Social and Behavioral Sciences Commons^™

Increasing Mental Health Treatment-Seeking In Emerging Adult College-Student Survivors Of Sexual Assault: A Randomized Controlled Trial Of An Online Intervention, Jessica Huntt

Theses and Dissertations

The prevalence of sexual violence, particularly in emerging adult women, is alarming (Sinozich & Langton, 2014; Smith et al., 2017), and rates of treatment seeking are low (e.g., Smith et al., 2010). Engagement strategies and motivational interviewing have garnered support in mitigating barriers to mental health treatment-seeking (e.g., Lerch et al., 2017). However, young college women often do not seek treatment for symptoms following sexual violence due to additional barriers such as shame and institutional betrayal (Holland, 2019; Logan et al, 2005). Lack of treatment can lead to long-term detriments (e.g., Halpern et al., 2018) and there is little research …

Coachmotivation: Leveraging Motivational Interviewing Methodology To Increase Emotion Regulation Ability In The Workplace, Michael R. Nelson

Industrial-Organizational Psychology Dissertations

Emotions are complex, powerful states that both positively and negatively impact personal and professional human experiences. One’s ability to regulate their emotions has been related to desirable organizational outcomes such as (a) decreased counterproductive work behaviors (CWBs), stress, and negative emotions and (b) increased well-being, coping abilities, and job satisfaction. However, appropriate workplace interventions that increase perceived emotion regulation (PER) abilities continue to be limited. Stemming from Motivational Interviewing (MI), CoachMotivation (CM) is a modified form of organizational coaching that translates core practices of clinical MI interventions (i.e., OARS: open questions, affirmations, reflections, summary statements) into coaching conversations in the …

Developing And Testing A Brief Alcohol Intervention For Lesbian, Gay, Bisexual, Transgender, And Queer Populations, Lucas Anthony Mirabito

Dissertations (1934 -)

Lesbian, gay, bisexual, transgender, and queer people are disproportionately affected by alcohol and substance use disorders (SUDs). Meyer (2003) and Hatzenbuehler (2009) extended minority stress theory to lesbian, gay, and bisexual populations and introduced stressors unique to these identities to explain general mental health disparities. However, no cohesive theory has emerged to explain the specific pathways that lead to alcohol use disorders (rather than internalizing syndromes such as anxiety and depression). This study, drawing on research published since Meyer (2003), preventative intervention research, motivational interviewing based interventions (MIBIs), and existing LGBTQ-tailored interventions fills this research gap and proposes a model …

Coachmotivation: Developing Transformational Leadership By Increasing Effective Communication Skills In The Workplace, Megan L. Schuller

Industrial-Organizational Psychology Dissertations

Communication is an intrinsic part of the human experience and has been widely studied empirically and practically within organizations. It is the bedrock for many workplace behaviors and outcomes such as employee trust, engagement, job satisfaction, and transformational leadership. Nonetheless, effective communication continues to be a challenge for organizations across a variety of sectors. The current study examined whether a communications training, CoachMotivation (CM), increased perceived effective communication. CM is derived from clinical psychology skills for behavior change, namely, the Motivational Interviewing concepts of open-ended questions, affirmations, reflections, and summary statements. This study also considered the Big Five personality traits …

Predicting Competency In Motivational Interviewing Through An Objective Empathy Task, Kylah Moneek Clark

Open Access Theses & Dissertations

In the process of disseminating motivational interviewing (MI) it is important to identify who benefits from initial workshops and which trainees would benefit from an extended training model that involves coaching and performance feedback, which has recently been advocated. Prior research attempting to determine who benefits from training has failed to show associations between baseline self-reported empathy and training outcomes. However, the use of an objective empathy task may address the shortcoming of prior research. The purpose of the present study was to predict competency in motivational interviewing skills following training using an objective empathy task. In addition, we investigated …

Comparing The Language Of Computer-Mediated Versus Face-To-Face Motivational-Type Interviews, Karla Deyanira Llanes

Open Access Theses & Dissertations

The current study seeks to determine if computer-mediated and face-to-face motivational-type interviews elicit the same level of affect words and insight words in young adults who are ambivalent about their marijuana use. One-hundred and fifty young adults from a large urban university were randomly assigned to complete a brief motivational-type interview using a standard face-to-face format or instead a novel computer-mediated format. In the computer-mediated format, the interviewer and participant communicated via computer from separate rooms. A two-month follow-up survey assessed each participant's past two-month marijuana use. Pennebaker's Linguistic Inquiry and Word Count (LIWC) program was used to determine if …

Providers' Attitudes And Knowledge Of Motivational Interviewing With Opioid Dependent Clients, Katrina Agneauelle Gary-Forte'

Walden Dissertations and Doctoral Studies

Clients who suffer from opioid use disorders are at an increased risk of overdose and death. Researchers have indicated the need for studies that focus on ways to increase the use of evidenced-based practices (EBPs) in opioid use disorder treatments. Previous research suggests that motivational interviewing (MI) is an EBP that is effective in promoting behavioral change. The purpose of this study was to contribute to the research on MI by examining which variables predict mental health provider use of MI when treating opioid-dependent clients. The theory of planned behavior was the chosen theoretical framework for this study because it …

Clearing The Muddy Waters: Is Lack Of Motivational Interviewing Quality Accounting For Mixed Findings And Can Measuring Fidelity Help?, Lauren N. Rowell

Psychology ETDs

ABSTRACT

Objective: The SMART ED study was a randomized, controlled trial of 3 brief interventions in ER settings targeting high-risk substance use. Findings in the main study indicated that there was no difference in outcomes for groups receiving minimal, rather than more extensive, behavioral interventions. This secondary analysis investigated the quality of (MI) sessions in the SMART ED study to examine the hypothesis that better quality of MI would be associated with improved client outcomes.

Method: The Motivational Interviewing Treatment Integrity Code (MITI 3.0) was used to evaluate 388 sessions, yielding indicators of MI Quality including Overall Spirit (MI Spirit), …

The Language Content Of Computer-Mediated Versus Face-To-Face Motivational-Type Interviews, Karla Deyanira Llanes

Open Access Theses & Dissertations

Motivational Interviewing (MI) is an extensively used technique to facilitate behavior change by increasing a person's own motivation and commitment toward change. Recently, several innovative and effective ways to conduct motivational interviews have emerged. However, one potential option has not been investigated: the utility of conducting a motivational interview via computer. The current study begins to address this gap in knowledge by comparing the language content of computer-mediated motivational-type interviews and face-to-face motivational-type interviews. The motivational-type interviews were conducted with young adults who reported ambivalence about their level of recreational marijuana use. Specifically, non-marijuana users, occasional marijuana users, and frequent …

The Influence Of Patient-Practitioner Orientation On Practitioners’ Self-Perception Of Adhering To A Motivational Interviewing Style Of Communication In Medical Settings, Brian Ashenfelter

PCOM Psychology Dissertations

As of 2012, approximately 117 million adults have experienced at least one chronic illness (CDC; 2014). Healthy lifestyle choices can reduce the probability of developing particular chronic conditions, such as diabetes, heart disease, and specific forms of cancer (CDC; 2014). Individuals with chronic conditions may continue engaging in unhealthy lifestyle choices, despite having knowledge of the adverse ramifications. This includes nicotine use, dieting, and a sedentary lifestyle with limited physical activity. There are various manners in which primary care practitioners can address lifestyle choices with their patients. Motivational interviewing (MI) is a patientcentered approach, which is used to facilitate readiness …

An Investigation Of In-Session Client Change Language And Stage Of Change, Reyna Patricia Puentes

Open Access Theses & Dissertations

In the practice of Motivational Interviewing, recognizing language is important for understanding where a persona stands in terms of readiness to change when considering a behavior change, such as risky alcohol use. Few studies have examined relationships between language expressed in a BMI and survey measures of stage of readiness to change. The purpose of the present study was to evaluate the types of client language in a single BMI session and associations with stage of change among a sample of emergency room/trauma department patients screened for positive BAC and/or risky alcohol use (n = 196). Using structural equation modeling, …

An Examination Of The Technical And Relational Hypotheses Of Motivational Interviewing In A Sample Of African American Adolescent Girls Seeking Obesity Treatment, Rachel L. Boutte

Theses and Dissertations

Adolescent obesity has increased exponentially over the past three decades in the United States. In response, behavioral interventions have been developed and implemented to address this epidemic; however, treatment adherence is often suboptimal. Motivational interviewing (MI) is a directive, person centered approach to reducing patient ambivalence about change, which has been shown to increase engagement in obesity interventions. The current study investigated the underlying process of MI by exploring two different, but related pathways that explain how change happens (e.g., the technical and relational hypotheses) in the context of a multidisciplinary obesity intervention with African American adolescent girls (N …

Measuring Knowledge And Attitudes Of Clinicians About Motivational Interviewing With Troubled Adolescents, Sophia Joseph Parrilla

Walden Dissertations and Doctoral Studies

Adolescents with acting-out behavior have an increased risk of dropping out of high school, incarceration, and early mortality. Researchers have indicated the need for studies using motivational interviewing (MI) to promote behavioral change. There is a gap in the literature about the efficacy of MI with adolescents and clinicians' knowledge of, and attitude toward, MI. Using self-determination theory as the grounding theory, this study examined the knowledge and attitudes of 73 clinicians on the island of St. Croix, Virgin Islands, about knowledge and attitudes of MI and whether it predicted the use of MI as a therapeutic intervention for adolescents …

Motivational Interviewing In Primary Care And General Health Care Settings: A Meta-Analysis, Michele Kathryn Olson

Theses and Dissertations

The rate of mortality and morbidity due to alcohol consumption warrants a comprehensive and evidence-based investigation exploring the efficacy of behavioral interventions within a general health care setting as a means of alcohol reduction. A particular type of intervention, known as Motivational Interviewing (MI; Miller, 1983) and Motivational Enhancement Therapy (MET; Miller, Sovereign, & Krege, 1988), both of which have seen surge in popularity, merits further inspection. Through electronic database searching, hand searching previous meta-analyses and systematic reviews, and searching the Motivational Network of Trainers bibliographic resource, 33 randomized controlled trials were located isolating the effect of motivational interviewing in …

The Effects Of Motivational Interviewing With The Dual Diagnosis Population, Martina S. Moore

Walden Dissertations and Doctoral Studies

Dual diagnosis clients continue to have low treatment completion rates. The purpose of the current study was to understand if motivational interviewing helped to increase completion rates for clients receiving cognitive behavioral therapy (CBT). Studying the problem was necessary for identifying an evidenced-based model for mental health counselors to help clients with dual diagnoses complete CBT treatment. There were no studies available for understanding the effectiveness of motivational interviewing as a tool for improving treatment completion rates for dual diagnoses clients in intensive outpatient programs. The research question examined if motivational interviewing was effective for improving treatment completion rates for …

The Effectiveness Of Various Reminder Systems On Appointment-Keeping Adherence In A University-Based Primary-Care Setting, Frank M. Mirarchi

PCOM Psychology Dissertations

Treatment nonadherence is a significant problem that can affect not only the healthcare industry, but also more importantly, a patient’s health. Appointment-keeping adherence is expected to supersede all other types of adherence in terms of its importance and sequence. Various interventions have been used to treat nonadherence including appointment-keeping nonadherence within medical practices. Some of these interventions include different types of reminders (phone, letter, cards, etc.) and different types of therapy (motivational interviewing (MI) and cognitive behavioral therapy). Both reminders and MI have been effective in the past in treating appointment-keeping nonadherence. Therefore, will an MI-formatted letter reminder improve appointment-keeping …

Motivational Interviewing As An Augmentation To Increase Effectiveness In Cognitive Processing Therapy For Ptsd: An Initial Trial, Leah Blain

Dissertations

Currently, even well-supported cognitive behavioral therapies to treat posttraumatic stress disorder (PTSD) suffer from consistent rates of dropout and non-response to treatment, which represent barriers to dissemination and effective treatment. Research in anxiety disorders, including an initial group-based study with veterans suffering from PTSD, suggests that Motivational Interviewing (MI) may be an effective intervention for addressing issues of ambivalence and increasing readiness to change (RTC), resulting in decreases in dropout and non-response. The present pilot study sought to assess the efficacy of augmenting Cognitive Processing Therapy (CPT) with 3 sessions of MI in a sample of female interpersonal assault survivors …

Investigation Of Web-Based Motivational Interviewing To Increase Physical Activity Participation Among Adults, Sasha Karnes

Theses and Dissertations

Interventions to enhance physical activity (PA) participation are needed given the high prevalence of under-activity and inactivity (CDC, 2001) and related occurrence of negative health consequences among the general adult population (Kung, Hoyert, Xu, & Murphy, 2008). Preliminary support for a therapeutic technique called Motivational Interviewing (MI) suggests promise for application to enhance PA participation (Burke, Arkowitz, & Menchola, 2003). Given the need for interventions to enhance PA and the preliminary support for MI as an intervention to increase PA, the aims of the current study were to: (a) determine if web-based MI is effective in enhancing PA participation, and …

Motivational Interviewing With Individuals In Recovery: Effects On Hope, Meaning, Empowerment And Service Participation, Scott D. Glassman

PCOM Psychology Dissertations

Service engagement continues to challenge providers working with individuals with serious mental illness and substance abuse disorders. Motivational Interviewing (MI), an intervention aligned with recovery-oriented principles in its emphasis on empathy, empowerment, and self-directed change, directly addresses this problem. Its effects on service engagement, however, have been inconsistent with dually diagnosed populations. To explore underlying processes that may influence engagement, the present mixed methods, single case experiment studied the effects of MI on key recovery constructs: hope, meaning, and empowerment. Participants were 6 consumers enrolled in an intensive outpatient program for co-occurring disorders. Results showed statistically significant increases for half …

Motivational Interviewing And School-Based Mentoring To Improve Middle School Students' Academic Performance, John Terry

Theses and Dissertations

The development of effective and feasible interventions that are deliverable within schools are badly needed in order to address high levels of unmet academic and social/emotional need in children and adolescents. In order to address these needs, two interventions were developed, delivered, and tested in this study. One was an eight-session School-based Mentoring (SBM) program based on evidence-based academic enabling activities. The other was a one-session report card coaching program based on Motivational Interviewing (MI). Previous studies of these SBM and MI interventions found mostly small or statistically non-significant effects on academic performance. The current study tests the hypothesis that …

The Effect Of Legal Status On Responses To Brief Motivational Interviewing With Substance Users, Thomas Moore

Theses and Dissertations

The effectiveness of drug abuse treatment for clients coerced into care remains controversial. Some studies find clients with legal pressure do better than those without legal pressure, while others report the exact opposite. Opposing views are often fueled by the wide-ranging models that guide delivery of addiction treatment. The present study examined how participants with and without legal pressure to attend treatment responded to a motivational (MET) vs. traditional (TAU) form of addiction treatment. Additionally, the predictive value of the Readiness to Change (RTC) score, from the URICA, was assessed across days of substance use and treatment retention. Legal status …

Brief Motivational Interviewing : An Intervention For Alcohol Abusing College Students, Kelly Jane Horner

Legacy Theses & Dissertations (2009 - 2024)

Efforts to curtail alcohol abuse in college with traditional alcohol education programs have been unsuccessful as heavy drinking on college campuses has remained remarkably constant. Brief Motivational Interventions (BMIs) have recently emerged as a viable alternative that facilitates behavior change in students who engage in heavy drinking. The present study recruited college students who violated campus drinking policies and were referred to the University's judicial system. The efficacy of an individualized BMI intervention was compared to that of a group oriented educational intervention and a control condition consisting of a sanction. Possible interaction effects between specific individual characteristics and the …

A Longitudinal Approach To Understanding Individual Differences Affecting The Drinking Behavior Change Process, Mariam Dum

Theses and Dissertations

Most studies examining predictors of treatment outcomes among problem drinkers have used a traditional statistical approach that examines group outcomes (e.g. analysis of variance, multiple regression analysis). Contrary to traditional methods, a person-centered approach identifies commonalities among clusters of individuals and provides the opportunity to examine the relationship between multiple individual differences and outcomes in a longitudinal manner. Specifically, the person-centered approach makes it possible to cluster individuals into subgroups based on their change patterns, and to examine the relationship between those subgroups and other variables of interest (e.g., drinking problem severity). This approach allows the inclusion of a relatively …