Motivational interviewing to enhance adolescent mental health treatment engagement: a randomized clinical trial

Dean, Shaystah; Britt, Eileen; Bell, Elliot; Stanley, James; Collings, Sunny

doi:10.1017/s0033291716000568

Cited by 53 publications

(39 citation statements)

References 48 publications

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“…Adolescents’ mental health problems have increased over the last 20–30 years such that it is now seen as a public health problem that needs to be addressed (Dean, Britt, Bell, Stanley, & Collings, ; Kieling et al, ; UNİCEF, ). Even though adolescents are generally perceived as a healthy age group, mental health problems in all societies constitute a great part of the illness burden among this age group.…”

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confidence: 99%

Virtual behaviors affecting adolescent mental health: The usage of Internet and mobile phone and cyberbullying

Calpbinici

Arslan

2019

Child Adoles Psych Nursing

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Problem An important environmental factor affecting adolescents today is undoubtedly technological tools. This descriptive and cross‐sectional study was conducted to evaluate the relationship of adolescents’ Internet and mobile phone usage, cyberbullying behaviors, and their self‐reported mental health. Methods The sample of the study consisted of a total of 426 students including 215 male students and 211 female students. A questionnaire was prepared by the researcher to determine the sociodemographic and personal characteristics and virtual behavioral characteristics of individuals. The Brief Symptom Inventory was used to determine the participants’ mental status. Findings It was found that adolescents’ daily Internet usage duration, Internet usage purpose, the place where they use Internet, cyberbullying, and exposure to cyberbullying were related to the adolescents’ self‐reported mental health (p < .05). Conclusion Several aspects of the virtual behaviors of the adolescents were associated with their sense of mental health issues. In this context, the school health nurse should raise awareness among adolescents about the use of technology and how it might impact their mental wellbeing.

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confidence: 99%

Virtual behaviors affecting adolescent mental health: The usage of Internet and mobile phone and cyberbullying

Calpbinici

Arslan

2019

Child Adoles Psych Nursing

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“…Then coaching could be provided throughout the nursing program and/or in the clinical setting over 12 weeks with periodic OSCE evaluations during the remainder of their training program to bolster and sustain MI skills as Fu and colleagues (Fu et al, 2015) demonstrated. MI training and on-going coaching may be especially essential for nurses specializing in working with adolescents and in SBHCs, as a number of studies have demonstrated that using MI with youth can enhance youth engagement with health care and disclosure of risk factors (Dean, Britt, Bell, Stanley, & Collings, 2016; M. K. Miller et al, 2016; Sanci et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Training Primary Care Providers in the Use of Motivational Interviewing for Youth Behavior Change

Vallabhan

Kong

Jimenez³

et al. 2017

Res Theory Nurs Pract

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Background and Purpose Adolescent obesity is a global epidemic. Motivational interviewing (MI) is a promising strategy to address adolescent obesity risk behaviors. However, primary care providers (PCPs) tend to express discomfort with learning and adopting MI practices and with addressing patient weight issues. PCP proficiency in using MI to discuss body mass index, health screening results, and nutrition and physical activity behaviors after receiving training and coaching from an MI expert and practicing the technique was evaluated. We hypothesized that comfort with MI would increase consistently over time. Methods Self-assessment surveys in MI proficiency were administered to PCPs after every youth participant MI session. MI comfort as determined by proficiency was categorized into low, medium, and high comfort according to survey Likert scale responses. Data were analyzed using ANOVA and Fisher’s exact tests. Results Two hundred twenty-seven youth were seen for MI-based discussions by four PCPs. Two hundred twenty-six surveys had complete data for analysis. As anticipated, overall PCPs reported significantly more comfort with MI from the first to the final MI session over a two to three month period (p < 0.001). Comfort scores did not increase linearly over time for all PCPs. Despite standard training practices, overall MI proficiency as measured by comfort scores varied by PCP (p <0.01). Implications for Practice This type of MI training program should be considered for clinical nurses and nurse practitioners during their nursing education training to facilitate their ability to consistently and effectively support youth behavior change for conditions like obesity. (ClinicalTrials.gov number: NCT02502383)

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“…It may be that there are gender differences in the types of alcohol use and behavioral variables that improve with a motivational as opposed to a psycho-educational brief intervention. Other studies have demonstrated that depression can moderate the effects of MI treatment on risky behaviors (Clair-Michaud et al, 2016) and that MI can significantly enhance treatment compliance, as compared to an active control, in teens with anxiety and mood disorders (Dean et al, 2016). The moderating effects of depression, and possibly other psychiatric variables, on outcomes from an MI intervention are an important area for future study.…”

Section: 0 Discussionmentioning

confidence: 99%

“…MI is a psychotherapeutic intervention that assesses a person’s readiness to change (or stage of change) and then implements a treatment program tailored for his or her stage of change (Miller & Rollnick, 2013). It has been demonstrated to be useful in the areas of treatment adherence and engagement (Dean, Britt, Bell, Stanley, & Collings, 2016), improving health behaviors (Kaar, Luberto, Campbell, & Huffman, 2017) and, in particular, in improving addictive behaviors in several studies (Arnaud et al, 2016; Hettema, Steele, & Miller, 2005; Lundahl et al, 2013; Romano & Peters, 2015). In adults, MI has had the highest effect sizes of all treatments for alcohol use disorders (Miller, 1996, 2000).…”

Section: Introductionmentioning

confidence: 99%

A pilot randomized trial of Motivational Interviewing compared to Psycho-Education for reducing and preventing underage drinking in American Indian adolescents

Gilder

Geisler²,

Luna³

et al. 2017

Journal of Substance Abuse Treatment

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Underage drinking is an important public health issue for American Indian and Alaska Native (AI/AN) adolescents, as it is for U. S. teens of all ethnicities. One of the demonstrated risk factors for the development of alcohol use disorders in AI/AN is early age of initiation of drinking. To address this issue a randomized trial to assess the efficacy of Motivational Interviewing (MI) compared to Psycho-Education (PE) to reduce and prevent underage drinking in AI/AN youth was developed and implemented. Sixty-nine youth received MI or PE and 87% were assessed at follow-up. For teens who were already drinking, participating in the intervention (MI or PE) was associated, at follow-up, with lower quantity × frequency (qxf) of drinking (p=0.011), fewer maximum drinks per drinking occasion (p=0.004), and fewer problem behaviors (p=0.009). The MI intervention resulted in male drinkers reporting a lower qxf of drinking (p=0.048) and female drinkers reporting less depression (p=0.011). In teens who had not started drinking prior to the intervention, 17% had initiated drinking at follow-up. As a group they reported increased quantity × frequency of drinking (p=0.008) and maximum drinks (p=0.047), but no change in problem behaviors. These results suggest that intervening against underage drinking using either MI or PE in AI/AN youth can result in reduced drinking, prevention of initiation of drinking, and other positive behavioral outcomes. Brief interventions that enhance motivation to change as well as psycho-education may provide a successful approach to reducing the potential morbidity of underage drinking in this high-risk group.

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Motivational interviewing to enhance adolescent mental health treatment engagement: a randomized clinical trial

Abstract: MI, used as a pre-treatment intervention, enhanced group treatment engagement in adolescents diagnosed with anxiety and mood disorders compared to the active control condition. MI is a promising intervention to facilitate engagement in adolescent mental health settings.

Cited by 53 publications

References 48 publications

Virtual behaviors affecting adolescent mental health: The usage of Internet and mobile phone and cyberbullying

Virtual behaviors affecting adolescent mental health: The usage of Internet and mobile phone and cyberbullying

Training Primary Care Providers in the Use of Motivational Interviewing for Youth Behavior Change

A pilot randomized trial of Motivational Interviewing compared to Psycho-Education for reducing and preventing underage drinking in American Indian adolescents

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