The role of the relational context and therapists' technical behaviors in brief motivational interviewing sessions for heavy alcohol consumption: Findings from a sample of Latinx adults

Motivational interviewing (MI) theory and process research highlights the role of therapist technical and relational behaviors in predicting client in-session statements for or against behavior change (i.e., change and sustain talk, respectively). These client statements, in turn, have been shown to...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2023-01, Vol.144, p.108898-108898, Article 108898
Main Authors: Magill, Molly, Walthers, Justin, Figuereo, Victor, Torres, Liliana, Montanez, Zulma, Jackson, Kristina, Colby, Suzanne M., Lee, Christina S.
Format: Article
Language:English
Subjects:
Adult
Alcohol
Alcohol Drinking
Alcohol use
Bayes Theorem
Bayesian analysis
Behavior change
Clinical research
Clinical trials
Dyadic interactions
Health disparities
Humans
Interviews
Language
Latinx
Motivational interviewing
Motivational Interviewing - methods
Process research
Professional-Patient Relations
Therapists
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Summary:Motivational interviewing (MI) theory and process research highlights the role of therapist technical and relational behaviors in predicting client in-session statements for or against behavior change (i.e., change and sustain talk, respectively). These client statements, in turn, have been shown to predict intervention outcomes. The current study examines sequential associations between therapist behaviors and client change and sustain talk in a sample of Latinx individuals who engage in heavy alcohol consumption. Data are from a completed randomized clinical trial of a culturally adapted (CAMI) versus unadapted MI targeting alcohol use and consequences among Latinx individuals. The study collected observational coding data with the Motivational Interviewing Skill Code (MISC 2.5, i.e., therapist behaviors and global ratings) and the Client Language Assessment – Proximal/Distal (CLA-PD, i.e., client language). Frequentist and Bayesian sequential analyses examined the relationship among nine different categories of therapist behaviors and three different categories of client language (i.e., change talk, sustain talk, neutral). We examined odds ratios and conditional probabilities for the direction, magnitude, and significance of the association between the use of MI technical behaviors and subsequent client statements about change. The study compared these same transitional associations between low/average (i.e.,
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2022.108898