Moyers june8-plenary
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ICMI 2010 Day 2: Be careful what you hear: Influencing client language - T Moyers
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Moyers june8-plenary
- 1. Be careful what you hear: Increasing motivation for change by influencing client speech Theresa B. Moyers, Ph.D. Department of Psychology Center on Alcoholism, Substance Abuse and Additions University of New Mexico
- 2. Motivational Interviewing: An empirically based treatment with a secret
- 4. It is both person-centered and directive. How to do both? Person-centered Directive
- 5. Engaging Person-centered Directive
- 7. Engaging Evoking Person-centered Directive
- 13. How would we conceptualize such a relationship?
- 14. Does Client Change Talk Mediate MI and Drinking Outcome Relationship? Motivational Interviewing Client Change Talk Drinking Outcome Using Baron & Kinney’s model for mediation
- 15. Does Client Change Talk Mediate MI and Drinking Outcome Relationship? Motivational Interviewing Client Change Talk Drinking Outcome d=.77 Hettema, Steele & Miller, 2005
- 16. Evidence of Association Between MI and Client Change Talk Motivational Interviewing Client Change Talk Intervention Test Catley, et al., 2006 Houck & Moyers, 2008
- 17. Does Client Change Talk Mediate MI and Drinking Outcome Relationship? Client Change Talk Drinking Outcome Mediator and Change Test Aharonovich et al., 2009 Amrhein et al., 2003 Baer, et al., 2008 Gaume, Gmel & Daeppen, 2008 Hodgins et al., 2009 Moyers, et al., 2007 Pollack et al., 2009 Strang & McCambridge, 2008
- 18. Can we move beyond association?
- 19. Can we move beyond association?
- 27. What would stronger evidence look like?
- 34. Hypothesized Outcomes Change talk in Client Sessions Time MI Plus MI Only
- 35. Demographics: Elicit Wave One 38 (36.9%) In recovery 24.37 (9.64) Hours/week treating SA clients 82 (82.0%) White 9 (9.0%) African American 4 (4.0%) Other 1 (1.0%) Asian American 4 (4.0%) American Indian/ Alaska Native Ethnicity 64 (63.4%) Female 37 (36.6%) Male Sex 44.45 (10.01) Age M (SD) / n (%) Variable
- 38. Some very preliminary results from the Elicit Project
- 48. Evocation
- 52. With Thanks to: Tim Martin Jon Houck Jennifer Manual William Miller Lisa Glynn Kevin Hallgren Erin Tooley
- 53. HLM Analysis Plan Project ELICIT Base Post 3-month 6-month 12-month Participants (n=200) Group (n=2) Wave (n=2)
- 54. Project ELICIT: 3 month follow up data for Wave One
Notas del editor
- These person centered elements of MI can be (and are) hypothesized to be causal mechanisms of this treatment, in and of themselves. Previous work in our lab shows a link between therapist interpersonal skills (including empathy) and client engagement in MI. sessions. New work by Pollack has shown a relationship between the therapist’s adherence to the spirit of MI and the client’s dietary outcomes (Pollack cite).
- Aharonovich: cocaine, strength Hodgins: gambling, strength Baer: substance use, frequency Gaume: ER, alcohol and marijuana, frequency
- Differences in upper-level variables lead to changes in lower-level variables. Differences in training group will (we hope) lead to changes in variables at the participant level. Differences within participants will lead to changes in MI skill across time. We don’t expect substantial differences based on wave (we hope), but have to include it in the model to detect any effects.
- Hope to see something like this at the end of the study
- This is ugly, but then it’s demographics…
- Changes from post to 3 month probably represent effects of feedback and coaching
- Changes from post to 3 month probably represent effects of feedback and coaching
- Differences in upper-level variables lead to changes in lower-level variables. Differences in training group will (we hope) lead to changes in variables at the participant level. Differences within participants will lead to changes in MI skill across time. We don’t expect substantial differences based on wave (we hope), but have to include it in the model to detect any effects.