Examining client self-exploration in motivational interviewing: Preliminary psychometrics of an observational rating measure.

Examining client self-exploration in motivational interviewing: Preliminary psychometrics of an observational rating measure.
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DOI:
10.1016/j.jsat.2021.108345
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发表时间:
2021-10
影响因子:
3.9
通讯作者:
Colby SM
Colby SM
中科院分区:
医学2区
文献类型:
--
作者:
Lee CS;Magill M;Figuereo VJ;Jackson K;Colby SM

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我们研究了拉丁裔重度饮酒者在会议中的自我探索,他们接受了动机访谈(MI)来减少重度饮酒。本研究的目的是报告从动机性访谈技能代码(MISC SE)中改编的自我探索全球客户评级的效度和信度。该研究将MISC SE测量为三个子量表(情绪、认知、新学习/发展差异SE),以评估可能允许与行为改变(饮酒)结果相关的更高预测效度的潜在过程。该研究创建了一个二分类变量,personal Relevant Vulnerable Making (PR-VM),以区分与饮酒行为有关的特别敏感材料的披露。该研究使用日常歧视的测量作为PR-VM测量的标准变量。该研究收集了n = 158名参与者的观察性评级数据。子量表与MISC SE呈中等相关性(r = 0.421 ~。574, p < .001)。在3个月的随访中,MISC SE与饮酒天数或重度饮酒天数百分比无关。认知和新学习/发展差异SE与较少饮酒天数相关(r = -)。247到-。266, p < 0.005), Cognitive SE与重度饮酒天数百分比相关(r = -。169, p < 0.05),子量表间量表信度与MISC SE相当(ICC = 0.72至0.86)。研究发现,当会话PR-VM存在时,日常歧视量表的平均得分高于不存在时(t (df = 118) = - 3.02, p < 0.005)。自我体验量表的子尺度适应可以提供一种敏感的方法来理解自我探索与MI背景下的行为改变之间的关系。
We examine in-session self-exploration among Latinx heavy drinkers who received a motivational interview (MI) to reduce heavy drinking. The goals of this study are to report the validity and reliability of an adaptation of the Global Client Rating for Self-Exploration from the Motivational Interviewing Skill Code (MISC SE). The study measured the MISC SE as three subscales (Emotional, Cognitive, New Learning/Developing Discrepancy SE) to assess underlying processes that might allow for higher predictive validity in relation to behavioral change (drinking) outcomes. The study created a dichotomous variable, Personally Relevant Vulnerable Making (PR-VM), to distinguish the disclosure of particularly sensitive material related to drinking behavior. The study used the measure of Everyday Discrimination as a criterion variable for the PR-VM measure. The study collected observationally rated data for n = 158 participants. Subscales showed moderate correlations with the MISC SE (r = .421 to .574, p < .001). The MISC SE was not associated with number of drinking days or percent heavy drinking days at 3-month follow-up. Cognitive and New Learning/Developing Discrepancy SE were associated with fewer drinking days (r = –.247 to –.266, p < .005), and Cognitive SE was associated with percent heavy drinking days (r = –.169, p < .05), Subscale interrater reliability was comparable to the MISC SE (ICC = .72 to .86). The study observed higher mean scores on the Everyday Discrimination scale when session PR-VM was present than when not present (t (df = 118) = −3.02, p < .005). The subscale adaptation of the SE measure may provide a sensitive approach to understanding how self-exploration relates to behavior change in the context of MI.
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