The role of therapist MI skill and client change talk class membership predicting dual alcohol and sex risk outcomes

Janssen, Tanja; Magill, Molly; Mastroleo, Nadine R.; Laws, M. Barton; Howe, Chanelle J.; Walthers, Justin; Monti, Peter M.; Kahler, Christopher W.

doi:10.1002/jclp.22798

Cited by 2 publications

(2 citation statements)

References 40 publications

(59 reference statements)

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“…We previously published on the development and validation of the GBIAS within this study population (Kahler et al, 2016). Analyses of MISC-coded data from this trial have found that overall, neither the total amount (i.e., session level average) nor the growth (i.e., session-level slope) in CT or ST during the MI session predicted alcohol use at follow-up (Janssen et al, 2019). Additionally, certain MI-consistent counseling techniques, such as complex reflections and open-ended questions, were found to be more strongly associated with participants moving from ST to CT when compared to techniques like simple reflections or paraphrasing reflections (Laws et al, 2018).…”

Section: Study Aimsmentioning

confidence: 93%

Change talk subtypes as predictors of alcohol use following brief motivational intervention.

Kahler¹,

Janssen²,

Gruber³

et al. 2023

Psychology of Addictive Behaviors

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Objective: To examine the relative importance of client change language subtypes as predictors of alcohol use following motivational interviewing (MI). Method: Participants were 164 heavy drinkers (57.3% female, Mage = 28.5 years, 13.4% Hispanic/Latinx, 82.9% White) recruited during an emergency department visit who received MI for alcohol and human immunodeficiency virus/sexual risk in a randomized-controlled trial. MI sessions were coded with the motivational interviewing skill code (MISC) and the generalized behavioral intervention analysis system (GBIAS). Variable importance analyses used targeted maximum likelihood estimation to rank order change language subtypes defined by these systems as predictors of alcohol use over 9 months of follow-up. Results: Among GBIAS change language subtypes, higher sustain talk (ST) around change planning was ranked the most important predictor of drinks per week (b = −5.57, 95% CI [−8.11, −3.02]) and heavy drinking days (b = −2.07, 95% CI [−3.17, −0.98]); this talk reflected (a) rejection of alcohol abstinence as a desired change goal, (b) rejection of specific change strategies, or (c) discussion of anticipated challenges in changing drinking. Among MISC change language subtypes, higher ST around taking steps—reflecting recent escalations in drinking described by a small minority of participants—was ranked the most important predictor of drinks per week (b = 22.71, 95% CI [20.29, 25.13]) and heavy drinking days (b = −2.45, 95% CI [1.68, 3.21]). Conclusions: Results challenge the assumption that all ST during MI is a negative prognostic indicator and highlight the importance of the context in which change language emerges.

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Section: Study Aimsmentioning

confidence: 93%

Change talk subtypes as predictors of alcohol use following brief motivational intervention.

Kahler¹,

Janssen²,

Gruber³

et al. 2023

Psychology of Addictive Behaviors

Self Cite

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“…If the client uses more change talk, this can predict successful behavioral change [ 39 ]. On the other hand, the “sustain talk” category contains phrases that discourage movement toward a change goal, but favor maintaining the status quo, which is a detrimental behavior in our scenario [ 36 , 40 , 41 ].…”

Section: Introductionmentioning

confidence: 99%

Smokers’ Engagement Behavior on Facebook: Verbalizing and Visual Expressing the Smoking Cessation Process

Watti

Millner

Siklósi

et al. 2022

IJERPH

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The “processes of change” and “motivational language” are common in smoker Facebook users’ comments under smoking cessation support contents. Smokers can combine this verbalization of the smoking cessation process with visual expression when they use comments and Facebook reactions at the same time. The aim of this study was to understand the relationship between processes of change, motivational language, and the Facebook reaction buttons. A total of 821 smokers’ comments were analyzed in the current study (n = 821), which responded to image-based smoking cessation support contents. The processes of change and the motivational language used in the investigated comments were identified. These linguistic categories were compared with the usage of reaction buttons. The Facebook users who used the “Haha” reaction button wrote a significantly higher proportion of sustain talk than those who used the “Like” or “Love” reaction buttons. The Facebook users who combined the comment and “Love” reaction wrote significantly more change talk than those who did not utilize these buttons. We suggest that the “Haha” reaction may be a negative indicator, the “Like” reaction may be a neutral indicator, and the “Love” reaction may be a positive engagement indicator in terms of the smoking cessation process during Facebook-based interventions. These results may highlight how to evaluate Facebook reactions relating to smoking cessation support contents.

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The role of therapist MI skill and client change talk class membership predicting dual alcohol and sex risk outcomes

Cited by 2 publications

References 40 publications

Change talk subtypes as predictors of alcohol use following brief motivational intervention.

Change talk subtypes as predictors of alcohol use following brief motivational intervention.

Smokers’ Engagement Behavior on Facebook: Verbalizing and Visual Expressing the Smoking Cessation Process

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