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1 – 10 of over 10000Benjamin Buck Blankenship and Jon Lee
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…
Abstract
Purpose
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.
Design/methodology/approach
A mixed-method approach was used for the SBMI study, focused on college students with recent academic setbacks (N = 19).
Findings
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.
Research limitations/implications
This work is formative, yet at this point is not generalizable given the scope of the study.
Practical implications
Findings are encouraging for further development of this innovative pedagogical approach. Possible future applications of research are provided.
Social implications
Discussed herein, SBMI has the potential to meet the needs of traditionally underrepresented student groups.
Originality/value
The reported study is the initial portion of a larger intervention development project.
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Cathy Atkinson, George Thomas and Sarah Parry
Motivational interviewing (MI) has developed considerably since its inception, which may have led to diverse practice across contexts and differential understanding of core…
Abstract
Purpose
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.
Design/methodology/approach
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.
Findings
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.
Research limitations/implications
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.
Practical implications
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.
Social implications
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.
Originality/value
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.
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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…
Abstract
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.
Anita J. Green and Alexandra J. Joy
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…
Abstract
Purpose
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).
Design/methodology/approach
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.
Findings
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.
Research limitations/implications
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.
Practical implications
Practitioners can consistently apply the MI informed intervention using templates as a guide when providing drug urine screening results.
Originality/value
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.
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Aimee Riedel, Rory Mulcahy, Amanda Beatson and Byron Keating
This paper aims to report on the first comprehensive, social marketing systematic review of interventions targeting illicit drug use by young adults.
Abstract
Purpose
This paper aims to report on the first comprehensive, social marketing systematic review of interventions targeting illicit drug use by young adults.
Design/methodology/approach
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.
Findings
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.
Originality/value
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.
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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…
Abstract
Purpose
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.
Design/methodology/approach
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.
Findings
Generating novel insights about a unique target market involves four steps: identify, locate, interview inside sources and then apply the insights.
Research limitations/implications
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.
Practical implications
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.
Originality/value
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.
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Morten Hesse and Birgitte Thylstrup
This article presents the Impulsive Lifestyle Counselling program, a time-limited psychoeducational approach to increasing patient awareness of antisocial personality disorder and…
Abstract
Purpose
This article presents the Impulsive Lifestyle Counselling program, a time-limited psychoeducational approach to increasing patient awareness of antisocial personality disorder and its consequences.
Design/methodology/approach
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.
Findings
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.
Originality/value
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.
The Philippines’ nationwide campaign on drugs has been under the limelight due to its controversial approaches in dealing with the problem of addiction. Despite the government’s…
Abstract
Purpose
The Philippines’ nationwide campaign on drugs has been under the limelight due to its controversial approaches in dealing with the problem of addiction. Despite the government’s current efforts, substance use disorders continue to persist within the population. The purpose of this paper is to provide recommendations for addressing the issue of substance use disorder treatment through a modification of the therapeutic community (TC) in the Philippine context.
Design/methodology/approach
This conceptual paper reviews the existing facts about the Philippines’ campaign against drugs, the approaches implemented by the government, current state and research developments of TCs, and its resulting impact on contemporary evidence-based treatment for addiction in the country.
Findings
A treatment framework outlining a recovery-oriented therapeutic community (ROTC) is presented. The ROTC aims to address addiction as a chronic, relapsing disease. This alternative approach for addiction treatment in the Philippines is based on the concept of recovery, principles of effective substance use disorder treatment, and recent developments in TC best practices from the international community.
Originality/value
This paper discusses different recommendations for policy development, interventions and research, aimed at improving the odds of securing recovery for people suffering from addiction.
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Xiaoyun Zhou, Matthew Bambling and Sisira Edirippulige
Eating disorders (EDs) is a major health condition affecting 9% of the global population and 10% of those with EDs lost their lives as a result. Text-based telehealth…
Abstract
Purpose
Eating disorders (EDs) is a major health condition affecting 9% of the global population and 10% of those with EDs lost their lives as a result. Text-based telehealth interventions (TTIs) seem to provide a low-cost and convenient treatment option; however, the evidence is scarce. This study aimed to synthesize evidence relating to the use of TTIs for the management of EDs.
Design/methodology/approach
Five databases were searched published between January 2020 and May 2019. The authors used keywords relating to telehealth and EDs. The authors used Joanna Briggs Institute's (JBI's) critical appraisal instrument to assess the methodology quality of included studies.
Findings
Fifteen studies were included in this mix-method systematic review and assessed for methodology quality. Email, web-based texting, text-messaging and online chat room were used as mode for deliver healthcare for patients with EDs. In the treatment phase, all studies (nine studies; n = 860 participants) showed effectiveness (for RCTs) and usefulness (for non-RCT studies). In the aftercare phase (six studies; n = 364 participants), the results regarding the effectiveness of TTIs were mixed. Two studies showed effectiveness whilst four studies did not find statistically significant change of ED outcomes.
Research limitations/implications
The qualities of these studies varied; firstly, 66% (n = 10) of the studies were non-randomized studies (e.g. single-arm trial, case report) with small samples. Moreover, one-fourth (n = 4) of the studies did not use validated instruments or indicate the instrument. Also, half (n = 7) of the studies used TTIs as adjunct to face-to-face treatment or bigger online treatment, it is hard to make conclusion that the changes were due to TTIs' effect. In addition, follow-up rate is not satisfactory, thus results should be interpreted cautiously.
Practical implications
TTIs seem to be promising for management of EDs, particularly in the treatment phase. This provides an important treatment option for health practitioners and people with EDs as an alternative or in adjunct with face-to-face services.
Originality/value
This is the first review to synthesis the use of TTIs for ED management.
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