ArticlePatient education and counseling2016
Using topic coding to understand the nature of change language in a motivational intervention to reduce alcohol and sex risk behaviors in emergency department patients.
Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Pooled it
- A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.Journal of consulting and clinical psychology · 2018Pooled it
- Change talk subtypes as predictors of alcohol use following brief motivational intervention.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023Trial
- The role of therapist MI skill and client change talk class membership predicting dual alcohol and sex risk outcomes.Journal of clinical psychology · 2019Trial
- A sequential analysis of motivational interviewing technical skills and client responses.Journal of substance abuse treatment · 2018Trial
- A meta-narrative review of coding tools for healthcare interactions and their applicability to written communication.PEC innovation · 2023Review
- Examining the Impact of Race on Motivational Interviewing Implementation and Outcomes with HIV+ Heavy Drinking Men Who Have Sex with Men.International journal of environmental research and public health · 2022Article
- Discussion of alcohol consequences during a brief motivational intervention session: Comparing those who do and do not increase readiness to change.Addiction research & theory · 2022Article
- "Focusing" in Motivational Interviewing: development of a training tool for practitioners.European journal for person centered healthcare · 2018Article
- Initial Progress Toward Development of a Voice-Based Computer-Delivered Motivational Intervention for Heavy Drinking College Students: An Experimental Study.JMIR mental health · 2017Article
- Ambivalence and motivational interviewing with adolescents: ensuring that the baby does not get thrown out with the bathwater.Addiction (Abingdon, England) · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo elucidate patient language that supports changing a health behavior (change talk) or sustaining the behavior (sustain talk).
methodsWe developed a novel coding system to characterize topics of patient speech in a motivational intervention targeting alcohol and HIV/sexual risk in 90 Emergency Department patients. We further coded patient language as change or sustain talk.
resultsFor both alcohol and sex, discussions focusing on benefits of behavior change or change planning were most likely to involve change talk, and these topics comprised a large portion of all change talk. Greater discussion of barriers and facilitators of change also was associated with more change talk. For alcohol use, benefits of drinking behavior was the most common topic of sustain talk. For sex risk, benefits of sexual behavior were rarely discussed, and sustain talk centered more on patterns and contexts, negations of drawbacks, and drawbacks of sexual risk behavior change.
conclusionsTopic coding provided unique insights into the content of patient change and sustain talk. PRACTICE IMPLICATIONS: Patients are most likely to voice change talk when conversation focuses on behavior change rather than ongoing behavior. Interventions addressing multiple health behaviors should address the unique motivations for maintaining specific risky behaviors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.