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2010 icmi presenation apodaca june6
- 1. Mechanisms of Change and Active Ingredients of Motivational Interviewing Timothy R. Apodaca International Conference on Motivational Interviewing June, 2010 ~ Stockholm, Sweden
- 5. Mechanisms Review Apodaca & Longabaugh (2009). Addiction
- 7. Steps in the model Therapist MI Client Outcome (Alcohol/Drug) Link 1a Link 2 Main effect Link 1b Link 3a Link 3b
- 10. Therapist MI Spirit MI Spirit MI Client Outcome .22 .36 .13
- 11. Therapist MI-Consistent MICO MI .64 Client Outcome Guame et al. 2008 and Moyers et al., 2009; reported MICO ï CT and CCT; Houck & Moyers 2008: MICO ï CT;
- 12. Therapist MI-Inconsistent MIIN MI Client .30 .49 .43 Outcome
- 13. Therapist Specific Components Specific Components MI Client .52 .19* Outcome *Larger effect sizes for Feedback and Decisional Balance
- 15. Client Change Talk/Intention Therapist MI Change Talk .29 * Outcome *Guame et al., 2008; Baer et al., 2008; Moyers et al., 2009 provide additional evidence for this link .25 (Longshore)
- 16. Client Readiness Therapist MI Readiness Outcome
- 17. Client Engagement/Involvement Therapist MI .31 Engagement/ Involvement Outcome .15 (Baird)
- 18. Client Resistance Therapist MI Resistance Outcome .58 (Miller) .12 (Miller)
- 19. Client Confidence Therapist MI .25 Confidence Outcome *Barnett (2010) adds suggestive evidence for this link *
- 20. Client Experience Discrepancy Therapist MI .18 Experience Discrepancy Outcome *Walters (2009) adds suggestive evidence for this link .20* (McNally)
- 22. Predictors of Change Plan Completion Magill, Apodaca, Barnett, Monti (2010). Journal of Substance Abuse Treatment
- 31. Change Plan
- 32. Change Plan No Change Plan
- 33. Effect of a Significant-Other on Client Change Talk Apodaca, Magill, Longabaugh, Jackson, & Monti. Under Review
- 37. Methods Decile 1 Decile 2 Decile 3 Therapist Significant Other Therapist Significant Other Therapist Significant Other Patient Change Talk (& CCT) Patient Change Talk (& CCT)
- 38. Methods Decile 1 Decile 2 Decile 3 Therapist Significant Other Therapist Significant Other Therapist Significant Other Patient Change Talk (& CCT) Patient Change Talk (& CCT)
- 39. Results Predicting Change Talk MICO MIIN SO Support SO Against Predicting Counter-Change Talk MICO MIIN SO Support SO Against
- 40. Results Predicting Change Talk MICO ns MIIN ns SO Support p < .001 SO Against ns Predicting Counter-Change Talk MICO ns MIIN ns SO Support p < .001 SO Against ns
- 41. Â
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- 48. What do you think? Iâll do it.
- 49. What do you think? Iâll do it.
- 53. Multiple Mediators of MI Barnett, Apodaca, Magill, Colby, Gwaltney, Rohsenow, Monti (2010). Addiction
- 57. The Original Study MI Vs. Feedback Alcohol use at 12-months
- 58. Mediator study MI Vs. Feedback Readiness Alcohol use at 12-months Risk/Benefit Self-efficacy Treatment Seeking
- 59. Results MI Vs. Feedback Readiness Alcohol use at 12-months Risk/Benefit Self-efficacy Treatment Seeking
Hinweis der Redaktion
- The purpose of the current review is to evaluate the existing evidence regarding potential within-session mechanisms of change in MI with alcohol or other drug use disorders. As conceptualized in the present review, a mechanism of change is a variable temporally intervening between assignment to MI treatment and measured substance abuse outcome and at least partially explaining the relationship. The central question we sought to answer in this review was: Which MI constructs and variables appear to be the most promising candidates for mechanisms of change?
- Inclusion Criteria Studies were included if they met the following criteria: (1) clients received a therapeutic intervention for problematic alcohol use or any use of illegal substances; (2) the therapeutic intervention was referred to as æ otivational interviewing, ïżœ æ otivational enhancement, ïżœ æ otivational intervention, ïżœ or 柱 rief intervention ïżœ (and was described by the authors as being based upon the principles of motivational interviewing); (3) the intervention was delivered individually, and not in a group setting; (4) the potential mechanism was measured either during the intervention or immediately following.