Browsing by Subject "motivational interviewing"

Now showing 1 - 3 of 3
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    Motivating compliance: Juvenile probation officer strategies and skills
    (Taylor & Francis, 2017) Schwartz, Katherine; Alexander, Andrew O.; Lau, Katherine S. L.; Holloway, Evan D.; Aalsma, Matthew C.; Department of Pediatrics, School of Medicine
    Juvenile probation officers aim to improve youth compliance with probation conditions, but questions remain about how officers motivate youth. The study’s purpose was to determine which officer-reported probation strategies (client-centered vs. confrontational) were associated with their use of evidence-based motivational interviewing skills. Officers (N = 221) from 18 Indiana counties demonstrated motivational interviewing skills by responding to scenarios depicting issues common to youth probationers. Results of a hierarchical multiple regression analysis indicated that, while officer endorsement of client-centered strategies was not associated with differential use of motivational interviewing skills, officers endorsing confrontational strategies were less likely to demonstrate motivational interviewing skills.
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    Obesity Moderates the Effects of Motivational Interviewing Treatment Outcomes in Fibromyalgia
    (Wolters Kluwer, 2017-03) Kaleth, Anthony S.; Slaven, James E.; Ang, Dennis C.; Kinesiology, School of Physical Education and Tourism Management
    Objective: Obesity is a common comorbid condition among patients with fibromyalgia (FM). Our objective was to assess if obesity moderates the treatment benefits of exercise-based motivational interviewing (MI) for FM. Methods: This is a secondary data analysis of a completed clinical trial of 198 FM patients who were randomized to receive either MI or attention control (AC). Using body mass index (BMI) to divide participants into obese (BMI >=30 kg/m2) and non-obese (BMI <30 kg m2) groups, mixed linear models were used to determine interaction between treatment arms and obesity status with regards to the primary outcome of global FM symptom severity (Fibromyalgia Impact Questionnaire, FIQ). Secondary measures included pain intensity (Brief Pain Inventory, BPI), 6-minute walk test, and self-reported physical activity (Community Health Activities Model Program for Seniors). Results: Of the 198 participants, 91 (46%) were non-obese and 107 (54%) were obese. On global FM symptom severity (FIQ), the interaction between treatment arms and obesity status was significant (P=0.02). In the non-obese group, MI was associated with a greater improvement in FIQ than AC. In the obese group, MI participants reported less improvement in FIQ compared to AC. The interaction analysis was also significant for BPI pain intensity (P=0.01), but not for the walk test and self-reported physical activity. Discussion: This is the first study to show that obesity negatively affects the treatment efficacy of MI in patients with FM. Our findings suggest that exercise-based MI may be more effective if initiated after weight loss is achieved.
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    Using Motivational Interviewing to Improve Communications with Patients, Colleagues, and Others
    (2020-03-06) Richey, Kristin; Lewellen, Courtney
    Historically, "Motivational Interviewing (MI) has been proven to increase the motivation of individuals who need to change substance abuse and other health behaviors" (Moyers). However, MI has expanded into a variety of fields, including mental health, health care, higher education, and the judicial system. The techniques utilized in MI can assist with communication with people of all levels. This session describes Motivational Interviewing, a best practice implemented by the Lead Advisors and Learning Strategist at the Indiana University School of Medicine (IUSM). As a school comprised of professional students, some of whom are considered nontraditional students, we have found Motivational Interviewing to be a best practice to empower students to be in control of their experience. The office has adopted Motivational Interviewing as a means for assisting students with contemplating the pros and cons of potential actions and behaviors. As Student Affairs professionals tasked to help promote academic and personal wellness in our conversations with students, we found Motivational Interviewing allows students to make proactive choices to "own" their experience. It also models positive self-care and self-monitoring behaviors critical to their training as physicians. Additionally, we practice MI with each other when contemplating decisions and have found that positive inquiry improves collaboration, creativity and communication and decreases conflict.