Adherence to Principles of Motivational Interviewing and Client Within-Session Behavior

The purpose of this study was to examine whether counselor adherence to Motivational Interviewing (MI) principles was associated with more productive within-session client behavior in a smoking cessation trial for African American smokers. For these analyses 89 baseline counseling sessions of the tr...

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Bibliographic Details
Published in:Behavioural and cognitive psychotherapy 2006-01, Vol.34 (1), p.43-56
Main Authors: Catley, Delwyn, Harris, Kari Jo, Mayo, Matthew S., Hall, Sandra, Okuyemi, Kolawole S., Boardman, Thuy, Ahluwalia, Jasjit S.
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult and adolescent clinical studies
African American
Behavior
Behavior therapy. Cognitive therapy
Biological and medical sciences
Counseling
Desintoxication. Drug withdrawal
Medical sciences
Motivational Interviewing
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
smoking
Smoking cessation
Substance abuse treatment
Therapists
Tobacco smoking
Treatments
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Summary:The purpose of this study was to examine whether counselor adherence to Motivational Interviewing (MI) principles was associated with more productive within-session client behavior in a smoking cessation trial for African American smokers. For these analyses 89 baseline counseling sessions of the trial were audiotaped and coded using the Motivational Interviewing Skill Code (MISC). Counselor adherence indicators included a global subjective rating of MI adherence and the frequency of MI-consistent and MI-inconsistent counselor behaviors described in the MISC. Indicators of productive client behaviors included global subjective ratings of within-session client functioning and counselor-client interaction, as well as the frequency of statements by the client favorable toward changing behavior (“change talk”) and resistant regarding changing behavior (“resist-change talk”). Results provided support for the principles of MI. Counselor adherence indexed by both the global subjective rating and MI-consistent behavior frequency was significantly positively associated with global ratings of within-session client functioning and counselor-client interaction, as well as more change talk.
ISSN:1352-4658
1469-1833
DOI:10.1017/S1352465805002432