scholarly journals THE EFFECTIVENESS OF MOTIVATIONAL INTERVIEWING DELIVERED BY YOUTH WORKERS IN REDUCING DRINKING, CIGARETTE AND CANNABIS SMOKING AMONG YOUNG PEOPLE: QUASI-EXPERIMENTAL PILOT STUDY

2005 ◽  
Vol 40 (6) ◽  
pp. 535-539 ◽  
Author(s):  
EMILY GRAY ◽  
JIM McCAMBRIDGE ◽  
JOHN STRANG
2017 ◽  
Vol 46 (3) ◽  
pp. 280-294
Author(s):  
Shékina Rochat

Motivational interviewing (MI) is receiving increasing attention in the field of career counseling. Using a quasi-experimental design, this pilot study examines the impact of MI training on career counselors’ behaviors and clients’ talk within audio-recorded interviews. Eight school-based career counselors participated in the study. They audio-recorded their interviews with 30 students prior to MI training and with 32 students after it. Counselors’ behaviors and students’ talk were coded using the Motivational Interviewing Skills Code 2.1. The results demonstrate mixed outcomes in terms of career counselors’ MI proficiency after the training. Career counselors’ proficiency improved in some of the indicators (percentages of MI-consistent behaviors and reflections-to-questions ratio) and worsened in others (percentages of complex reflections [% REC] and open questions). Reaching proficiency in the % REC influenced students’ change talk, but reaching proficiency in the % MICO did not. Implications for MI training and research in career counseling are discussed.


2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Suzanne Goursaud ◽  
Xavier Valette ◽  
Julien Dupeyrat ◽  
Cédric Daubin ◽  
Damien du Cheyron

Abstract Background Right ventricular (RV) failure is a common complication in moderate-to-severe acute respiratory distress syndrome (ARDS). RV failure is exacerbated by hypercapnic acidosis and overdistension induced by mechanical ventilation. Veno-venous extracorporeal CO2 removal (ECCO2R) might allow ultraprotective ventilation with lower tidal volume (VT) and plateau pressure (Pplat). This study investigated whether ECCO2R therapy could affect RV function. Methods This was a quasi-experimental prospective observational pilot study performed in a French medical ICU. Patients with moderate-to-severe ARDS with PaO2/FiO2 ratio between 80 and 150 mmHg were enrolled. An ultraprotective ventilation strategy was used with VT at 4 mL/kg of predicted body weight during the 24 h following the start of a low-flow ECCO2R device. RV function was assessed by transthoracic echocardiography (TTE) during the study protocol. Results The efficacy of ECCO2R facilitated an ultraprotective strategy in all 18 patients included. We observed a significant improvement in RV systolic function parameters. Tricuspid annular plane systolic excursion (TAPSE) increased significantly under ultraprotective ventilation compared to baseline (from 22.8 to 25.4 mm; p < 0.05). Systolic excursion velocity (S’ wave) also increased after the 1-day protocol (from 13.8 m/s to 15.1 m/s; p < 0.05). A significant improvement in the aortic velocity time integral (VTIAo) under ultraprotective ventilation settings was observed (p = 0.05). There were no significant differences in the values of systolic pulmonary arterial pressure (sPAP) and RV preload. Conclusion Low-flow ECCO2R facilitates an ultraprotective ventilation strategy thatwould improve RV function in moderate-to-severe ARDS patients. Improvement in RV contractility appears to be mainly due to a decrease in intrathoracic pressure allowed by ultraprotective ventilation, rather than a reduction of PaCO2.


2014 ◽  
Vol 29 (4) ◽  
pp. 292-297 ◽  
Author(s):  
Kati Knudsen ◽  
Marieann Högman ◽  
Anders Larsson ◽  
Ulrica Nilsson

1999 ◽  
Vol 60 (2) ◽  
pp. 285-287 ◽  
Author(s):  
N S Handmaker ◽  
W R Miller ◽  
M Manicke

2009 ◽  
Vol 38 (2) ◽  
pp. 239-244 ◽  
Author(s):  
Eileen Britt ◽  
Neville M. Blampied

Background: While Motivational Interviewing (MI) is effective in reducing client problem behaviours, including health-related behaviours, there is little evidence about how MI training enhances practitioner skills. Aims: The current pilot study addressed this lack by training two health practitioners (Diabetes Nurse Educators) in MI, and evaluated the effect of MI training on both practitioner and patient behaviour when MI was delivered in a clinical settting, with patients experiencing difficulties with diabetes self-management. Methods: Comparisons were made between the practitioners’ skills in a baseline condition (Patient Education; PE) and after training in Motivational Enhancement Therapy (MET), a four-session form of MI. At the same time, the effects of the two interventions on patient in-session behaviour were compared. Practitioner and patient data were obtained from transcripts of all PE and MET sessions, which were independently coded using Motivational Interviewing Skills Code therapist and client behaviour counts. Results: Compared with their baseline performance, practitioners, when trained to practice MET, behaved in ways consistent with MI, and this appears to have evoked beneficial in-session behaviour from the patients. Conclusions: These results suggest that the MI training was effective.


2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Kathryn J. DeShaw ◽  
Laura D. Ellingson ◽  
Laura Liechty ◽  
Gabriella M. McLoughlin ◽  
Gregory J. Welk

This study assessed a brief 6-week motivational interviewing (MI) training program for extension field specialists (EFS) involved in supporting a statewide school wellness initiative called SWITCH. A total of 16EFS were instructed in MI principles to support the programming and half (n = 8) volunteered to participate in the hybrid (online and in-person) MI training program. Phone calls between EFS and school staff involved in SWITCH were recorded and coded using the Motivational Interviewing Treatment Integrity (MITI) system to capture data on utilization of MI principles. Differences in MI utilization between the trained (n=8) and untrained (n=8) EFS were evaluated using Cohen’s d effect sizes. Results revealed large differences for technical global scores (d=1.5) and moderate effect sizes for relational global components (d=0.76) between the two groups. This naturalistic, quasi-experimental study indicates a brief MI training protocol is effective for teaching the spirit and relational components of MI to EFS.


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