Counselor and Drug Detox Inpatient Verbal Behaviors in a Single Session of Motivational Interviewing and Subsequent Substance Use-Related Patient Outcomes
| Autor: | Natalie Durbeej, Helena Lindqvist, Lars Forsberg, Anne H. Berman, Håkan Källmén, Ulric Hermansson |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Social Work
media_common.quotation_subject medicine.medical_treatment Motivational interviewing 030508 substance abuse Coding (therapy) Craving behavioral disciplines and activities law.invention 03 medical and health sciences Hospital 0302 clinical medicine Randomized controlled trial law medicine Drug use media_common Socialt arbete Rehabilitation Odds ratio 030227 psychiatry Psychiatry and Mental health Health psychology Feeling medicine.symptom Client 0305 other medical science Psychology Detoxification Counselor Clinical psychology |
| Popis: | 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; 118.12) for client sustain talk in response to counselor reflections on sustain talk (RST). Future research should increase sample size and extend follow-up. |
| Databáze: | OpenAIRE |
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