MIA

2022 ◽  
Vol 6 (GROUP) ◽  
pp. 1-24
Author(s):  
Samiha Samrose ◽  
Ehsan Hoque
Keyword(s):  
Behavior Change ◽  
Motivational Interviewing ◽  
Quantitative Evaluation ◽  
Online Discussion ◽  
Social Cues ◽  
Group Discussions ◽  
Conversational Skills ◽  
Defensive Bias ◽  
Effective Collaboration ◽  
Directive Counseling

Since online discussion platforms can limit the perception of social cues, effective collaboration over videochat requires additional attention to conversational skills. However, self-affirmation and defensive bias theories indicate that feedback may appear confrontational, especially when users are not motivated to incorporate them. We develop a feedback chatbot that employs Motivational Interviewing (MI), a directive counseling method that encourages commitment to behavior change, with the end goal of improving the user's conversational skills. We conduct a within-subject study with 21 participants in 8 teams to evaluate our MI-agent 'MIA' and a non-MI-agent 'Roboto'. After interacting with an agent, participants are tasked with conversing over videochat to evaluate candidate résumés for a job circular. Our quantitative evaluation shows that the MI-agent effectively motivates users, improves their conversational skills, and is likable. Through a qualitative lens, we present the strategies and the cautions needed to fulfill individual and team goals during group discussions. Our findings reveal the potential of the MI technique to improve collaboration and provide examples of conversational tactics important for optimal discussion outcomes.

scholarly journals Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention

2018 ◽  
Vol 53 (8) ◽  
pp. 756-768
Author(s):  
Rebecca Murray ◽  
Amanda Baker ◽  
Sean Halpin ◽  
Ben Britton ◽  
Kristen McCarter ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Health Behavior ◽  
Behavior Change ◽  
Therapeutic Alliance ◽  
Motivational Interviewing ◽  
Head And Neck ◽  
Neck Cancer ◽  
Health Behavior Change ◽  
Behavior Change Intervention ◽  
Interviewing Techniques

Abstract Background The relationship between a clinician and their client—the “therapeutic alliance” is a robust predictor of outcome in healthcare settings; yet, few interventions to improve alliance have been tested. Motivational interviewing is a client-centered approach that embodies many principles and strategies consistent with a strong therapeutic alliance. Purpose To examine whether alliance is enhanced by training dietitians to deliver a motivational interviewing informed health behavior change intervention (“Eating as Treatment”; EAT) as part of routine consultations with patients with head and neck cancer. The predictive ability of motivational interviewing techniques was also assessed. Methods A secondary analysis of the EAT stepped-wedge cluster-randomized controlled trial was conducted. Patients with head and neck cancer undergoing radiotherapy (n = 307) were treated by radiotherapy dietitians (n = 29) during the control (Treatment as Usual) or intervention (EAT) phase. Alliance was rated during the first and final weeks of radiotherapy, and again 4 and 12 weeks post-radiotherapy. Dietetic sessions were audiotaped. Week one sessions were objectively rated for dietitians’ use of motivational interviewing techniques. Results Generalized linear-mixed effects regressions found no effect of EAT on dietitian-rated alliance (p = .237). After excluding outliers, patient-rated alliance was 0.29 points lower after EAT training (p = .016). Post hoc analyses revealed lower patient ratings on perceived support and dietitian confidence. Hierarchical multiple regressions found that no specific motivational interviewing techniques predicted patient-rated alliance. Dietitian acknowledgment of patient challenges was related to dietitian-rated alliance (β =.15, p =.035). Conclusions Patient and dietitian ratings of alliance were high after EAT training, but not significantly improved. Further research is needed to better understand the differential impact of intervention training and delivery on patient and clinician ratings of therapeutic alliance. Clinical Trial information Trial registration number ACTRN12613000320752

Online Learning in Discussion Groups

2011 ◽  
pp. 276-293 ◽  
Author(s):  
David J. Schaefer ◽  
Brenda Dervin
Keyword(s):  
Online Discussion ◽  
User Interaction ◽  
Discussion Group ◽  
Discussion Groups ◽  
Group Discussions ◽  
Democratic Quality ◽  
Situational Information ◽  
The Relationship ◽  
Pedagogical Discussion

Recently, theorists concerned about the democratic quality of electronic group discussions have advocated the incorporation of situational information to facilitate consensus/dissensus activity. In this chapter, we demonstrate the utilization of a discussion group design and analytical process informed by Sense-Making Methodology to highlight the relationship between situational aspects of online dialogue and consensus/dissensus activity. We analyzed 1,360 messages submitted to three pedagogical discussion groups. The postings fell into two broad situational modes: (a) dialogic, which coincided with an outward orientation and a greater number of agreeing/disagreeing micro-practices, and (b) contemplative, which demonstrated more inwardly-focused personalized observations and far fewer agreeing/disagreeing micro-practices. These findings suggest that, counter to received theories advocating the privileging of user-to-user interaction within online discussion groups, both modes appeared to be important for robust communicative activities.

Motivational Interviewing: A Communication Tool to Promote Positive Behavior Change and Optimal Health Outcomes

2020 ◽  
Vol 35 (6) ◽  
pp. 344-351
Author(s):  
Vickie Z. Beckwith ◽  
Jennifer Beckwith
Keyword(s):  
Behavior Change ◽  
Motivational Interviewing ◽  
School Setting ◽  
School Nurses ◽  
Communication Style ◽  
Therapeutic Modality ◽  
Communication Tool ◽  
Collaborative Communication ◽  
Conversational Style ◽  
Optimal Health

Motivational interviewing (MI) is a collaborative communication style that can be integrated into everyday practice to improve conversations and serve as a catalyst for behavior change. This article reviews the fundamental principles and basic skills of MI. It discusses how MI has evolved from a therapeutic modality to a conversational style, applicable in the school setting and specifically for school nurses. The article provides an overview of how MI can be used by school nurses, challenges they may face, and resources to support implementation.

scholarly journals Stories of Change: Comparative Time-Framed Experience Telling in Health Promotion Group Discussions

2019 ◽  
Vol 30 (2) ◽  
pp. 279-292
Author(s):  
Aija Logren ◽  
Johanna Ruusuvuori ◽  
Jaana Laitinen
Keyword(s):  
Health Promotion ◽  
Behavior Change ◽  
The Other ◽  
Group Discussions ◽  
Present Evidence ◽  
Group Members ◽  
Similarities And Differences ◽  
Level Of Understanding ◽  
Epistemic Independence

In this article, we examine comparative time-framed experience telling: episodes of interaction in health promotion group discussions in which one of the participants tells their experience and, in response, another participant tells their own experiences from separate moments or periods of their life and compares them. In so doing, group members reinforce and encourage the previous speaker’s positive stance or challenge the negative stance toward contextually relevant objects: behavior change and suggested solutions. This practice allows group members to demonstrate their independent access to experiences that are similar to those of the other, present evidence of similarities and differences between the experiences, and show their epistemic independence regarding their claims. By recontextualizing the experience of the other in this way, it becomes possible for the group members to interpret and even oppose it while maintaining a level of understanding of the differences between the experiences in question and respecting them.

scholarly journals GoPerio - impact of a personalized video and an automated two-way text-messaging system in oral hygiene motivation: study protocol for a randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Valentin Garyga ◽  
Florian Pochelu ◽  
Béatrice Thivichon-Prince ◽  
Walid Aouini ◽  
Julie Santamaria ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Behavior Change ◽  
Motivational Interviewing ◽  
Oral Hygiene ◽  
Controlled Trial ◽  
Standard Of Care ◽  
Randomized Controlled ◽  
Secondary Outcomes ◽  
Personalized Video

Abstract Background Oral hygiene is of paramount importance for the preservation of oral health, and for patients affected by periodontal disease establishing an effective oral hygiene routine is the first step of therapy. Several clinical frameworks have been developed to foster behavior change, such as motivational interviewing. However, two obstacles can be identified. First, patients tend to forget the advice they were given during the consultation. Second, it is hard to maintain motivation in the long term, thus leading to relapse. An innovative eHealth solution was designed with the aim to tackle both obstacles and supplement the current clinical standard of care. The primary objective is to compare the full mouth plaque scores of study groups (eHealth plus standard of care versus standard of care only) at 8 weeks of follow up. The main secondary objective is to compare the full mouth bleeding score at 8 weeks of follow up. Methods/design The “GoPerio” study is a multicenter, randomized, controlled trial assessing the impact of a novel eHealth concept for oral hygiene motivation (personalized video of oral hygiene routine available for the patient via a cloud server plus interactive text messages) in addition to the current standard of care (motivational interviewing plus tooth scaling and polishing). The minimum sample size required is 86 patients. Participants will be randomized (allocation ratio 1:1): test group (eHealth plus standard of care) versus control group (standard of care only). The primary outcome is oral hygiene as measured by the full mouth (six sites per tooth) plaque control record (PCR) index. The main secondary outcome is gingival inflammation as measured by the full mouth (six sites per tooth) bleeding on probing (BOP) index. Both the primary and the main secondary outcomes are evaluated by blinded and calibrated examiners at 8 weeks of follow up. The other secondary outcomes are patient satisfaction and patient behavior change and motivation. Discussion The study will investigate the value of an innovative eHealth approach to strengthen patient motivation for oral hygiene. If proven effective, such an approach would supplement the current clinical standard of care, resulting in improved clinical outcomes with negligible impact on productivity in a dental practice. Trial registration ClinicalTrials.gov, NCT03109808. Registered on 12 April 2017. Sponsor: Hospices Civils de Lyon. BP 2251, 3 quai des Célestins, 69,229 Lyon cedex 02. Protocol version: 1.0 as of 21 September 2016.

Toward a Universal Maintenance Intervention: Integrating Cognitive-Behavioral Treatment With Motivational Interviewing for Maintenance of Behavior Change

2013 ◽  
Vol 27 (2) ◽  
pp. 126-137 ◽  
Author(s):  
Sylvie Naar-King ◽  
Paul Earnshaw ◽  
Jeff Breckon
Keyword(s):  
Behavior Change ◽  
Motivational Interviewing ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Maintenance Strategies ◽  
Integrative Framework ◽  
Behavioral Treatments ◽  
Maintenance Intervention ◽  
Behavioral Domains

Improvements in behavior following active interventions diminish over time across a broad spectrum of behaviors. Motivational interviewing (MI) has been found to increase intrinsic motivation for initial behavior change, but there has been little discussion on how to integrate MI and the cognitive-behavioral treatments (CBTs) commonly used to maintain change. A prominent CBT approach to relapse prevention that has been tested in multiple behavioral domains includes the following maintenance strategies: managing the goal violation effect, flexible goal setting, identifying triggers and developing coping skills, and increasing self-efficacy and social support. Using a model of integration where MI is the foundation for CBT delivery, the integration of specific relational and technical components of MI and CBT strategies for maintenance of change are described. A universal maintenance intervention that uses MI as an integrative framework to deliver CBT may address maintenance of behavior change across multiple behavioral domains. Further research is necessary to confirm whether delivering MI with fidelity adds to the effectiveness of CBT maintenance interventions.

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