Group motivational interviewing for adolescents: Change talk and alcohol and marijuana outcomes.

D’Amico, Elizabeth J.; Houck, Jon M.; Hunter, Sarah B.; Miles, Jeremy N. V.; Osilla, Karen Chan; Ewing, Brett

doi:10.1037/a0038155

Cited by 158 publications

(149 citation statements)

References 80 publications

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“…A study of a group MI intervention for adolescents found that open questions and reflections of change talk were more likely than change to be followed by change talk, that reflections of sustain talk tended to suppress subsequent change talk, and that change talk by group members was more likely than chance to be followed by more change talk. This situation is not directly comparable to individual counseling since the previous “client state” may not have been produced by the same person who makes the next client utterance, but does reinforce that it may be important to distinguish among MI consistent therapist behaviors and to account for the context in which they appear (D'Amico et al, 2015). …”

Section: Introductionmentioning

confidence: 99%

A sequential analysis of motivational interviewing technical skills and client responses

Laws

Magill

Mastroleo

et al. 2018

Journal of Substance Abuse Treatment

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Background: The technical hypothesis of Motivational Interviewing (MI) proposes that: (a) client talk favoring behavior change, or Change Talk (CT) is associated with better behavior change outcomes, whereas client talk against change, or Sustain Talk (ST) is associated with less favorable outcomes, and (b) specific therapist verbal behaviors influence whether client CT or ST occurs. MI consistent (MICO) therapist behaviors are hypothesized to be positively associated with more client CT and MI inconsistent (MIIN) behaviors with more ST. Previous studies typically examine session-level frequency counts or immediate lag sequential associations between these variables. However, research has found that the strongest determinant of CT or ST is the client's previous CT or ST statement. Therefore, the objective of this paper was to examine the association between therapist MI skills and subsequent client talk, while accounting for prior client talk. Methods: We analyzed data from a manualized MI intervention targeting both alcohol misuse and sexual risk behavior in 132 adults seen in two hospital emergency departments. Transcripts of encounters were coded using the Motivational Interviewing Skills Code (MISC 2.5) and an additional measure, the Generalized Behavioral Intervention Analysis System (GBIAS). Using these measures, we analyzed the association between client talk following specific classifications of MICO skills, with the client's prior statement as a potential confounder or effect modifier. Results: With closed questions as the reference category, therapist simple reflections and paraphrasing reflections were associated with significantly greater odds of maintaining client talk as CT or ST. Open questions and complex reflections were associated with significantly greater odds of CT following ST, were not associated significantly with more ST following ST, and were associated with more ST following CT (i.e., through an association with less Follow Neutral). Conclusions: Simple and paraphrasing reflections appear to maintain client CT but are not associated with transitioning client ST to CT. By contrast, complex reflections and open questions appeared to be more strongly associated with clients moving from ST to CT than other techniques. These results suggest that counselors may differentially employ certain MICO technical skills to elicit continued CT and move participants toward ST within the MI dialogue.

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Section: Introductionmentioning

confidence: 99%

A sequential analysis of motivational interviewing technical skills and client responses

Laws

Magill

Mastroleo

et al. 2018

Journal of Substance Abuse Treatment

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“…For example, in our intervention work with adolescents who have a first time drug or alcohol offense, one of the sessions involves discussing how marijuana use can change the brain and affect memory and concentration (D’Amico, Hunter, Miles, Ewing, & Osilla, 2013). We found that addressing questions and discussing this type of information in a nonjudgmental way in the adolescent group setting can increase change talk, or talk that argues for decreasing marijuana use (D’Amico, et al, 2015). This is important because change talk among both adults and adolescents is typically associated with subsequent decreases in substance use (Magill, Apodaca, Barnett, & Monti, 2010; Walker, et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…A recent focus group study with at-risk youth found that most of these youth perceived marijuana use as “normal,” with 90% voicing positive attitudes toward marijuana use (Sanders, 2012). Similarly, youth with a first time alcohol or marijuana offense viewed using marijuana as less risky than drinking, and they also associated marijuana use with fewer negative consequences compared to drinking (D’Amico, et al, 2015). …”

mentioning

confidence: 99%

Gateway to curiosity: Medical marijuana ads and intention and use during middle school.

D’Amico¹,

Miles²,

Tucker³

2015

Psychology of Addictive Behaviors

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101

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Over the past several years, medical marijuana has received increased attention in the media, and marijuana use has increased across the United States. Studies suggest that as marijuana has become more accessible and adults have become more tolerant regarding marijuana use, adolescents perceive marijuana as more beneficial and are more likely to use if they are living in an environment that is more tolerant of marijuana use. One factor that may influence adolescents’ perceptions about marijuana and marijuana use is their exposure to advertising of this product. We surveyed 6th–8th grade youth in 2010 and 2011 in 16 middle schools in southern California (n= 8214; 50% male; 52% Hispanic; mean age = 13) and assessed exposure to advertising for medical marijuana, marijuana intentions and marijuana use. Cross-lagged regressions showed a reciprocal association of advertising exposure with marijuana use and intentions during middle school. Greater initial medical marijuana advertising exposure was significantly associated with a higher probability of marijuana use and stronger intentions to use one year later, and initial marijuana use and stronger intentions to use were associated with greater medical marijuana advertising exposure one year later. Prevention programs need to better explain medical marijuana to youth, providing information on the context for proper medical use of this drug and the potential harms from use during this developmental period. Furthermore, as this is a new frontier, it is important to consider regulating medical marijuana advertisements, as is currently done for alcohol and tobacco products.

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“…Given that perceptions of harmfulness and disapproval of marijuana are declining, 2 and youth view marijuana use as less dangerous than drinking, 45 we must begin to address how changing views of marijuana might increase risk for not only marijuana use, but other behaviors such as DUI/RWDD of marijuana. 46 Additionally past month alcohol use and perceived peer use of alcohol predicted DUI/RWDD.…”

Section: Discussionmentioning

confidence: 99%

Early Substance Use and Subsequent DUI in Adolescents

et al. 2015

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Objective Little is known about risk factors in early adolescence that lead to driving under the influence (DUI) and riding with a drinking driver (RWDD). In a diverse group of adolescents, we longitudinally explored the influence of alcohol and marijuana (AM) use, AM beliefs, and peer and family factors (including familism) on DUI/RWDD in high school. Methods We conducted three surveys two years apart of 1,189 students recruited from 16 middle schools in Southern California. We used multivariable models to evaluate the effects of AM use, AM beliefs, and peer and family factors at ages 12 and 14 on DUI/RWDD at age 16. Results At age 12, adolescents with more positive beliefs about marijuana (OR=1.63, 95% CI: 1.20 to 2.20) and more ability to resist marijuana offers (OR=1.89, 95% CI: 1.22 to 2.92) had significantly higher risk of DUI/RWDD 4 years later. At age 14, youth with more past month alcohol use (OR=2.10, 95% CI: 1.07 to 4.11), positive beliefs about marijuana (OR=1.67, 95% CI: 1.31 to 2.13), exposure to peer AM use (alcohol: OR=1.01, 95% CI: 1.00 to 1.02; marijuana: OR=2.41, 95% CI: 1.28 to 4.53) and family marijuana use (OR=1.54, 95% CI: 1.12 to 2.11) had higher risk of DUI/RWDD at age 16. Conclusion Findings indicate a need to target adolescents as young as 6th grade at multiple levels to help prevent DUI/RWDD in high school. Given recent changes in legislation in several states, research should begin to focus on the distinction between DUI/RWDD of alcohol and marijuana.

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Group motivational interviewing for adolescents: Change talk and alcohol and marijuana outcomes.

Cited by 158 publications

References 80 publications

A sequential analysis of motivational interviewing technical skills and client responses

A sequential analysis of motivational interviewing technical skills and client responses

Gateway to curiosity: Medical marijuana ads and intention and use during middle school.

Early Substance Use and Subsequent DUI in Adolescents

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