. There is a dearth of research concerning effective interventions for improved physical health for this client group, perhaps because security and staffing issues present significant challenges to conducting research in this environment. This exploratory piece of action research employed multi-staged Motivational Interviewing (MI) sessions in nine case studies, the aim of which was to explore the utility of the approach in increasing physical activity (PA) with forensic psychiatric inpatients. Changes in PA and intrinsic motivation were assessed over three months and clients were surveyed on their views of the approach. A question exists over the propriety of client-centred care in a setting that is often necessarily restrictive and controlled. Challenges to a broader implementation of MI for health promotion amongst the multi-disciplinary care team (MDT) are considered, and were explored through the use of a staff survey. Outcomes for the research suggest that MI is a useful and valued approach to facilitating changes in physical activity levels with forensic psychiatric clients. There may be others from this environment for whom the approach is inappropriate, and there is a need for further research with clients whose health concerns are significant but who do not readily present for activity sessions. Outcomes from this research further suggest some of the MDT may be philosophically aligned with some aspects of the client-centred ethos of MI, yet still maintain a belief in the propriety of directive and authoritarian methods for promoting health. This may present a challenge to the training of MI if a broader implementation of MI for physical health issues is considered, and limited survey data may not have revealed the full extent of this challenge.

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Ni, Mhurchu Cliona. "Effectiveness of motivational interviewing in dietary education for people with hyperlipidaemia". Thesis, University of Southampton, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.242687.

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Kayode, Olakunle L. "Motivational Interviewing for antiretroviral therapy adherence in Nigeria : a feasibility study". Thesis, Anglia Ruskin University, 2018. http://arro.anglia.ac.uk/704078/.

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Background: Motivational Interviewing (MI) is a person-centred directive approach that can support HIV patients to improve antiretroviral therapy (ART) adherence. Although MI has a growing literature within HIV contexts, studies have not yet examined the feasibility of using it for ART adherence counselling in Nigerian clinical contexts. Methods: A mixed method approach was used for this study. Counsellors and a sample of HIV patients were recruited from a HIV clinic in Abuja, Nigeria between March and June 2017. The counsellors received five hours training, then used MI in audiotaped sessions with patients. Following the clinical encounters, counsellors and patients were interviewed about the process. Fidelity of counsellors to MI was assessed using the OnePass system which is a tool for measuring the competence of practitioners in MI, while the interviews data were analysed thematically to explore the experiences of study participants. Findings: All clinicians in the clinic participated in the study and attended the training. Nineteen sessions were recorded from the interactions between 18 patients and seven counsellors in English, Pidgin and Yoruba. The counsellors did not achieve the threshold for competency described in literature, however interview responses revealed that MI improved the consultation practices of the counsellors and was well-accepted by patients. Interviews also revealed significant challenges during routine consultations, such as low clinic capacity, perception of counsellors about adherence support, stigma, bribing, religious/traditional beliefs, privacy issues in the clinic and economic barriers; this may prevent the routine application of the approach in Nigerian hospitals. Conclusions: This study indicates that MI has potential to be used for ART adherence support within Nigerian context. It is acceptable to clinicians and patients and perceived as being different from current practice. However, for future implementation, time needs to be dedicated to MI training and further professional development around patient-centred approaches to adherence support.

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Breckon, Jeff D. "Physical activity counselling : the application of motivational interviewing and brief negotiation". Thesis, Sheffield Hallam University, 2006. http://shura.shu.ac.uk/20633/.

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The Department of Culture Media and Sport (2002) set a national target for sport and physical activity (PA) that 70% of the population be reasonably active by 2020. However, the proportion of the population meeting these levels of activity is currently only 30% (DoH, 2004a). There is now unequivocal evidence that the UK population is becoming increasingly inactive leading to increases in premature mortality and illness and disease. There is also clear evidence that increased PA can assist in both the avoidance and management of hypokinetic disease such as CHD and type II diabetes. Part of the health strategy for the UK includes the use of interventions such as PA referral schemes (PARS). Within such schemes specific techniques such as PA counselling are increasingly popular in both community and clinical settings (Tulloch et al., 2006). The aim of the thesis was to examine the context and efficacy of PARS, the prevalence of PA counselling and the levels of competence and consistency applied within empirical studies, and finally an assessment of the efficacy of behaviour change counselling in PARS settings based on Motivational Interviewing (Miller & Rollnick, 2002).The first study provided a systematic review of PA counselling from 1995 to 2006 and examined whether a theoretical framework was applied to each study reporting a PA counselling component and if so, which theory. Furthermore, it assessed the number of studies that report the use of a treatment fidelity framework in order to ensure internal validity of the intervention as well as an assessment of competence of the interventionist. Results indicated the dominant theory to be the transtheoretical model (TTM) and in particular stages of change (a sub-component of TTM). No studies applied a treatment fidelity framework with only 2 from 25 assessing competence of the PA counselling interventionist. Prior to delivering an MI intervention, the second study followed a treatment fidelity framework and assessed the competence of the investigator in delivering MI. This applied validated tools with regards to levels of MI competency and proficiency. Results indicated that the investigator demonstrated proficiency across MI global ratings of empathy and spirit and used commensurate levels of open to closed questions and complex to simple reflections. Having assessed the competency and consistency of the MI intervention Study 3 examined the impact of MI applied to a randomly allocated patient group referred to a PARS by GP's The results of the intervention, as compared to a control group receiving traditional PARS interventions only, were equivocal. Additional measures such as patient 'readiness to change' and 'exercise motivation' were also recorded and it appears from the current study that 'pure' MI is not appropriate for those patients reporting a high level of readiness. The final study assessed the impact of a 2-day training workshop in MI to an experienced PARS officer with little or no previous counselling training. The assessment of competence was carried out using the same measure as Study 2 for comparison. The impact of the training was assessed by applying a similar design to that of Study 3. Competency tests indicated the 2-day training did not create competence and proficiency across all facets of MI though adaptations were recorded. The impact on the patient adherence rates in the PARS was similarly equivocal to the previous study.

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Kayode, Olakunle L. "Motivational Interviewing for antiretroviral therapy adherence in Nigeria: A feasibility study". Thesis, Anglia Ruskin University, 2018. https://arro.anglia.ac.uk/id/eprint/704078/1/Kayode_2018.pdf.

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Background: Motivational Interviewing (MI) is a person-centred directive approach that can support HIV patients to improve antiretroviral therapy (ART) adherence. Although MI has a growing literature within HIV contexts, studies have not yet examined the feasibility of using it for ART adherence counselling in Nigerian clinical contexts. Methods: A mixed method approach was used for this study. Counsellors and a sample of HIV patients were recruited from a HIV clinic in Abuja, Nigeria between March and June 2017. The counsellors received five hours training, then used MI in audiotaped sessions with patients. Following the clinical encounters, counsellors and patients were interviewed about the process. Fidelity of counsellors to MI was assessed using the OnePass system which is a tool for measuring the competence of practitioners in MI, while the interviews data were analysed thematically to explore the experiences of study participants. Findings: All clinicians in the clinic participated in the study and attended the training. Nineteen sessions were recorded from the interactions between 18 patients and seven counsellors in English, Pidgin and Yoruba. The counsellors did not achieve the threshold for competency described in literature, however interview responses revealed that MI improved the consultation practices of the counsellors and was well-accepted by patients. Interviews also revealed significant challenges during routine consultations, such as low clinic capacity, perception of counsellors about adherence support, stigma, bribing, religious/traditional beliefs, privacy issues in the clinic and economic barriers; this may prevent the routine application of the approach in Nigerian hospitals. Conclusions: This study indicates that MI has potential to be used for ART adherence support within Nigerian context. It is acceptable to clinicians and patients and perceived as being different from current practice. However, for future implementation, time needs to be dedicated to MI training and further professional development around patient-centred approaches to adherence support.

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Islam, Nadia. "Mechanisms of Motivational Interviewing in a Parent-focused Pediatric Obesity Intervention". VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/5030.

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Pediatric obesity is a major public health epidemic with serious physical and psychological consequences. Difficulty engaging families in treatment is a significant obstacle in addressing pediatric obesity, especially among underserved populations. Motivational interviewing (MI) is a collaborative, person-centered communication style that has been shown to reduce attrition, increase attendance, and improve patient treatment adherence; however, little is known about the process of MI and how it improves treatment engagement. This study examined clinician and parent language in a pre-treatment MI session that increased initial engagement in a parent- focused pediatric obesity intervention (N= 81). Results showed that increased parent change talk, and preparatory language in particular, was positively related to the likelihood of initial attendance at baseline. Additionally, certain types of MI consistent clinician strategies were positively associated with parent change talk. Complex positive reflections were correlated with preparatory language and overall change talk, suggesting this might be a particularly important MI skill. Findings have implications for better understanding the process of MI and mechanisms through which MI can improve treatment engagement.

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Armenta, Angela. "Program Evaluation of a Motivational Interviewing Program for Rural Healthcare Providers". Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/556494.

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This Doctorate of Nursing Practice (DNP) Project is a program evaluation of a Motivational Interviewing (MI) Training Program provided by Southeast Arizona Health Education Center (SEAHEC). MI is a counseling style that focuses on exploring and resolving ambivalence to elicit behavior change. The purpose of this DNP Project was to: 1) describe the Motivational Interviewing Training Program provided by SEAHEC for ¡Vivir Mejor! healthcare providers; and 2) evaluate the long-term effectiveness of the MI training program by assessing: a) if program participants have retained the MI skills they learned in the training program, and b) if program participants apply these learned MI skills one-year post intervention in their encounters with patients diagnosed with T2DM. The Centers for Disease Control (CDC) Framework for Program Evaluation was used to guide this program evaluation. An online survey was administered to the ¡Vivir Mejor! healthcare providers to evaluate the MI program. Overall, based on the survey results, there was a positive response to the SEAHEC MI Training Program. The results of this program evaluation are limited due to a low response rate. However, these results will be shared with key stakeholders to inform the development of future MI training programs for rural healthcare providers.

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Wallace, Lloyd. "Learning Motivational Interviewing : a thematic analysis exploring health professionals' training experiences". Thesis, Queen Margaret University, 2011. https://eresearch.qmu.ac.uk/handle/20.500.12289/7734.

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Aims: This study explores how training in Motivational Interviewing (MI) is experienced and given meaning by 23 multi-disciplinary health professionals. It uses a qualitative interpretative thematic analysis, aiming to identify key elements in the process of learning and applying MI consultation skills in their clinical practice. Setting/method: The health professionals were recruited from two MI training programmes in Scotland, they worked in either cardiac rehabilitation or substance abuse settings. The time elapsed since training workshops for each participant varied between 4 months and three years. Data were collected electronically via E-mail and participants completed either an open-ended questionnaire or a reflective diary. Results: The data obtained via these data collection methods was rich and informative and it revealed several key experiences and factors for successfully learning and applying MI. MI training is an emotional experience before, during and after workshops. Learning MI is challenging, and a shift in professional identity with clinicians feeling temporarily deskilled is a common experience. Practice with real clients, supervision and other reflective practices, facilitate and are crucial for learning effective MI skills, and developing competency can take years. MI is also seen as powerful and concerns about sensitive disclosure may arise, that may inhibit practicing MI skills. Clinicians also find it challenging to adjust to new ways of thinking and behaving, and often revert to the more traditional authoritarian expert approach they are used to. When clinicians become more competent and skills are consolidated, they experience an increased sense of professionalism and confidence in their ability to facilitate clients in making informed choices about their health and about illness management. They also experience less stress and dissatisfaction with resistant clients. Several additional facilitators and barriers are discussed. Conclusion: The study raises implications for MI training theory and practice and adult learning theories. The findings suggest that learning MI is emotionally demanding and tiring, and that building MI competency requires a considerable amount of time and resource. This needs to be taken into account, when planning and implementing MI training programmes if these are to succeed in embedding MI culture in health services.

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Winship, Jodi M. "Motivational Interviewing in a Team-Based Wellness Clinic: Perceptions and Fidelity". VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6086.

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INTRODUCTION: Motivational Interviewing (MI) is an evidenced based counseling style to elicit health behavior change. Team-based student clinics are an ideal climate for students to learn and practice team-based care, yet little is understood as to how client-centered communication styles such as MI are implemented in a team setting. PURPOSE: The purpose of this dissertation was to conduct an exploratory study using mixed methods to better understand how an MI training translates to team-based communication with clients, the factors impacting team-based implementation of MI, and how team-based MI impacts clients’ perceived autonomy at a student-led, interprofessional, team-based wellness clinic for low-income seniors. METHODS: Fifty-five clinic sessions were audio recorded and participants completed the Health Care Climate Questionnaire to measure perceived autonomy support, 16 clinic participants were interviewed, and 15 health care students participated in four focus groups. The recordings were coded with the Motivational Interviewing Treatment Integrity code (MITI 4.2.1). Independent t-tests, and multiple regression models were used to assess differences in MITI scores, association between MITI scores and team/patient characteristics, and associations between MITI scores and perceived autonomy support. Interviews and focus groups were qualitatively analyzed to identify themes. RESULTS: A short training in MI was not associated with MI proficiency as measured by the MITI, and student teams were found to overstate their use of MI on team-report measures. Less education, older age, and a larger team size were associated with lower MITI scores. High levels of perceived autonomy support were found across all clients, but MITI scores were not associated with perceived autonomy support. Clinic participant interviews identified benefits to engaging with the student teams including opportunities to socialize, as well as support in managing their health. The students found the MI training to be beneficial but noted that team dynamics ultimately effected MI use. CONCLUSION: It is possible to implement MI in team-based settings, but sufficient training and ongoing coaching is needed to ensure translation to practice. As health care programs continue to promote team-based care, further research is needed to fully understand how teams can effectively communicate with clients, and how they can provide the autonomy supportive environment needed to elicit internal motivation to engage clients in their own health management.

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Rahotep, Simone S. "The Relationship between Intrinsic Motivation, Motivational Interviewing and Physical Activity in an African American Church Population". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/cps_diss/35.

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African Americans carry a disproportionate amount of the health burden for chronic disease in the United States (Center for Disease Control and Prevention, 2007). Diabetes, heart disease and cancer, to name a few, are diseases which prematurely capture the lives of African Americans. While chronic, these diseases are preventable with the advent of behavioral change. Physical activity is a primary contributor to longer life expectancy and fewer health concerns (United States Department of Health and Human Services, 1996). While American society, as a whole, struggles to incorporate more physical activity in their lifestyles, African Americans exhibit higher levels of physical inactivity which correlates to higher instances of preventable and chronic health problems in this subgroup of the population. Thus intervention which addresses the specific needs of this community, the mechanisms by which to prompt behavior change and the most effective means to disseminate this information is needed to affect health behavior change in this population. The African American church provides an ideal vehicle by which to diminish these health issues as existing teaching, support and resource mechanisms can be utilized. The current paper explores the relationship between increasing intrinsic motivation through employing motivational interviewing as a strategy to increase physical activity among African Americans church members.

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Rahotep, Simone S. "The relationship between motivational interviewing, intrinsic motivation and physical activity in an African American church population". unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-12292008-131407/.

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Thesis (Ph. D.)--Georgia State University, 2008.
Title from file title page. Gregory L. Brack, committee chair; Catherine Brack, Ken Resnicow, Roger Weed, Jeffrey S. Ashby, committee members. Description based on contents viewed Feb. 22, 2010. Includes bibliographical references.

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Sheftel, Anya. "Motivational Enhancement Career Intervention for Youth with Disabilities". Thesis, University of Oregon, 2014. http://hdl.handle.net/1794/18490.

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Youth with disabilities experience significant vocational and social hardships. Self-determination, self-efficacy, and critical consciousness are important components of positive post-secondary outcomes for this population. The purpose of this study was to design, implement, and evaluate a motivational interviewing-based group career intervention (MEGI) that focused on increasing self-determination, self-efficacy, and critical consciousness among high school students with high incidence disabilities. A mixed methods research design was used to explore the relationship between the intervention and the main study variables. A total of 135 high school students and nine interventionists participated in this study. The results of a latent change score model indicated a positive and significant change in students' vocational skills self-efficacy, self-determination, and vocational outcome expectations. Thematic results of student focus group indicated that students experienced an increase in self-determination, awareness of systemic effects on their educational and vocational success, and uncertainty about the future. Additionally, thematic results of the interventionist focus group indicated an increase in students' self-understanding.

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Britt, Eileen Frances. "Enhancing Diabetes Self-Management: Motivational Enhancement Therapy". Thesis, University of Canterbury. Psychology, 2008. http://hdl.handle.net/10092/1479.

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The effectiveness of Motivational Enhancement Therapy (MET), a brief four session form of Motivational Interviewing (MI), provided by diabetes health practitioners at a hospital-based clinic, in improving diabetes outcome and self-management of Type 1 and Type 2 diabetes was evaluated using quasi-experimental designs (i.e., non-random control group and multiple baseline designs). Study 1 evaluated if MET provided by Diabetes Nurse Educators (DNEs) was effective in improving diabetes outcome (i.e., blood glucose and lipids) and diabetes self-management, and compared its effectiveness to the current standard treatment which comprised Patient Education (PE). Study 2 evaluated if the results of Study 1 could be generalised to Dietitians providing the intervention. Study 3 evaluated the effects of MI training and post-training supervised practice on practitioner and patient behaviour. Specific hypotheses (Studies 1-2) were that MI would lead to improved diabetes outcome through improved diabetes self-management, and would be more effective than PE. Further, training in MI plus supervised practice was predicted to lead to Nurse Educators behaving in ways consistent with MI and as a result the participants would exhibit less resistance and increased change talk than participants receiving PE (Study 3). The results suggest that MET was well received by the participants, and contributed to improved diabetes outcome (e.g., lowered blood glucose) and diabetes self-management (e.g., self-monitoring of blood glucose and dietary compliance), and may have been more effective than PE, although high variability made conclusions uncertain. Evidence of generalisation across participants, intervention staff, and outcomes is provided. Additionally, evidence is provided that with two days training plus supervised practice the DNE were able to practice MET to at least a beginning level of competency in MI and that as a result the participants behaved in ways consistent with MI theory (i.e., showed less resistance and increased change talk).

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Abdull, Mohammed Mahdi. "Adapted Motivational Interviewing to improve uptake of glaucoma treatment in Bauchi, Nigeria". Thesis, London School of Hygiene and Tropical Medicine (University of London), 2017. http://researchonline.lshtm.ac.uk/4468919/.

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Background: Glaucoma is a major cause of irreversible blindness in Africa due to its high prevalence, early age of onset and aggressive course. Patients often present very late and have poor awareness and limited access to services with limited treatment options to lower the intraocular pressure. When treatment is available there is often poor acceptance of surgery, the preferred treatment in Africa. To prevent blindness from glaucoma a behaviour change intervention is required to increase awareness and encourage acceptance of and adherence to treatment and follow up. Motivational interviewing (MI) was selected and adapted for this study as it has shown promise in adherence to treatment in other chronic diseases, and non professional counsellors can be trained to deliver it. To improve treatment options transscleral diode laser cyclophotoablation was introduced before the trial started Methods: Design: single site pragmatic randomized controlled trial with 1:1 allocation to one session of MI or enhanced usual care. MI was adapted for the local context and language was carried out using an interview guide generated following qualitative research. Participants allocated to MI were randomly allocated to one of two interviewers. Usual care was routine explanation by an ophthalmologist and an educational pamphlet. After the interview, a 12-item Working Alliance Inventory short questionnaire was administered to patients and interviewers to assess the collaborative relationship. The primary outcome of the trial was the proportion of participants who accepted and underwent surgery or laser treatment within two months of the date given. Laser treatment was performed using diode 810nm laser G-probes under retrobulbar anaesthesia and standard procedures. Patients were reviewed on day one, one week and at 1, 4, 6 and 12 months when IOP and visual acuity were measured. Results 276 patients participated in the trial: 135 (49%) were assigned to MI and 141 to usual care. 53% of patients in the MI group underwent treatment compared with 45% in the usual care group (risk ratio 1.2; 95% confidence interval (CI) 0.9-1.6). Overall acceptance was 49% higher than before the trial. Analysis of WAI scores showed similar scores for participants and interviewers overall. Interviewer and participant scores had high reliability coefficients (94.3% and 93.3% respectively) with good correlation when combined using Cronbach's alpha (93.9%). In the laser treatment study, data from 204 eyes treated were included in the study. Before treatment mean IOP was 39mmHg being 12, 11, 15, 18, 19 and 19mmHg on day one, at one week, and 1, 4, 6 and 12 months respectively. At 12 months 77 (72.6%) eyes (106/107 with data) had IOPs < 22mmHg. At 12 months 83 (78%) eyes retained (70 eyes, 66%) or had improved (13 eyes, 12%) visual acuity; 25 eyes (23%) lost acuity. 17 eyes were retreated. No eyes had persistent hypotony. Conclusion The results do not support the introduction of this adapted MI tool to increase acceptance of glaucoma surgery in Africa as we observed only a small increase in acceptance compared with usual care, which was not statistically significant. Although only 1 in 2 patients accepted surgery or laser in this trial this is a much higher proportion than observed in other studies. In this trial the majority of participants underwent laser treatment, which is less invasive, repeatable and cheaper than trabeculectomy. The diode laser treatment appears to be a good alternative to surgery in this setting as it is acceptable, gives good IOP control and good preservation of vision at one year. Trials of different modalities of laser as a primary treatment for glaucoma in Africa are warranted.

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Jones, Sarah Amelia. "Client experiences of motivational interviewing : Qualitative research into the process of therapy". Thesis, University of Leeds, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.511130.

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Dear, Emma Jane Patricia. "Evaluating Motivational Interviewing Measures of Knowledge and Skill Using Training Outcome Data". Thesis, University of Canterbury. Psychology, 2014. http://hdl.handle.net/10092/9443.

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The efficacy of Motivational Interviewing (MI), like other evidence-based counselling interventions, relies on the skills of the practitioner. Therefore, it is imperative that such practitioners receive sufficient training in order to successfully implement the method. Hence, it is important to ensure a given training programme has been effective through the use of reliable and valid measures of knowledge and skill acquisition. The Motivational Interviewing Treatment Integrity code (MITI) is one such measure of MI skill attainment; however its use is labour intensive and requires the submission of in-session trainee audio recordings. Other measures of MI skill or knowledge also exist which may be more practical for evaluating training programmes. However, these measures are under researched and are therefore rarely utilised across the MI training literature. The present research is an investigation of the psychometric properties of the Motivational Interviewing Knowledge and Attitudes Test (MIKAT), a test of MI knowledge and attitudes, and the Video Assessment of Simulated Encounters–Revised (VASE-R), a test of MI skill attainment through the use of video to simulate encounters with clients. The measures were administered during a training programme for staff of Child Youth and Family services (CYFs) New Zealand. The results suggest that the MIKAT and VASE-R are sensitive to the effects of training. However, it appeared both measures require refinement and possibly restructuring to make them more consistent with the most recent MI developments.

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Vallabhan, Monique. "Program Evaluation of a Motivational Interviewing Intervention With Adolescents to Prevent Obesity". Thesis, New Mexico State University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3663312.

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Problem: Adolescent obesity has reached epidemic proportions globally. Motivational interviewing (MI) is an emerging intervention for adolescent health risk behavior that has promise. Despite its potential fit in primary health care contexts, primary care providers tend to express reticence in learning or adopting MI practices. This program evaluation project assessed the usefulness of Motivational Interviewing (MI) by primary care providers with adolescents in school based health centers that was implemented by a large randomized clinical trial (RCT) in southwest United States high schools.

Methods: As part of the RCT, the primary care providers were required to do MI sessions with 66, 45, 25, and 91 youth participants respectively at their School-based site. It was anticipated that providers would be increasingly comfortable with MI between their first and final participant and that youth would be increasingly satisfied as provider comfort increased. To evaluate this, as part of the RCT, a set of primary care providers working with youth in school based health centers were trained through didactic sessions, homework, and role-play. School-based providers were provided an introductory training in MI, MI reading materials, a study manual, and were required to participate in bimonthly tele-coaching to ensure treatment integrity and fidelity. Primary care provider and adolescent participant survey data from session 1 of the RCT was analyzed to determine provider comfort with MI and adolescent satisfaction with MI.

Summary of findings: Despite the standard training practices, providers showed a range of interest in comfort with the intervention. However, as anticipated, overall primary care providers became significantly more comfortable with MI on the final day of the MI sessions with increased use (p < 0.01). Adolescent participants overall were highly satisfied with MI regardless of time with no significant differences over time.

Implications for Practice: Primary care providers have not embraced MI as it is perceived as time consuming and challenging, yet over time the primary care providers in this project became significantly more comfortable with MI while youth were highly satisfied independent of provider comfort. Integrating MI into clinical practice has promising implications to get more effective treatment to high-need and underserved youth.

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Carlin, Erica. "The Effect of a Motivational Interviewing Style in Cognitive Therapy for Depression". Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/145363.

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While cognitive therapy (CT) is one of the most well-validated and widely used treatments for patients with Major Depressive Disorder (MDD), many individuals remain symptomatic at the end of treatment or drop out prematurely (Cuijpers, van Straten, Anderson, & van Oppen, 2008; Vittengl, Clark, Dunn, & Jarrett, 2007). Evidence suggests that certain types of therapist relational styles, such as one characterized by empathy and support, are facilitative of better therapeutic outcomes (Keijsers, Schaap, & Hoogduin, 1997) and motivational interviewing (MI; Miller & Rollnick, 2002) is a therapeutic approach which emphasizes this type of relational stance. The present study examined whether cognitive therapists exhibit a relational stance that is emphasized in motivational interviewing and whether this relational stance is associated with greater symptomatic improvement in cognitive therapy for depression. The Motivational Interviewing Treatment Integrity Skills Code (MITI; Moyers, Martin, Manuel, Miller, & Ernst, 2007), an observational coding system originated for assessing fidelity to MI, was used to assess three aspect of MI relational stance (MI Spirit, MI Adherent behaviors, and MI Nonadherent behaviors) among cognitive therapists in a randomized-controlled of CT for individuals with moderate to severe depression. Multilevel modeling was employed to examine the effect of MI relational stance on overall symptom trajectories throughout treatment and subsequent symptom reduction immediately after the use of MI relational stance. In order to rule out early symptom reduction as a potential confound, shared variance between MI relational stance and early symptom reduction was removed. The hypothesis that MI relational stance would be associated with more rapid symptom reduction was confirmed for MI Adherent behaviors but not for MI Spirit or MI Nonadherent behaviors. The prediction that initial depression severity would moderate the effect of MI relational stance on symptomatic improvement was not confirmed; however, a three-way interaction between initial depression severity, MI Adherence, and session number revealed that patients with high initial depression severity did not significantly improve through the course of therapy unless they received high MI Adherence. The hypothesis that MI relational stance in a given session would be associated with a reduction in depressive symptoms in the following sessions across the first four sessions was not confirmed. As predicted, early clinical improvement was not associated with MI relational stance in a later session, suggesting that MI relational stance was not merely an artifact of early clinical improvement. There was no support for the prediction that MI relational stance would be associated with subsequent retention in therapy or the therapeutic alliance. Overall, these findings suggest that a specific type of MI relational stance, MI Adherent behaviors, contribute to more symptomatic improvement. Implications of the role of MI relational stance in cognitive therapy are discussed.

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Copeland, Lauren. "Understanding the therapeutic process : mechanisms of motivational interviewing in weight loss maintenance". Thesis, Cardiff University, 2015. http://orca.cf.ac.uk/73303/.

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Background Nearly a quarter of UK adults are obese representing a significant public health problem. Motivational interviewing (MI) may be effective in helping people to lose weight. Planning could be a mechanism of action which is related to outcome. The aim is to define the types of planning talk used by clients during an MI session and examine their relation to weight loss maintenance (WLM) outcomes. Also to examine the skills the therapist used prior to a client talking about planning. Methods To define planning talk a literature review was conducted and an expert group listened to recorded MI sessions. Thematic content analysis was used to identify the types of planning talk. Thematic analysis was used to identify the therapist skills prior to planning within 50 MI sessions. Associations between types of planning talk and WLM outcomes were analysed using logistic and linear regression. Results The development of the coding system found several types of plans/goals. The reliability was 86% and 75% agreement with the gold standard, for examples of plans/goals and the transcript respectively. Frequent planners lost on average 2.8 kgs (95% CI) and 1.2kg/m² (95% CI) more than those who were low planners (not statistically significant). Medium goal setters statistically significantly increased on average their weight (8.8kg) and BMI (3.5 kg/m²) compared to low goal setters. Therapist’s skills prior to planning were asking the client planning questions and exploring with the client their planning ideas in order to increase specificity. Conclusion The coding system can be used to code WLM data with acceptable reliability. A possible association between planning and a decrease in weight and BMI was demonstrated. Understanding how MI works could lead to improvements in the practice of MI by therapist, efficacy, focus research efforts and facilitate a better understanding of what helps people to change behaviours.

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Wein-Senghas, Alicia. "Motivational Interviewing in Vocational Rehabilitation: Why it Matters for People with Disabilities". Antioch University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1619178984086752.

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Bala, Shqipe. "The effect of Motivational Interviewing training on students' counseling skills and confidence". Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19641.

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Purpose: Unhealthy behaviors and bad habits are some of the major problems modern healthcare is facing and cause serious consequences in both oral health and health in general. Therefore one important aspect of modern dental and medical training is training in health behavior change. In this field, a counseling method and technique called Motivational Interviewing (MI) has shown quite promising results. MI training is introduced and applied as a part of the students training in various dental and medical educational centers. The purpose of this systematic literature review was to study the effects of MI training on dental and medical students’ counseling skills and their confidence in health behavior change communication with the patients. Method: The study was a systematic literature review, conducted from December 2010 to May 2011. Identification of relevant individual studies for this review was made by analyzing data collected through searches in seven different databases: PubMed; Cohrane Central; Trip; PubMed Clinical Queries; Cinhal; Medline and Health Information Resources. Results: Seven relevant articles were found. Six articles showed that MI training seem to have an altering effect on the counseling skills of the students. Five articles showed improvement in the students’ confidence in using MI and behavior change communication. Conclusion: Training in MI seems to have a positive influence on the communication skills of the students leading to improved counseling techniques and better ability to counsel patients on health behavior change.

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Alic, Monika, i Amal Alkrdi. "Nurses' use of Motivational Interviewing. A literature review with a quantitative approach". Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24906.

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Bakgrund: En livsstil har en stor inverkan på patienters hälsa. Motiverande samtal är ett sätt att hjälpa patienter med livsstilsförändringar i vården. När sjuksköterskor är lojala till motiverande samtal kommer det att gynna patienter och medföra positiva livsstilförändringar.Syfte: Syftet med litteraturstudien är att undersöka hur sjuksköterskor använder motiverande samtal i möten med patienter som vill förändra sina livsstilar.Metod: Tio vetenskapliga artiklar med kvantitativ ansats söktes och analyserades med hjälp av ett egenkonstruerat flödesschema för att svara på syftet.Resultat: Tre teman och ett tillhörande undertema identifierades från de utvalda studierna: sjuksköterskors användning av motiverande samtal i vården, patienters påverkan av hur sjuksköterskor använder motiverande samtal (undertema), utmaningar som hindrar sjuksköterskors användning av motiverande samtal och möjligheter som underlättar för sjuksköterskors användning av motiverande samtal.Slutsats: Sjuksköterskor använder motiverande samtal endast till viss del på grund av utmaningar som hindrar dem från att bli lojala till motiverande samtal. På det sättet kan inte patienter gynnas i deras livsstilsförändringar.
Background: A life style has a big impact on patients’ health. Motivational Interviewing is a way to help patients with life style changes in health care. When nurses have fidelity to Motivational Interviewing, patients will benefit from this in their life style changes positively.Aim of study: The aim of this literature review is to examine how nurses use Motivational Interviewing when consulting patients who wish to change their life styles.Method: Ten scientific articles with a quantitative approach were searched for and analysed using a self-designed flow chart to answer the purpose with.Results: Three themes and an attached subtheme were identified from the chosen studies: nurses’ use of Motivational Interviewing in health care, how patients are impacted by nurses’ use of Motivational Interviewing, challenges which prevent nurses’ use of Motivational Interviewing, and possibilities which facilitate nurses’ use of Motivational Interviewing.Conclusion: Nurses user Motivational Interviewing to some extent because of challenges which prevent them from fidelity to Motivational Interviewing. Due to that, patients cannot benefit in their life style changes.

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