Evidence map›Paper›PMID 30466547›Full record

Trial reportJournal of substance abuse treatment2019

Examining the influence of active ingredients of motivational interviewing on client change talk.

Margo C Villarosa-Hurlocker, Anthony J O'Sickey, Jon M Houck, Theresa B Moyers

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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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

4 authors.

Margo C Villarosa-HurlockerCenter on Alcoholism, Substance Abuse, & Addictions, 2650 Yale Blvd SE, Albuquerque, NM 87106, USA; University of New Mexico, Logan Hall MSC03-2220, 1 University of New Mexico, Albuquerque, NM 87131, USA. Electronic address: mhurlocker@unm.edu.
Anthony J O'SickeyCenter on Alcoholism, Substance Abuse, & Addictions, 2650 Yale Blvd SE, Albuquerque, NM 87106, USA; University of New Mexico, Logan Hall MSC03-2220, 1 University of New Mexico, Albuquerque, NM 87131, USA. Electronic address: aosickey@unm.edu.
Jon M HouckCenter on Alcoholism, Substance Abuse, & Addictions, 2650 Yale Blvd SE, Albuquerque, NM 87106, USA; University of New Mexico, Logan Hall MSC03-2220, 1 University of New Mexico, Albuquerque, NM 87131, USA. Electronic address: jhouck@unm.edu.
Theresa B MoyersCenter on Alcoholism, Substance Abuse, & Addictions, 2650 Yale Blvd SE, Albuquerque, NM 87106, USA; University of New Mexico, Logan Hall MSC03-2220, 1 University of New Mexico, Albuquerque, NM 87131, USA. Electronic address: tmoyers@unm.edu.

Funding

Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
Testing Theory-Based Training in Motivational InterviewingR01DA021227 · NIDA · UNIVERSITY OF NEW MEXICO · PI MOYERS, THERESA B · 2007 to 2010
$1.9M
Imaging Brain Activity in Substance Use TreatmentK01AA021431 · NIAAA · UNIVERSITY OF NEW MEXICO · PI HOUCK, JON M. · 2013 to 2017
$837k
NIAAA NIH HHS K01 AA021431NIAAA NIH HHS L30 AA026181NIAAA NIH HHS T32 AA018108NIDA NIH HHS R01 DA021227
6 · The paper itself

Abstract

Motivational Interviewing (MI) is an evidenced-based intervention designed to help clients explore and resolve ambivalence around substance use. MI combines a humanistic tradition with behavioral components to facilitate client decisions concerning behavior change. As such, there is marked interest in the relationship between the two active ingredients of MI - the relational, or person-centered, components and the technical, or directional, behavioral components - on client in-session language. Yet, few studies have examined how these active ingredients operate in concert. Therefore, the current study evaluated the constellation of relational skills associated with client language, as well as the influence of technical skills on the relationship between provider relational skills and client change language. Specifically, we tested a latent construct of relational skill and its direct association with the proportion of client change talk. We then explored the mediating role of reflections of change and sustain talk (RefCT and RefST) on this relationship. The data for this secondary analysis are from Project ELICIT (N = 131), a randomized control trial evaluating the effects of MI training on client change language. We found support for a latent construct of relational skill (i.e., empathy, acceptance, collaboration, and autonomy/support). However, the relational skill construct did not predict client change language. There was support for an indirect effect, such that relational skills predicted RefCT and RefST, and RefCT and RefST predicted client change language. These results suggest that the synergistic implementation of the relational and technical components of MI is critical to facilitating a higher percentage of change talk.

Indexed as

Professional-Patient RelationsCooperative BehaviorEmpathyHumansLanguageMotivational InterviewingPersonal AutonomySubstance-Related DisordersActive ingredientsClient languageImplementationMotivational interviewingSubstance use

Identifiers

PMID30466547
PMCPMC6260935

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.