University of Texas School of Public Health, Dallas, TX 75390-9128, USA.
Psychol Addict Behav. 2010 Jun;24(2):190-7. doi: 10.1037/a0018749.
Previous research has suggested that motivational interviewing (MI) may affect client language, which in turn predicts client drinking outcome. In this study, we examined the relationship between counselor language and client language, personalized feedback and client language, and client language and client drinking outcome, in a sample of heavy-drinking college students. MI was delivered in a single session with or without a personalized feedback report (MI with feedback [MIF]; MI only). Sessions were coded using the Motivational Interviewing Skill Code 2.1. A composite drinking outcome score was used, consisting of drinks per week, peak blood alcohol concentration, and protective drinking strategies. We found three main results. First, in the MIF group, MI consistent counselor language was positively associated with client change talk. Second, after receiving feedback, MIF clients showed lower levels of sustain talk, relative to MI only clients. Finally, in the MIF group, clients with greater change talk showed improved drinking outcomes at 3 months, while clients with greater sustain talk showed poorer drinking outcomes. These results highlight the relationship between counselor MI skill and client change talk, and suggest an important role for feedback in the change process.
先前的研究表明，动机性访谈（MI）可能会影响客户的语言，进而预测客户的饮酒结果。在这项研究中，我们在一组重度饮酒的大学生中，研究了咨询师语言与客户语言、个性化反馈与客户语言、以及客户语言与客户饮酒结果之间的关系。MI 在一次或不提供个性化反馈报告的情况下（带反馈的 MI [MIF]；仅 MI）进行。会话使用动机性访谈技能编码 2.1 进行编码。使用包含每周饮酒量、血液酒精峰值和保护饮酒策略的综合饮酒结果评分。我们发现了三个主要结果。首先，在 MIF 组中，与 MI 一致的咨询师语言与客户的改变谈话呈正相关。其次，在收到反馈后，与仅接受 MI 的客户相比，MIF 客户的维持谈话水平较低。最后，在 MIF 组中，改变谈话较多的客户在 3 个月时饮酒结果得到改善，而维持谈话较多的客户饮酒结果较差。这些结果突出了咨询师 MI 技能与客户改变谈话之间的关系，并表明反馈在改变过程中起着重要作用。
