Client commitment language during motivational interviewing predicts drug use outcomes

Paul Amrhein, William R. Miller, Carolina E. Yahne, Michael Palmer, Laura Fulcher

Research output: Contribution to journalReview articleResearchpeer-review

437 Citations (Scopus)

Abstract

Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (strugglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to strugglers. CS for client evaluation of a change plan predicted outcome PDA. CS was predicted by strength of desire, ability, need, and reasons, but more strongly predicted outcome PDA, suggesting CS is a pathway for their influence on behavior.

Original languageEnglish
Pages (from-to)862-878
Number of pages17
JournalJournal of Consulting and Clinical Psychology
Volume71
Issue number5
DOIs
StatePublished - 1 Oct 2003

Fingerprint

Motivational Interviewing
Aptitude
Language
Interviews
Pharmaceutical Preparations
Videotape Recording
Drug Users
Checklist
Self Report
Habits
Cluster Analysis

Cite this

Amrhein, Paul ; Miller, William R. ; Yahne, Carolina E. ; Palmer, Michael ; Fulcher, Laura. / Client commitment language during motivational interviewing predicts drug use outcomes. In: Journal of Consulting and Clinical Psychology. 2003 ; Vol. 71, No. 5. pp. 862-878.
@article{d06b8cfe16c74705b2155d2b88938679,
title = "Client commitment language during motivational interviewing predicts drug use outcomes",
abstract = "Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (strugglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to strugglers. CS for client evaluation of a change plan predicted outcome PDA. CS was predicted by strength of desire, ability, need, and reasons, but more strongly predicted outcome PDA, suggesting CS is a pathway for their influence on behavior.",
author = "Paul Amrhein and Miller, {William R.} and Yahne, {Carolina E.} and Michael Palmer and Laura Fulcher",
year = "2003",
month = "10",
day = "1",
doi = "10.1037/0022-006X.71.5.862",
language = "English",
volume = "71",
pages = "862--878",
journal = "Journal of Consulting and Clinical Psychology",
issn = "0022-006X",
publisher = "American Psychological Association Inc.",
number = "5",

}

Client commitment language during motivational interviewing predicts drug use outcomes. / Amrhein, Paul; Miller, William R.; Yahne, Carolina E.; Palmer, Michael; Fulcher, Laura.

In: Journal of Consulting and Clinical Psychology, Vol. 71, No. 5, 01.10.2003, p. 862-878.

Research output: Contribution to journalReview articleResearchpeer-review

TY - JOUR

T1 - Client commitment language during motivational interviewing predicts drug use outcomes

AU - Amrhein, Paul

AU - Miller, William R.

AU - Yahne, Carolina E.

AU - Palmer, Michael

AU - Fulcher, Laura

PY - 2003/10/1

Y1 - 2003/10/1

N2 - Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (strugglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to strugglers. CS for client evaluation of a change plan predicted outcome PDA. CS was predicted by strength of desire, ability, need, and reasons, but more strongly predicted outcome PDA, suggesting CS is a pathway for their influence on behavior.

AB - Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (strugglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to strugglers. CS for client evaluation of a change plan predicted outcome PDA. CS was predicted by strength of desire, ability, need, and reasons, but more strongly predicted outcome PDA, suggesting CS is a pathway for their influence on behavior.

UR - http://www.scopus.com/inward/record.url?scp=0141632997&partnerID=8YFLogxK

U2 - 10.1037/0022-006X.71.5.862

DO - 10.1037/0022-006X.71.5.862

M3 - Review article

VL - 71

SP - 862

EP - 878

JO - Journal of Consulting and Clinical Psychology

JF - Journal of Consulting and Clinical Psychology

SN - 0022-006X

IS - 5

ER -