The causal attributions of substance use in clients’ change talk during motivational interviewing

2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Harri Sarpavaara
Keyword(s):  
Substance Use ◽  
Motivational Interviewing ◽  
Causal Attributions ◽  
Working Life ◽  
Cultural Factors ◽  
Substance Use Treatment ◽  
Substance Users ◽  
Change Talk ◽  
Probation Service ◽  
Indexical Sign

The objective of this study is to provide insights into substance users’ beliefs about the causes of substance use, in order to expand the current understanding of the significance of the client’s change-related talk during motivational interviewing (MI) sessions. In particular, it focuses on what kind of causes the substance-using clients attribute their substance use to in change talk during MI. The analyses are based on videotaped and transcribed data consisting of 98 MI sessions in the Finnish Probation Service. By applying Peirce’s semiotic theory of signs, this study investigates clients’ change talk utterances about causal attributions of substance use as an indexical sign. The results show that the clients attributed various causes to substance use, and that five main causes can be discerned: cultural factors, significant others, personal properties, working life, and lifestyle. The study displays that both sociocultural and psychological causes play an important role in substance users’ change talk. Thus, it is suggested that contextual factors should not be overlooked in MI and other substance use treatment.

scholarly journals How group factors affect adolescent change talk and substance use outcomes: Implications for motivational interviewing training.

2015 ◽  
Vol 62 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Karen Chan Osilla ◽  
J. Alexis Ortiz ◽  
Jeremy N. V. Miles ◽  
Eric R. Pedersen ◽  
Jon M. Houck ◽  
...  
Keyword(s):  
Substance Use ◽  
Motivational Interviewing ◽  
Change Talk

scholarly journals Effects of motivational interviewing fidelity on substance use treatment engagement in primary care

2018 ◽  
Vol 87 ◽  
pp. 64-69 ◽  
Author(s):  
Karen Chan Osilla ◽  
Katherine E. Watkins ◽  
Elizabeth J. D'Amico ◽  
Colleen M. McCullough ◽  
Allison J. Ober
Keyword(s):  
Primary Care ◽  
Substance Use ◽  
Motivational Interviewing ◽  
Treatment Engagement ◽  
Substance Use Treatment

scholarly journals Correlates of Motivational Interviewing Use Among Substance Use Treatment Programs Serving American Indians/Alaska Natives

2017 ◽  
Vol 45 (1) ◽  
pp. 31-45 ◽  
Author(s):  
Daniel Dickerson ◽  
Laurie A. Moore ◽  
Traci Rieckmann ◽  
Calvin D. Croy ◽  
Kamilla Venner ◽  
...  
Keyword(s):  
Substance Use ◽  
Motivational Interviewing ◽  
American Indians ◽  
Alaska Natives ◽  
Treatment Programs ◽  
Substance Use Treatment

scholarly journals Significant Others in Substance Abusers’ Change Talk During Motivational Interviewing Sessions in the Finnish Probation Service

2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Harri Sarpavaara
Keyword(s):  
Substance Abuse ◽  
Motivational Interviewing ◽  
Substance Abusers ◽  
Significant Others ◽  
Point Of View ◽  
Substance Abusing ◽  
Change Talk ◽  
Probation Service ◽  
Abuse Treatment ◽  
Service Data

AbstractAIMS – This article explores the meanings substance-abusing clients attach to family and friendships during motivational interviewing (MI) sessions in Probation Service. DATA – The analyses are based on videotaped and transcribed data consisting of 82 MI sessions. This database involves the first two counseling sessions of 41 client-counselor pairs. Sessions were videotaped in 12 Probation Service offices in Finland between 2007 and 2009. METHODS – The analysis relies on coding of client’s change talk utterances and qualitative semiotic framework. RESULTS – The meanings of the significant others were diverse from the point of view of the client’s motivation: family appeared as a support for change, an aspiration, a sufferer, or an obstacle to change; and friendship appeared as an obstacle to change, a surmounted obstacle, a cause to change, or a support to change. CONCLUSIONS - Significant others and their quality are important and diverse factors that promote or hinder change in substance abuser’ change talk. Thus, it is suggested that the meaning of significant others should not be overlooked in MI and other substance abuse treatment.

scholarly journals Implementation of Motivational Interviewing Training in an Undergraduate Nursing Curriculum: Identifying Adolescents at Risk for Substance Use

2018 ◽  
Vol 15 (8) ◽  
pp. 1623
Author(s):  
Denise Seigart ◽  
Max Veltman ◽  
Janet Willhaus ◽  
Colene Letterle
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Motivational Interviewing ◽  
Student Satisfaction ◽  
Student Attitudes ◽  
Nursing Curriculum ◽  
Future Health ◽  
Substance Users ◽  
Undergraduate Nursing ◽  
Health Care Practitioners

Motivational interviewing (MI) has been increasingly utilized by health care practitioners for many years. MI has been practiced by social workers, nurses, physicians, psychologists, substance use counselors, and many other health care practitioners. Unfortunately, many health care practitioners do not have adequate training in motivational interviewing, and therefore feel ill equipped to utilize this approach when faced with clients who are in need of assessment and coaching. This paper discusses our experiences with a pilot project to implement MI training within an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to the undergraduate nursing curriculum. It includes discussion of the evaluation, which measured student attitudes towards substance users with the Substance Use Attitudinal Survey (SAAS), student satisfaction with the newly implemented curriculum, and implications for sustainable inclusion of this content and simulation experiences at the undergraduate level to promote MI use by future health care practitioners. Pre- and post-tests (SAAS) were conducted with 51 nursing students, and 56 students completed the satisfaction survey. Overall, students were very satisfied with the implementation of the curriculum, however, we did not see significant changes in SAAS test scores. This may, however, be a positive indicator of a balanced attitude toward substance users. Continuing evaluation of the curriculum change is needed.

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