Which Individual Therapist Behaviors Elicit Client Change Talk and Sustain Talk in Motivational Interviewing?
Which Individual Therapist Behaviors Elicit Client Change Talk and Sustain Talk in Motivational Interviewing?
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DOI:
10.1016/j.jsat.2015.09.001
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发表时间:
2016-02-01
影响因子:
3.9
通讯作者:
Barnett, Nancy P.
中科院分区:
文献类型:
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作者:
Apodaca, Timothy R.;Jackson, Kristina M.;Barnett, Nancy P.
Objective: To identify individual therapist behaviors which elicit client change talk or sustain talk in motivational interviewing sessions.Method: Motivational interviewing sessions from a single-session alcohol intervention delivered to college students were audio-taped, transcribed, and coded using the Motivational Interviewing Skill Code (MISC), a therapy process coding system. Participants included 92 college students and eight therapists who provided their treatment. The MISC was used to code 17 therapist behaviors related to the use of motivational interviewing, and client language reflecting movement toward behavior change (change talk), away from behavior change (sustain talk), or unrelated to the target behavior (follow/neutral).Results: Client change talk was significantly more likely to immediately follow individual therapist behaviors [affirm (p = .013), open question (p < .001), simple reflection (p < .001), and complex reflection (p < .001)], but significantly less likely to immediately follow others (giving information (p