Canterbury District Health Board, and University of Canterbury, New Zealand.
Behav Cogn Psychother. 2010 Jul;38(4):399-415. doi: 10.1017/S1352465810000263. Epub 2010 Jun 3.
The exact link between the process engaged in during Motivational Interviewing based interventions, such as Motivational Enhancement Therapy (MET), and outcome is yet to be fully understood.
This preliminary study examined Client Language during MET and outcome.
A modified Motivational Interviewing Skills Code Version 2.0 was used to code 106 audiotaped MET sessions from 28 participants who received 3-4 sessions of MET within the context of a randomized controlled trial for mild-moderate alcohol dependence. Client Language was analyzed within sessions (categorized into Early, Mid, or End Intervals) and across sessions, and in relation to six month drinking outcome (drinking within/over national drinking guidelines, i.e. Remitted/Unremitted Drinkers).
Unremitted Drinkers uttered a significantly higher frequency of Sustain Talk, lower Ability Language strength (over all MET and during End Intervals), and lower Commitment Language strength (during Session 2 and 4, and change over MET).
Notwithstanding limitations, this exploratory study was unique in examining the strength of Client Language within and across sessions. It produced potentially valuable findings that warrant further investigation including supporting the clinical benefit of monitoring Client Language to predict outcome.
动机访谈干预措施（如动机增强疗法 [MET]）所涉及的过程与结果之间的确切联系尚未完全理解。
本初步研究检查了 MET 过程中的客户语言与结果之间的关系。
使用经过修改的动机访谈技能编码 2.0 对 28 名参与者的 106 次录音 MET 会话进行了编码，这些参与者在一项针对轻度至中度酒精依赖的随机对照试验中接受了 3-4 次 MET。客户语言在会话内（分为早期、中期或后期间隔）和跨会话进行了分析，并与六个月的饮酒结果（是否按照国家饮酒指南饮酒，即缓解/未缓解饮酒者）相关。
未缓解的饮酒者说出了更高频率的维持性谈话，能力语言的强度较低（所有 MET 和后期间隔），承诺性语言的强度较低（在第 2 次和第 4 次会话中，以及在整个 MET 过程中的变化）。
尽管存在局限性，但这项探索性研究独特之处在于检查了会话内和会话间的客户语言的强度。它产生了有潜在价值的发现，值得进一步研究，包括支持监测客户语言以预测结果的临床益处。
