Search results

This study was intended to investigate a small-scale School-based Motivational Interviewing (SBMI) pilot with first-year college students. This approach honors student autonomy, supports self-determination and has the potential to impact educational outcomes in higher education. Motivational Interviewing (MI) is an evidence based conversational skill set, defined as “a collaborative conversational style for strengthening a person's own motivation and commitment to change” (Miller and Rollnick, 2013, p. 12). Student perceptions of satisfaction with the faculty-student mentoring intervention were sought. Relational aspects of MI (partnership, empathy and alliance) were also explored.

A mixed-method approach was used for the SBMI study, focused on college students with recent academic setbacks (N = 19).

The intervention was deployed with high levels of MI technical fidelity and relational quality. Participants reported high satisfaction with the intervention. The relational aspects and participant perceived alliance with their faculty were highly correlated across the intervention, adding to the discussion of the mechanisms of MI that contribute to its effectiveness.

This work is formative, yet at this point is not generalizable given the scope of the study.

Findings are encouraging for further development of this innovative pedagogical approach. Possible future applications of research are provided.

Discussed herein, SBMI has the potential to meet the needs of traditionally underrepresented student groups.

The reported study is the initial portion of a larger intervention development project.

Motivational interviewing (MI) has developed considerably since its inception, which may have led to diverse practice across contexts and differential understanding of core principles. Concept mapping is one potential method for offering insight into practitioner awareness, understanding and application of MI. The paper aims to discuss this issue.

In total, 29 professionals from a range of disciplines, including counselling, education and health, completed concept maps about MI, following brief training at the UK regional MI interest network. In total, 17 completed maps were submitted for analysis using quantitative and qualitative methods.

A total of 186 concepts and 175 propositional links were found within the 17 maps. The most commonly identified concepts were: change, empathy, collaboration, open-ended questions, affirmations, reflections, summaries (OARS), client centred and compassion. The concept maps also suggested differing levels of expertise across network members using concept mapping morphology classification.

The sample was small scale and located in one region of the UK. Maps were submitted anonymously meaning that participant data could not be matched to the maps.

Concept mapping is a potentially useful method for auditing practice and developing skills in MI, as well as exploring participants’ understanding of related concepts and therapeutic mechanisms.

MI has a strong evidence-based across a variety of disciplines and contexts. Refining practitioner skills in MI has implications for the integrity of delivery, and improved client outcomes in areas such as substance use, health promotion and educational disaffection.

This is the first study to investigate concept mapping as a means of understanding MI practice. It has potential implications for training, monitoring, supervision and development in MI practice.

Practitioners working within alcohol and other drug services are often delighted when they ‘discover’ motivational interviewing (MI). Some regard it as confirmation of a style they believe they are using already, while others see it as representing a radically different approach. Whatever the response, no one can argue that MI is one of the most influential developments to hit social care in decades. Rosemary Kent explains why it has had such an impact and describes how it can be applied to almost all areas of support.

Research shows peer health education programs on university campuses can support students in pursuing sustainable health-related behavior changes. However, few programs deliver peer health education through a nondiet, weight-inclusive framework. Research shows that health educators who challenge the status quo of diet culture and weight-focused health interventions may face unique challenges when sharing this perspective with others. Thus, the purpose of this study was to examine the experiences of peer educators who provided critical health education by introducing a nondiet, weight-inclusive approach to health.

Five health coaches from a university health coaching program at a mid-sized southwestern university participated in a semi-structured interview. The data were analyzed through interpretative phenomenological analysis.

Peer educators faced numerous challenges when introducing nondiet, weight-inclusive approaches such as lacking credibility as a peer to challenge weight-centric messages, feeling conflicted about honoring clients’ autonomy when clients are resistant to a weight-inclusive approach and feeling uncomfortable when discussing client vulnerabilities. Peer educators also identified several strategies that helped them navigate these challenges such as being intentional with social media, using motivational interviewing to unpack clients’ concerns about weight, and seeking group supervision.

Given the reality that health coaches will face challenges sharing weight-inclusive health approaches, educators and supervisors should explicitly incorporate strategies and training methods to help peer health coaches prepare for and cope with such challenges. More research is also needed to examine effective ways to introduce weight-inclusive approaches to college students.

The purpose of this paper is to provide a description of a small, early-stage feasibility project that used a motivational interviewing (MI) informed intervention on a psychiatric intensive care unit (PICU).

The paper describes a MI informed intervention implemented on a PICU for service users who use cannabis. The intervention was evaluated using a feedback questionnaire post intervention. Due to the small number of service users (n=5) in the first cohort there is limited narrative and quantitative data available.

The project raised awareness for staff of the potential usefulness of applying MI informed interventions in a PICU setting. All participants stated the intervention should continue to be offered after the project. The intervention needs to be further developed with the possibility of it being used on an acute open ward environment with a larger cohort and consider the use of a randomised-controlled trial approach to validate the results.

The small cohort (n=5) used for this feasibility project and the evaluation limited the opportunity to make general conclusions and recommendations. However, the learning gained can be applied to future applications.

Practitioners can consistently apply the MI informed intervention using templates as a guide when providing drug urine screening results.

The intervention is a novel approach. The authors found no literature on incorporating MI principles and skills with providing drug urine screening results on a PICU; the paper helps to address this dearth of clinical examples.

This paper aims to report on the first comprehensive, social marketing systematic review of interventions targeting illicit drug use by young adults.

A total of 3,169 papers were screened, with 20 relevant empirical studies meeting the eligibility criteria for the systematic review. These were analysed according to Andreasen’s (2002) and NSMC’s (2006) social marketing benchmarks.

The findings provide evidence regarding the efficacy of behavioural and clinical interventions targeting individuals and groups, including motivational, life skills training, cognitive behavioural therapy, comprehensive health and social risk assessments and buprenorphine treatment interventions. Further, results evidence that there is yet to be an intervention which has implemented the full marketing mix, and limited studies have used the social marketing benchmarks of exchange and competition.

To the best of the authors’ knowledge, this study is the first to conduct a comprehensive systematic review and provide key recommendations outlining the potential for social marketing to support the improved uptake and efficacy of interventions. A research agenda is also put forward to direct future social marketing scholarship in the area of young adult drug interventions.

Inside sources are people who interact with target consumers on a frequent or intense basis. They can have powerful insights about why consumers behave as they do. This paper aims to focus on how to identify, interview and leverage inside sources to uncover new insights about target consumers and how to better engage with them.

This paper provides field-tested techniques on how to elicit the most useful insights from inside sources. The paper demonstrates how the generated insights can be used for everything from more precise targeting and message development to modifying products and services to increase loyalty, usage frequency or switching behavior.

Generating novel insights about a unique target market involves four steps: identify, locate, interview inside sources and then apply the insights.

There can be limitations to interviewing inside sources, such as interviewer bias, respondent bias and the Hawthorne effect. Some individuals react differently to different events, and some insights are not generalizable.

Costly wide-scale surveys, laddering interviews or focus groups are not always needed to uncover insights about target consumers. Within 24 hours, inside sources can produce the insights needed to better market products, develop research questions or design interventions.

Generating novel insights about a unique target market can be done quickly and inexpensively. It involves leveraging inside sources – those people who interact frequently or intensively with target consumers.

This article presents the Impulsive Lifestyle Counselling program, a time-limited psychoeducational approach to increasing patient awareness of antisocial personality disorder and its consequences.

This article describes the ILC program, a program developed as an add-on to treatment for substance use disorders, gives examples of issues and patient-counsellor interactions in the ILC sessions.

During the ILC sessions the patients engaged with the counsellors in diverse ways, reflecting the varying levels of psychopathology and overall functioning and barriers and incentive for lifestyle changes.

Patients with substance use disorder and comorbid antisocial personality disorder can receive better care with brief counselling that focuses on antisocial behavior and thinking. More diverse evidence-based treatments are needed for this disorder.

Effectively engaging parents under stress is a key component of skilful child welfare practice. This paper aims to investigate how social workers practice with parents with either high or normal levels of stress.

The study used a mixed methods design including observations and audio recordings of meetings between families and social workers, interviews with parents/carers and questionnaires with social workers. Validated instruments, including the general health questionnaire (GHQ) for stress levels and the working alliance inventory (WAI), were used to explore how levels of stress influence practice.

Data from 366 families found twice as many parents had clinically elevated GHQ scores compared to the general population (40% to about 20%). Stressed parents reported significantly less good working relationships with social workers [WAI, for the less stressed parents/carers, M = 65.3 vs highly stressed M = 60.6, t(324) = 2.407, p = 0.017, d = 0.28]. When quality of practice was directly measured, workers showed higher level of relationship skills with the less stressed group [t(291) = 1.71, p = 0.44, d = 0.205].

This study explored the interaction between practitioner skills and family factors influencing engagement, such as stress and anxiety. Engagement with stressed families may be particularly challenging, making it all the more important to understand how social workers engage such families to provide effective help and support. A better understanding of the parent-worker relationship under stress can lead to the development of training and practice strategies aimed at overcoming barriers in family engagement. This study also highlights the need for practice to re-focus on the relational elements and the emotional well-being of families.