Counselor and Drug Detox Inpatient Verbal Behaviors in a Single Session of Motivational Interviewing and Subsequent Substance Use-Related Patient Outcomes

Abstract

Effects of counselor and client verbal behaviors, in a single motivational interviewing (MI) session during inpatient detoxification, were evaluated in relation to 17 study participants' self-reported drug use 3 months later. Also, counselor-to-client transitions in the single MI session were explored for 24 participants, using the Motivational Interviewing Sequential Code for Observing Process Exchanges (MI-SCOPE) coding instrument. Surprisingly, counselor neutral/double-sided reflections predicted lower levels of drug use (r = − 0.42), higher treatment interest (r = 0.40), and self-efficacy for abstaining from drug use when experiencing positive feelings (r = 0.48) and negative feelings or craving (r = 0.40). Client change talk predicted motivation to change (r = 0.42) and perceptions of negative aspects of drug use (r = 0.44), while higher levels of client sustain talk predicted lower levels of drug use (r = − 0.45) and lower interest in treatment (r = − 0.68). The counselor-client transition analysis showed an odds ratio (OR) of 13.84 (95% CI 9.75; 19.66) for client change talk in response to counselor reflections on change talk (RCT), and an OR of 55.98 (95% CI 26.53; Int J Ment Health Addiction

A narrative review of outcome measures used in drug and alcohol inpatient withdrawal treatment research

“…Thirty studies reported outcomes related to relapse/drug use at follow‐up using a variety of 20 self‐report and 12 objective measures. Self‐reported measures included interviews such as the Interview for Research on Addictive Behaviour [ 60 ] and self‐administered questionnaires such as the Alcohol Use Disorders Identification Test [ 26 , 61 ], Drug Use Disorders Identification Test and the Drug Use Disorders Identification Test‐Extended E [ 62 ], the Cannabis Problems Questionnaire and the Short Form‐12 [ 56 ] and the Severity of Dependence Scale [ 56 , 63 ]. Assessments took place at different intervals, ranging from 2 weeks [ 14 , 24 , 56 ] to 3 years after discharge [ 64 ].…”

“…Two studies reported outcomes related to self‐efficacy. Self‐report measures used were the 12‐item versions of the Alcohol Abstinence Self‐Efficacy Scale and Drug Abstinence Self‐Efficacy Scale in one study [ 62 ] and the Brief Situational Confidence Questionnaire in another [ 28 ].…”

Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis

“…Also, the interaction of client and therapist behaviors (i.e. sequential analysis) has been studied using MI concepts ( Apodaca et al, 2016 ; Berman et al, 2019 ; Drage et al, 2019 ; Laws et al, 2018 ).…”