J Consult Clin Psych, 71(5), Hettema & Hendricks. ![]() ![]() 3Ĥ The Evidence for MI Review of 30 studies with 5541 participants, most with 3-12 month follow-up data Total amount of MI provided: 30 min to 4 hrs Moderate changes in alcohol use, drug use, diet & exercise, treatment adherence (similar to longer-term counseling methods) Smaller but still significant changes for smoking (about half as strong), based on 16 studies Smaller effects for safer sex (2 studies), eating disorders (1 study) Burke, et al. 3 Active Ingredients of Change 30% Helping Relationship 40% Self-Change Efforts 15% 15% Expectancy/ Placebo Effect Techniques Asay & Lambert, 1999 Motivational Interviewing Developed for substance abuse Intended to motivate resistant clients Based on social psychology principles Social influence/persuasion People resist your efforts to change them Person-centered counseling techniques A method for exploring and resolving ambivalence NOT: teaching, changing, controlling MI is like dancing Miller & Rollnick.
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