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Related Experiment Video

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Blastomere Explants to Test for Cell Fate Commitment During Embryonic Development

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The relationship between in-session commitment language and daily self-reported commitment to reduce or abstain from

Alexis Kuerbis¹, Jessica Houser², Paul Amrhein³

¹Silberman School of Social Work, Hunter College, City University of New York, 2180 Third Avenue, New York, NY 10035, United States.

Journal of Substance Abuse Treatment

|June 19, 2018

Summary

This summary is machine-generated.

Motivational interviewing's in-session change talk did not directly predict drinking outcomes. However, ecological momentary assessment (EMA) commitment was key, especially when combined with specific in-session motivational changes for abstaining.

Keywords:

Change talk Commitment Ecological momentary assessment Motivation Motivational interviewing

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Area of Science:

Psychology
Behavioral Science
Clinical Psychology

Background:

Motivational interviewing (MI) aims to enhance client motivation for behavior change.
Previous research used in-session change talk to measure motivation, but its link to other motivation measures requires substantiation.
This study investigates the predictive relationship between in-session change talk and subsequent motivation and drinking behaviors.

Purpose of the Study:

To test if in-session change talk predicts subsequent commitment to abstain or moderate drinking.
To explore the contributions of in-session change talk and ecological momentary assessment (EMA) commitment to drinking outcomes.
To examine the interaction between in-session and EMA commitment in predicting drinking behavior.

Main Methods:

Secondary data analysis from a randomized controlled trial of motivational interviewing (MI).
Multilevel models analyzed in-session commitment statements (strength, frequency, slope) from two therapy sessions.
Predicted subsequent daily reports of commitment to abstain/not drink heavily and actual drinking over 21 days.

Main Results:

A weak, negative association was found between in-session commitment and average daily commitment to abstain.
No significant relationship emerged between in-session statements and average daily commitment to not drink heavily.
Only EMA commitment predicted drinking outcomes; post hoc analysis showed EMA commitment to abstain moderated in-session commitment strength for drink reduction.

Conclusions:

In-session change talk and EMA commitment may represent distinct motivational constructs.
Their interaction is crucial for treatment prognosis and successful drinking reduction.
Commitment to abstain appears vital for treatment selection and achieving reduced drinking.