THE IMPACT OF BRIEF MOTIVATIONAL INTERVENTION AT THE START OF AN OUTPATIENT DAY PROGRAMME FOR ALCOHOL DEPENDENCE

2000 ◽  
Vol 28 (2) ◽  
pp. 121-130 ◽  
Author(s):  
Samantha Dench ◽  
Gerald Bennett
Keyword(s):  
Alcohol Dependence ◽  
Readiness To Change ◽  
Drop Out ◽  
Drinking Behaviour ◽  
Motivational Intervention ◽  
Problem Recognition ◽  
Post Intervention ◽  
Brief Motivational Intervention ◽  
Motivation For Change ◽  
The Impact

Motivational intervention, a strategy to increase motivation for change, was tested as an addition to treatment at the start of an outpatient programme for alcohol dependence. Admissions to the programme were randomly allocated to either a motivational or educational procedure. The three motivational constructs of the SOCRATES-8A Readiness to Change questionnaire (Ambivalence about change, Recognition of problems, Taking Steps to change) were used as measures of motivation for change. At one week post-intervention, motivational participants reported significantly greater levels of problem recognition. The motivational group's post-intervention scores were significantly higher on the Taking Steps scale and significantly lower on the Ambivalence scale. There was no difference on measures of engagement in treatment or drop-out from the outpatient treatment programme. For the population as a whole, a relatively low pre-intervention score on the Ambivalence scale was predictive of drop-out. Results support the efficacy of motivational intervention for decreasing self-reported levels of ambivalence about change and for increasing problem recognition and taking steps towards change. More detailed research with a longer follow-up period is needed to determine whether this has any impact on other vectors of motivation for change, including participation in treatment, outcome expectancy and drinking behaviour.

The Role of Brief Motivational Intervention on Self-Efficacy and Abstinence in a Cohort of Patients with Alcohol Dependence

2009 ◽  
Vol 39 (3) ◽  
pp. 313-323 ◽  
Author(s):  
Lucia Romo ◽  
Yann Le Strat ◽  
Caroline Aubry ◽  
Sonia Marquez ◽  
Karine Houdeyer ◽  
...  
Keyword(s):  
Alcohol Dependence ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Heavy Drinking ◽  
Motivational Intervention ◽  
Prognosis Factor ◽  
Brief Motivational Intervention ◽  
Motivational Interventions ◽  
Alcohol Dependent

Objectives: Brief interventions are effective in reducing heavy drinking in the general population but few studies examined whether it is also effective in alcohol dependent patients, and whether brief intervention increases self-efficacy. Method: One hundred and seven patients with alcohol-dependence were randomized in a controlled trial examining the efficacy of a brief motivational intervention on both self-efficacy level and days of abstinence. Results: We found that brief motivational interventions had no effect on days of abstinence, nor on self-efficacy, but that high self-efficacy was consistently correlated with a longer period of abstinence, at all assessment-points. Conclusion: Self-efficacy appears to be a crucial prognosis factor, and is not influenced by brief motivational interventions. Other types of specific psychotherapy, probably more intensive, may be more efficient in alcohol-dependent patients than motivational interventions.

scholarly journals A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
C. Franco-Antonio ◽  
E. Santano-Mogena ◽  
S. Chimento-Díaz ◽  
P. Sánchez-García ◽  
S. Cordovilla-Guardia
Keyword(s):  
Postpartum Depression ◽  
Positive Impact ◽  
Intervention Group ◽  
Depression Scale ◽  
Breastfeeding Duration ◽  
Control Group ◽  
Motivational Intervention ◽  
Brief Motivational Intervention ◽  
Duration Of Breastfeeding ◽  
The Impact

AbstractPostpartum depression (PPD) is the most frequent psychiatric complication during the postnatal period. According to existing evidence, an association exists between the development of PPD and the maintenance of breastfeeding. A brief motivational intervention (bMI), based on the motivational interview, seems effective in promoting breastfeeding. The objective of this study was to analyse the impact of a bMI aiming to promote breastfeeding on the development of PPD and explore the mediating/moderating roles of breastfeeding and breastfeeding self-efficacy in the effect of the intervention on developing PPD. Eighty-eight women who gave birth by vaginal delivery and started breastfeeding during the immediate postpartum period were randomly assigned to the intervention group (bMI) or control group (breastfeeding education). Randomisation by minimisation was carried out. The breastfeeding duration was longer in the intervention group (11.06 (± 2.94) weeks vs 9.02 (± 4.44), p = 0.013). The bMI was associated with a lower score on the Edinburgh Postnatal Depression Scale, with a regression β coefficient of − 2.12 (95% CI − 3.82; − 0.41). A part of this effect was mediated by the effect of the intervention on the duration of breastfeeding (mediation/moderation index β = − 0.57 (95% CI − 1.30; − 0.04)). These findings suggest that a bMI aiming to promote breastfeeding has a positive impact preventing PPD mainly due to its effectiveness in increasing the duration of breastfeeding.

Moderators of Outcome in a Web-Based Substance Use Intervention for Adolescents

2015 ◽  
Vol 61 (6) ◽  
pp. 377-387 ◽  
Author(s):  
Nicolas Arnaud ◽  
Christiane Baldus ◽  
Tobias H. Elgán ◽  
Hanne Tønnesen ◽  
Nina De Paepe ◽  
...  
Keyword(s):  
Substance Use ◽  
Brief Intervention ◽  
Self Efficacy ◽  
Parental Monitoring ◽  
Readiness To Change ◽  
Motivational Intervention ◽  
Risk Status ◽  
Web Based ◽  
Brief Motivational Intervention ◽  
Alcohol Risk

Abstract. Aims: In this article we explore the moderators of effectiveness of WISEteens (Web-based brief Intervention for SubstancE using teens), a fully automated web-based brief motivational intervention targeting risky substance use among adolescents. Based on previous studies, we examined the differential effects on drinking of sex, readiness to change, self-efficacy, alcohol risk status, and parental monitoring as hypothesized moderators. Methods: We analyzed completers data from a two-armed RCT study with follow-up assessment after 3 months, including N = 211 self-enrolled adolescents (16 – 18 years) who screened positive for at-risk substance use in Sweden, Belgium, the Czech Republic, and Germany. The trial compared a single-session brief motivational intervention to an assessment-only control group with AUDIT-C scores for drinking frequency, quantity, and frequency of binge drinking in the past month as study outcome. Results: The analyses revealed a statistically significant moderation effect for sex on drinking in the previous month, with a stronger effect for males. In contrast, readiness to change, self-efficacy, alcohol risk status, and parental monitoring did not moderate the effects. Conclusions: Although the trial was limited by large dropout, our findings imply that web-based interventions can be particularly effective for male adolescents, although the effects of WISEteens were largely independent of other individual characteristics. Web-based brief intervention should integrate gender-specific components to raise effectiveness for females.

Motivational Interviewing: III. On the Ethics of Motivational Intervention

1994 ◽  
Vol 22 (2) ◽  
pp. 111-123 ◽  
Author(s):  
William R. Miller
Keyword(s):  
Motivational Interviewing ◽  
Ethical Issues ◽  
Readiness To Change ◽  
Intervention Strategy ◽  
Perceptual Bias ◽  
Motivational Intervention ◽  
Ethical Concerns ◽  
Middle Way ◽  
Motivation For Change ◽  
Readiness Level

This article is intended to promote consideration and discussion of ethical issues in motivational interventions. The popular concept of client “denial” encompasses a broad range of motivational behaviors including lying, perceptual bias, unawareness, ambivalence, resistance and reactance. The “problem of motivation” typically arises when a therapist perceives a problem and sufficient need for change in someone who does not share this perception. In considering how to respond to such situations, one can conceive of a continuum of levels of readiness to change, and of therapeutic strategies ranging from passivity to coercion. Ethical concerns arise when there is a perceived mismatch between readiness level and intervention strategy. Motivational interviewing is a middle way between passivity and coercion, seeking to evoke intrinsic motivation for change by making salient the inconsistency of problem behavior and that which is more deeply valued. The concern that this approach is “manipulative” combines a descriptive element and an evaluative component. Three possible descriptive meanings are discussed: that it effectively alters behavior, that it does so in persons not seeking or requesting change, and that it may operate through processes not immediately apparent. Ethical concerns regarding motivational intervention are considered within this broader context.

Sign in / Sign up

Export Citation Format

Share Document