Evidence map›Paper›PMID 29910016›Full record

Trial reportJournal of substance abuse treatment2018

The relationship between in-session commitment language and daily self-reported commitment to reduce or abstain from drinking.

Alexis Kuerbis, Jessica Houser, Paul Amrhein, Hayley Treloar Padovano, Jon Morgenstern

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alexis KuerbisSilberman School of Social Work, Hunter College, City University of New York, 2180 Third Avenue, New York, NY 10035, United States. Electronic address: ak1465@hunter.cuny.edu.
Jessica HouserNorthwell Health, 1010 Northern Blvd. Suite 311, Great Neck, NY 11021, United States. Electronic address: dr@jessicahouser.com.
Paul AmrheinMontclair University, 1 Normal Avenue, Montclair, NJ 07043, United States. Electronic address: amrhein@mail.montclair.edu.
Hayley Treloar PadovanoDepartment of Psychiatry and Human Behavior, Center for Alcohol and Addiction Studies, BOX G-S121-4, Providence, RI 02912, United States. Electronic address: hayley_treloar@brown.edu.
Jon MorgensternNorthwell Health, 1010 Northern Blvd. Suite 311, Great Neck, NY 11021, United States. Electronic address: jmorgenste@northwell.edu.

Funding

Neural Mechanisms of Motivational InterviewingR01AA020077 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MORGENSTERN, JON · 2011 to 2015
$3.5M
Novel Approaches to Understanding How Alcohol Pathology Develops in AdolescentsK23AA024808 · NIAAA · BROWN UNIVERSITY · PI TRELOAR PADOVANO, HAYLEY · 2017 to 2021
$973k
Component Analysis of Motivational InterviewingR21AA017135 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MORGENSTERN, JON · 2007 to 2008
$400k
NIAAA NIH HHS K23 AA024808NIAAA NIH HHS R01 AA020077NIAAA NIH HHS R21 AA017135
6 · The paper itself

Abstract

backgroundMotivational interviewing is hypothesized to operate by enhancing a client's internal motivation to change. Past research operationalizes this process by measuring in-session statements for change (i.e., change talk), yet relationships between change talk and other measures of motivation have yet to be substantiated. This study tested whether in-session change talk predicted subsequent reports of commitment to abstain or moderate drinking assessed via ecological momentary assessment (EMA), and explored each of their contributions to drinking outcomes.

methodSecondary data analysis was performed on data from 48 study participants who received therapy within a randomized controlled trial testing mechanisms of actions of MI. Multilevel models were used to test whether in-session commitment statements (strength, frequency, and slope of strength) made in two therapy sessions predicted subsequent daily reports of commitment to abstain or not drink heavily and drinking (21 days of data) in the weeks following each respective session.

resultsA weak, negative relationship between in-session commitment and average daily commitment to abstain emerged. No relationship between in-session statements and average daily commitment to not drink heavily emerged. Only EMA commitment predicted drinking outcome. Post hoc analyses demonstrate a moderating impact of EMA commitment to abstain on in-session commitment strength: low pre-treatment commitment to abstain and increasing commitment strength across a session yielded the greatest drink reduction.

conclusionIn-session change talk and EMA commitment may represent distinct aspects of motivation, yet their interaction appears important to treatment prognoses. Commitment to abstain may be important for treatment selection and successful drink reduction.

Indexed as

MotivationAdultAlcohol DrinkingAlcoholismFemaleHumansLanguageMaleMiddle AgedMotivational InterviewingPilot ProjectsSelf ReportChange talkCommitmentEcological momentary assessmentMotivationMotivational interviewing

Identifiers

PMID29910016
PMCPMC6245546

What OpenQuestion holds

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Registered trials

None linked

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.