Behavioural and Cognitive Psychotherapy

Table of Contents - 2006 - Volume 34, Issue 01  

Behavioural and Cognitive Psychotherapy (2006), 34:1:43-56 Cambridge University Press
Copyright © 2006 British Association for Behavioural and Cognitive Psychotherapies
doi:10.1017/S1352465805002432

Adherence to Principles of Motivational Interviewing and Client Within-Session Behavior

Delwyn Catley a1c1, Kari Jo Harris a2, Matthew S. Mayo a3, Sandra Hall a3, Kolawole S. Okuyemi a3, Thuy Boardman a3 and Jasjit S. Ahluwalia a3
a1 University of Missouri – Kansas City, Kansas City, USA
a2 The University of Montana, Missoula, USA
a3 University of Kansas School of Medicine, Kansas City, USA

Article author query
catley d   [PubMed][Google Scholar] 
harris kj   [PubMed][Google Scholar] 
mayo ms   [PubMed][Google Scholar] 
hall s   [PubMed][Google Scholar] 
okuyemi ks   [PubMed][Google Scholar] 
boardman t   [PubMed][Google Scholar] 
ahluwalia js   [PubMed][Google Scholar] 

Abstract

The purpose of this study was to examine whether counselor adherence to Motivational Interviewing (MI) principles was associated with more productive within-session client behavior in a smoking cessation trial for African American smokers. For these analyses 89 baseline counseling sessions of the trial were audiotaped and coded using the Motivational Interviewing Skill Code (MISC). Counselor adherence indicators included a global subjective rating of MI adherence and the frequency of MI-consistent and MI-inconsistent counselor behaviors described in the MISC. Indicators of productive client behaviors included global subjective ratings of within-session client functioning and counselor-client interaction, as well as the frequency of statements by the client favorable toward changing behavior (“change talk”) and resistant regarding changing behavior (“resist-change talk”). Results provided support for the principles of MI. Counselor adherence indexed by both the global subjective rating and MI-consistent behavior frequency was significantly positively associated with global ratings of within-session client functioning and counselor-client interaction, as well as more change talk.


Key Words: Motivational Interviewing; smoking; counseling; African American.

Correspondence:
c1 Reprint requests to Delwyn Catley, Department of Psychology, University of Missouri – Kansas City, 5100 Rockhill Road, Kansas City, MO 64110-2499, USA. E-mail: catleyd@umkc.edu

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