Does Motivational Interviewing (MI) Work With Nonaddicted Clients? A Controlled Study Measuring the Effects of a Brief Training in MI on Client Outcomes

Background: Training in mindfulness has been introduced to the treatment of depression as a means of relapse prevention. However, from a stress-buffering perspective, mindfulness techniques would be expected to unfold their beneficial effects particularly in those who are currently suffering from symptoms. This study investigated whether a brief and targeted mindfulness-based intervention can reduce symptoms in acutely depressed patients.Methods: Seventy-four patients with a chronic or recurrent lifetime history were randomly allocated to receive either a brief mindfulness-based intervention (MBI) encompassing three individual sessions and regular home practice or a control condition that combined psycho-educational components and regular rest periods using the same format as the MBI. Self-reported severity of symptoms, mindfulness in every day life, ruminative tendencies and cognitive reactivity were assessed before and after intervention.Results: Patients in the MBI condition showed pronounced and significantly stronger reductions in symptoms than those in the control condition. In the MBI group only, patients showed significant increases in mindfulness, and significant reductions in ruminative tendencies and cognitive reactivity.Conclusions: Findings are in line with a stress-buffering account of mindfulness and suggest that brief targeted mindfulness interventions can help to reduce symptoms in acutely depressed patients with chronic or recurrent lifetime history.

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Client outcomes in a three-year controlled study of an integrated service agency model

Psychiatric Services ◽

10.1176/ps.47.12.1337 ◽

1996 ◽

Vol 47 (12) ◽

pp. 1337-1343 ◽

Cited By ~ 24

Keyword(s):

Controlled Study ◽

Service Agency ◽

Client Outcomes ◽

Agency Model ◽

Integrated Service

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The MIPAM trial – motivational interviewing and physical activity monitoring to enhance the daily level of physical activity among older adults – a randomized controlled trial

European Review of Aging and Physical Activity ◽

10.1186/s11556-021-00269-7 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Rasmus Tolstrup Larsen ◽

Christoffer Bruun Korfitsen ◽

Camilla Keller ◽

Jan Christensen ◽

Henning Boje Andersen ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Motivational Interviewing ◽

Community Dwelling ◽

Step Count ◽

World Health ◽

Controlled Study ◽

Daily Step ◽

Randomized Controlled ◽

Daily Step Count

Abstract Background One in four older adults in Denmark and almost half of the very old above 75 do not meet the World Health Organization’s recommendations for a minimum of physical activity (PA). A cost-efficient and effective way to increase focus on and motivation for daily walking might be to use Physical Activity Monitors (PAMs) in combination with behavioural change intervention. Thus, the objective of this randomized controlled study was to investigate the effect of Motivational Interviewing (MI) as an add-on intervention to a PAM-based intervention measured in community-dwelling older adults. Methods This two-arm parallel group randomized controlled effectiveness trial compared a 12-weeks PAM-based intervention with additional MI (PAM+MI group) with a PAM-based intervention alone (PAM group). The primary outcome, average daily step count, was analysed with a linear regression model, adjusted for sex and baseline daily step count. Following the intention-to-treat principle, multiple imputation based on baseline step count, sex and age was performed. Results In total, 38 participants were randomized to the PAM intervention and 32 to the PAM+MI intervention arm. During the intervention period, PAM+MI participants walked on average 909 more steps per day than PAM participants, however insignificant (95%CI: − 71; 1889) and reported 2.3 points less on the UCLA Loneliness Scale (95%CI: − 4.5; − 1.24). Conclusion The use of MI, in addition to a PAM-based intervention among older adults in PA promoting interventions hold a potential clinically relevant effect on physical activity and should thus be investigated further with adequately powered RCTs. Trial registration This study was pre-registered in the clinicaltrials.gov database with identifier: NCT03906162.

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Using motivational interviewing to promote adherence to antiretroviral medications: A randomized controlled study

AIDS Care ◽

10.1080/09540120701593489 ◽

2008 ◽

Vol 20 (3) ◽

pp. 273-283 ◽

Cited By ~ 88

Author(s):

C. Diiorio ◽

F. McCarty ◽

K. Resnicow ◽

M. McDonnell Holstad ◽

J. Soet ◽

...

Keyword(s):

Motivational Interviewing ◽

Randomized Controlled Study ◽

Controlled Study ◽

Randomized Controlled ◽

Antiretroviral Medications

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The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: an exploratory cluster randomised controlled study

BMC Oral Health ◽

10.1186/s12903-015-0068-9 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 17

Author(s):

Rahul Naidu ◽

June Nunn ◽

Jennifer D. Irwin

Keyword(s):

Preschool Children ◽

Motivational Interviewing ◽

Controlled Study ◽

Cluster Randomised ◽

Randomised Controlled Study ◽

Randomised Controlled ◽

Parents And Caregivers

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A Randomized Controlled Trial of Two Methods to Improve Motivational Interviewing Training

Research on Social Work Practice ◽

10.1177/1049731519887438 ◽

2019 ◽

Vol 30 (4) ◽

pp. 382-391

Author(s):

Mary T. Hodorowicz ◽

Richard Barth ◽

Theresa Moyers ◽

Frederick Strieder

Keyword(s):

Motivational Interviewing ◽

Controlled Trial ◽

Social Work Students ◽

Self Report ◽

Controlled Study ◽

Observational Measures ◽

Randomized Controlled ◽

Innovative Methods ◽

The Moment

Purpose: This randomized controlled study examines the efficacy of two innovative methods to teach beginning motivational interviewing (MI) skills: live supervision (LS), a small group experiential learning interaction with standardized client actors and in-the-moment guidance from a supervisor, and a coding learning (CL) method, where students in a classroom setting are introduced to MI skill development via learning to code MI practice behaviors. Methods: Seventeen social work students in a child welfare training program were randomized to receive either LS or CL training method. Changes in MI knowledge, attitudes, and MI skill were assessed through self-report and observational measures pretraining, posttraining, and at 5 months follow-up, after a semester of learning-as-usual. Results: Both training groups demonstrated an improvement in MI knowledge and attitudes from pretest to follow-up. MI skill gain within groups varied for specific MI skills. Discussion: Implications for maximally efficient MI training are advanced.

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Using concept mapping to understand motivational interviewing practice

Qualitative Research Journal ◽

10.1108/qrj-04-2019-0038 ◽

2019 ◽

Vol 20 (2) ◽

pp. 165-174

Author(s):

Cathy Atkinson ◽

George Thomas ◽

Sarah Parry

Keyword(s):

Motivational Interviewing ◽

Concept Mapping ◽

Concept Maps ◽

Potential Method ◽

Small Scale ◽

Content Type ◽

Brief Training ◽

Education And Health ◽

Therapeutic Mechanisms ◽

The Uk

Purpose Motivational interviewing (MI) has developed considerably since its inception, which may have led to diverse practice across contexts and differential understanding of core principles. Concept mapping is one potential method for offering insight into practitioner awareness, understanding and application of MI. The paper aims to discuss this issue. Design/methodology/approach In total, 29 professionals from a range of disciplines, including counselling, education and health, completed concept maps about MI, following brief training at the UK regional MI interest network. In total, 17 completed maps were submitted for analysis using quantitative and qualitative methods. Findings A total of 186 concepts and 175 propositional links were found within the 17 maps. The most commonly identified concepts were: change, empathy, collaboration, open-ended questions, affirmations, reflections, summaries (OARS), client centred and compassion. The concept maps also suggested differing levels of expertise across network members using concept mapping morphology classification. Research limitations/implications The sample was small scale and located in one region of the UK. Maps were submitted anonymously meaning that participant data could not be matched to the maps. Practical implications Concept mapping is a potentially useful method for auditing practice and developing skills in MI, as well as exploring participants’ understanding of related concepts and therapeutic mechanisms. Social implications MI has a strong evidence-based across a variety of disciplines and contexts. Refining practitioner skills in MI has implications for the integrity of delivery, and improved client outcomes in areas such as substance use, health promotion and educational disaffection. Originality/value This is the first study to investigate concept mapping as a means of understanding MI practice. It has potential implications for training, monitoring, supervision and development in MI practice.

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