Motivational interviewing technical process and moderated relational process with underage young adult heavy drinkers.

Abstract

This study tested technical and relational processes hypothesized to explain the therapeutic benefit of an efficacious brief motivational interview (BMI). A randomized controlled trial compared the efficacy of a BMI to an attention-matched control (i.e., relaxation training [REL]) for reducing heavy alcohol consumption and associated negative consequences. Participants were underage, past-month heavy drinkers recruited from community settings (N = 167; ages 17-20; 62% female; 59% White). Data were collected on session recordings, using established motivational interviewing process measures. Statistical analyses followed three steps. First, a latent class model determined the optimal class solution for characterizing proportion change talk means within BMI and REL. Next, the probability of proportion change talk class membership was examined as a mediator and then as a moderated mediator of BMI efficacy. The latent class model yielded a 3class solution, including a low-increasing proportion change talk class (n = 61), a moderateincreasing proportion change talk class (n = 97), and a nonlinear proportion change talk class (n = 7). Across the outcomes examined, membership in the moderate-increasing class rather than the low-increasing class mediated BMI effects on alcohol-related consequences at 6 weeks. Mediation tests for consequences at 3 months and heavy drinking were non-significant. Moderated mediation results for therapist empathy and MI Spirit were non significant. Conclusions.-Findings suggest that moderate increases in pro-change statements, relative to anti-or neutral-change statements, help explain BMI effects on reducing alcohol-related negative consequences soon after intervention.

Motivational interviewing: Key ingredients associated with taking a step toward employment.

“…The lack of relationship between steps and counselor adherence to the relational principles of Collaboration and Empathy is consistent with past findings (Magill et al, 2019; Morgenstern et al, 2017). Similar to findings from the meta-analysis conducted by Magill and colleagues (2018), scores on the MI relational components had a restricted range from average to high, most likely because MI counselors receive close supervision in a research study.…”

How motivational interviewing shifts food choices and craving-related brain responses to healthier options

“…In more detail, MI elicits personal statements for change, called change talk, and deals with reasons against change, i.e., sustain talk, within an atmosphere of acceptance and compassion (Miller and Rollnick, 2013). Research on the associations between MI and behavioral outcomes showed that a higher proportion of change talk over sustain talk is associated with reduced risk-seeking behavior (Magill et al, 2018; Magill et al, 2019).…”

Paraprofessional Youth Mentoring: A Framework for Integrating Youth Mentoring with Helping Institutions and Professions

“…Moreover, most evidence-based interventions have measures of fidelity and implementation standards that are capable of documenting whether or not the presumed competencies are translated to practice. For example, the counseling approach Motivational Interviewing has several measures of provider competence that are performancebased (i.e., verbal behavior measured in actual or simulated counseling sessions) and that provide valid and reliable estimates of skill, thresholds for competence, and research supporting the validity of these measures in predicting client outcomes (Magill et al, 2019;Martino et al, 2016;Moyers et al, 2016). Similarly, there are well-established measures of suicide risk assessment and prevention competencies that are capable of measuring the transfer of skill from training programs, include multiinformant measures of skill, and are related to core outcomes, such as the ability to make accurate suicide risk judgments (Cramer et al, 2019).…”