Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-24T02:22:48.730Z Has data issue: false hasContentIssue false
  • English
  • Français

Establishing Theoretical Stability and Treatment Integrity for Motivational Interviewing

Published online by Cambridge University Press:  12 April 2017

Cathy Atkinson  and
Kevin Woods
Cathy Atkinson*
Affiliation:
Manchester Institute of Education, University of Manchester
Kevin Woods
Affiliation:
Manchester Institute of Education, University of Manchester
*
*Correspondence to Cathy Atkinson, Manchester Institute of Education, Ellen Wilkinson Building, University of Manchester, Oxford Road, Manchester M13 9PL. E-mail: cathy.atkinson@manchester.ac.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: There is increasing evidence claiming the effectiveness of motivational interviewing (MI) in promoting behavioural change. However, ongoing changes to MI theory and practice have implications for its transferability, accessibility and for the validity of previous findings. Lack of practice consistency may make its effectiveness difficult to evaluate. Aims: This paper explores the complexity of MI and issues in the development of evidence-based practice in delivery, before describing issues related to practitioner application. Method: Theoretical and practice developments over the last 30 years are reviewed under the headings theory, practice and efficacy. Specifically, developments across the three editions of the core MI texts are examined. Results: Findings from the literature suggest a lack of theoretical stability and practice integrity, with recent fundamental changes to the underpinning structure of MI. Issues relating to the transferability and acquisition of MI skills, consistency of delivery and mechanisms underlying change are discussed. Conclusions: The authors call for greater theoretical stability, more transparency over how developments are based on theoretical principles and empirical outcomes, and clearer guidance about how this informs practice development and delivery of MI.

Keywords

Evidence-based practicemotivational interviewingpractitionertheory
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 45 , Issue 4 , July 2017 , pp. 337 - 350
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, N. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271–285.Google Scholar
Anstiss, B., Polaschek, D. L. L. and Wilson, M. (2011). A brief motivational interviewing intervention with prisoners: when you lead a horse to water, can it drink for itself? Psychology, Crime and Law, 17, 689–710. doi: 10.1080/10683160903524325 Google Scholar
Apodaca, T. R. and Longabaugh, R. (2009). Mechanisms of change in motivational interviewing: a review and preliminary evaluation of the evidence. Addiction, 104, 705–715. doi: 10.1111/j.1360-0443.2009.02527.x CrossRefGoogle ScholarPubMed
Atkinson, C. (2014). Motivational Interviewing and the Transtheoretical Model. In McNamara, E. (ed), Motivational Interviewing: Further Applications with Children and Young People. Ainsdale: PBM.Google Scholar
Atkinson, C. and Woods, K. (2003). Motivational Interviewing strategies for disaffected secondary school students: a case example. Educational Psychology in Practice, 19, 49–64. doi: 10.1080/0266736032000061206.Google Scholar
Bandura, A. (2001). Social cognitive theory: an agentic perspective. Annual Review of Psychology, 52, 1–26. doi: 10.1146/annurev.psych.52.1.1 CrossRefGoogle ScholarPubMed
Barnett, E., Sussman, S., Smith, C., Rohrbach, L. A. and Spruijt-Metz, D. (2012). Motivational Interviewing for adolescent substance use: a review of the literature. Addictive Behaviors, 37, 1325–1334. doi: 10.1016/j.addbeh.2012.07.001 Google Scholar
Barwick, M. A., Bennett, L. M., Johnson, S. N., McGowan, J. and Moore, J. E. (2012). Training health and mental health professionals in motivational interviewing: a systematic review. Children and Youth Services Review, 34, 1786–1795. doi: 10.1016/j.childyouth.2012.05.012 Google Scholar
Bickman, L. (1987). The functions of program theory. In Bickman, L. (ed), Using Program Theory in Evaluation (New Directions for Program Evaluation, no. 33), pp. 5–18. San Francisco: Jossey-Bass Google Scholar
Bohman, B., Forsberg, L., Ghaderi, A. and Rasmussen, F. (2013). An evaluation of training in motivational interviewing for nurses in child health services. Behavioural and Cognitive Psychotherapy, 41, 329–43. doi: 10.1017/S1352465812000331 Google Scholar
Bortolon, C. B., Moreira, T. D. C., Signor, L., Guahyba, B. L., Figueiró, L. R., Ferigolo, M., and Barros, H. M. T. (2016). Six-month outcomes of a randomized, motivational tele-intervention for change in the codependent behavior of family members of drug users. Substance Use and Misuse, 6084, 1–11. doi: 10.1080/10826084.2016.1223134 Google Scholar
Britt, E., Hudson, S. M. and Blampied, N. M. (2004). Motivational interviewing in health settings: a review. Patient Education and Counseling, 53, 147–155. doi: 10.1016/S0738-3991(03)00141-1 Google Scholar
Bumbarger, B. K. (2014). Understanding and promoting treatment integrity in prevention. In Sanetti, L. M. Hagermoser and Kratochwill, T. R. (eds), Treatment Integrity: A Foundation for Evidence-Based Practice in Applied Psychology. School Psychology book series. Washington, DC: American Psychological Association.Google Scholar
Burke, B. L., Arkowitz, H. and Menchola, M. (2003). The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, 843–861. doi: 10.1037/0022-006X.71.5.843 Google Scholar
Catley, D., Goggin, K., Harris, K. J., Richter, K. P., Williams, K., Patten, C. et al. (2016). A randomized trial of motivational interviewing: cessation induction among smokers with low desire to quit. American Journal of Preventive Medicine, 50, 573–583. doi: 10.1016/j.amepre.2015.10.013 Google Scholar
Century, J. and Cassata, A. (2014). Conceptual foundations for measuring the implementation of educational interventions. In Hagermoser Sanetti, L. M. and Kratochwill, T.R. (eds), Treatment Integrity: A Foundation for Evidence-Based Practice in Applied Psychology. School Psychology book series. Washington, DC: American Psychological Association.Google Scholar
Christensen, S. L., Carlson, C. and Valdez, C. R. (2002). Evidence-based practice in school psychology: opportunities, challenges and cautions. School Psychology Quarterly, 17, 466–474. doi: 10.1521/scpq.17.4.466.20862 CrossRefGoogle Scholar
DiClemente, C. and Prochaska, J. (1982). Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research and Practice, 19, 276–288. doi: 10.1037/h0088437 Google Scholar
Dray, J. and Wade, T. D. (2012). Is the transtheoretical model and motivational interviewing approach applicable to the treatment of eating disorders? A review. Clinical Psychology Review, 32, 558–565. doi: 10.1016/j.cpr.2012.06.005 Google Scholar
Erol, S. and Erdogan, S. (2008). Application of a stage based motivational interviewing approach to adolescent smoking cessation: the Transtheoretical Model-based study. Patient Education and Counseling, 72, 42–48. doi: 10.1016/j.pec.2008.01.011 Google Scholar
Frederickson, N. (2002). Evidence-based practice and educational psychology, Educational and Child Psychology, 19, 96–111.Google Scholar
Frey, A. J., Lee, J., Small, J. W., Seeley, J. R., Walker, H. M. and Feil, E. G. (2013). Transporting motivational interviewing to school settings to improve the engagement and fidelity of tier 2 interventions. Journal of Applied School Psychology, 29, 183–202. doi: 10.1080/15377903.2013.778774 Google Scholar
Hagermoser Sanetti, L. M. and Kratochwill, T. R. (eds) (2014). Treatment Integrity: A Foundation for Evidence-Based Practice in Applied Psychology. School Psychology book series. Washington, DC: American Psychological Association.Google Scholar
Hall, K., Staiger, P. K., Simpson, A., Best, D. and Lubman, D. I. (2016). After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing? Addiction, 3. doi: 10.1111/add.13014 Google Scholar
Health and Care Professions Council (HCPC) (2012). Standards of Conduct, Performance and Ethics. London: HCPC.Google Scholar
Hettema, J., Steele, J. & Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111. doi: 10.1146/annurev.clinpsy.1.102803.143833 CrossRefGoogle ScholarPubMed
Kamen, D. (2009). Stop our children from hurting themselves? Stages of change, motivational interviewing, and exposure therapy applications for non-suicidal self-injury in children. Journal of Behavioral Consultation and Therapy, 5, 106–123.Google Scholar
King, H. A. and Bosworth, H. (2014). Treatment fidelity in health services research. In Hagermoser Sanetti, L. M. and Kratochwill, T.R. (eds), Treatment Integrity: A Foundation for Evidence-Based Practice in Applied Psychology. School Psychology book series. Washington, DC: American Psychological Association.Google Scholar
Kratochwill, T. R. and Stoiber, L. M. (2002). Evidence-based interventions in school psychology: conceptual foundations of the procedural and coding manual of Division 16 and the Society for the Study of School Psychology Task Force. School Psychology Quarterly, 17, 341–389. doi: 10.1521/scpq.17.4.341.20872 Google Scholar
Lewis-Snyder, G., Kratochwill, T. R. and Stoiber, L. M. (2002). Evidence-based interventions in school psychology: an illustration of task force coding criteria using group-based research. School Psychology Quarterly, 17, 423–465. doi: 10.1521/scpq.17.4.423.20868 Google Scholar
Lundahl, B., Moleni, T., Burke, B. L., Butters, R., Tollefson, D., Butler, C. and Rollnick, S. (2013). Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93, 157–68. doi: 10.1016/j.pec.2013.07.012 Google Scholar
Markland, D., Ryan, R. M., Tobin, V. J. and Rollnick, S. (2005). Motivational Interviewing and Self-Determination Theory. Journal of Social and Clinical Psychology, 24, 811–831. doi: 10.1521/jscp.2005.24.6.811 Google Scholar
McCambridge, J. and Strang, J. (2003). Development of a structured generic drug intervention model for public health purposes: a brief application of motivational interviewing with young people. Drug and Alcohol Review, 22, 391–399. doi: 10.1080/09595230310001613903 Google Scholar
McCambridge, J. and Strang, J. (2004). The efficacy of single-session motivational interviewing in reducing drug consumption and perceptions of drug-related risk and harm among young people: results from a multi-site cluster randomized trial. Addiction, 99, 39–52.Google Scholar
McGivern, J. E. and Walter, M. J. (2014). Legal and ethical issues related to treatment integrity in psychology and education. In Hagermoser Sanetti, L. M. and Kratochwill, T.R. (eds), Treatment Integrity: A Foundation for Evidence-Based Practice in Applied Psychology. School Psychology book series. Washington, DC: American Psychological Association.Google Scholar
McNamara, E. (2009). Motivational Interviewing: Theory, Practice and Applications with Children and Young People. Ainsdale: Positive Behaviour Management.Google Scholar
McNamara, E. (2014). Motivational Interviewing: Further Applications with Children and Young People. Ainsdale: Positive Behaviour Management.Google Scholar
Miller, W. R. (1983). Motivational Interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147–172. doi: 10.1017/S0141347300006583 Google Scholar
Miller, W. R. (1999). Toward a theory of motivational interviewing. Motivational Interviewing Newsletter: Updates, Education and Training, 6, 2–4.Google Scholar
Miller, W. R. and Moyers, T. B. (2006). Eight stages in learning motivational interviewing. Journal of Teaching in the Addictions, 5, 3–17. doi: 10.1300/J188v05n01_02 Google Scholar
Miller, W. R. and Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York: Guilford Press.Google Scholar
Miller, W. R. and Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change, 2nd edition. New York: Guilford Press.Google Scholar
Miller, W. R. and Rollnick, S. (2009). Ten things that motivational interviewing is not. Behavioural and Cognitive Psychotherapy, 37, 129–140. doi: 10.1017/S1352465809005128 Google Scholar
Miller, W. R. and Rollnick, S. (2010). What's new since MI-2? Presentation at the International Conference on Motivational Interviewing (ICMI), Stockholm, 6 June 2010.Google Scholar
Miller, W. R. and Rollnick, S. (2012a). Motivational Interviewing: Helping People Change, 3rd edition. New York: Guilford Press.Google Scholar
Miller, W. R. and Rollnick, S. (2012b). Meeting in the middle: motivational interviewing and self-determination theory. The International Journal of Behavioral Nutrition and Physical Activity, 9, 25. doi: 10.1186/1479-5868-9-25 Google Scholar
Miller, W. R. and Rose, G. S. (2009). Toward a theory of motivational interviewing. The American Psychologist, 64, 527–537. doi: 10.1037/a0016830 Google Scholar
Miller, W. R. and Sanchez, V. C. (1994). Motivational young adults for treatment and lifestyle change. In Howard, G. S. and Nathan, P. E. (eds), Alcohol Misuse by Young Adults. Notre Dame, IN: Notre Dame Press.Google Scholar
Miller, W. R. and Sovereign, R. G. (1989). Check-up: a model for early intervention in addictive behaviours. In , P. E. N. and Loberg, G. A. M. T., Miller, W. R. (eds), Addictive Behaviour: Prevention and Early Intervention. Amsterdam: Swets and Zeitlinger.Google Scholar
Miller, W. R., Zweben, A., DiClemente, C. and Rychtarik, R. G. (1994). Motivational Enhancement Therapy Manual: The Clinical Research Guide for Therapists Treating Individuals with Alcohol Abuse and Dependence. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
Moyers, T. B., Manuel, J. K. and Ernst, D. (2014). Motivational Interviewing Treatment Integrity Coding Manual 4.1 (MITI 4.1) (December). Retrieved from: http://casaa.unm.edu/download/MITI4_1.pdf (accessed 1 March 2017).Google Scholar
Moyers, T. B., Martin, T., Manuel, J. K., Hendrickson, S. M. L. and Miller, W. R. (2005). Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment, 28, 19–26. doi: 10.1016/j.jsat.2004.11.001 Google Scholar
National Association of School Psychologists (NASP) (2010). Principles for professional ethics. Bethesda, MD: NASP.Google Scholar
Pierson, H. M., Hayes, S. C., Gifford, E. V., Roget, N., Padilla, M., Bissett, R. et al. (2007). An examination of the Motivational Interviewing Treatment Integrity code. Journal of Substance Abuse Treatment, 32, 11–17.Google Scholar
Riegel, B., Dickson, V. V., Garcia, L. E., Creber, R. M. and Streur, M. (2016). Mechanisms of change in self-care in adults with heart failure receiving a tailored, motivational interviewing intervention. Patient Education and Counseling, 100, 283–288. doi: 10.1016/j.pec.2016.08.030 Google Scholar
Rollnick, S., Butler, C. C., Kinnersley, P. R., Gregory, J. W. and Nash, B. (2010). Motivational interviewing. Alcohol, 2, 593–603. doi: 10.1136/bmj.c1900 Google Scholar
Rollnick, S., Heather, N. and Bell, A. (1992). Negotiating behaviour change in medical settings: the development of brief motivational interviewing. Journal of Mental Health, 1, 25–37. doi: 10.3109/09638239209034509 Google Scholar
Rollnick, S., Mason, P. and Butler, C. (1999). Health Behavior Change: A Guide for Practitioners. Edinburgh: Churchill Livingstone.Google Scholar
Rollnick, S. and Miller, W. R. (1995). What is Motivational Interviewing? Behavioural and Cognitive Psychotherapy, 23, 325. doi: 10.1017/S135246580001643X Google Scholar
Rollnick, S., Miller, W. R. and Butler, C. C. (2008). Motivational Interviewing in Health Care: Helping Patients Change Behavior. New York: Guilford Press.Google Scholar
Rossi, P. H. and Freeman, H. E. (1993). Evaluation: A Systematic Approach, 5th edition. Thousand Oaks, CA: Sage.Google Scholar
Ryan, R. and Deci, E. (2000). Intrinsic and extrinsic motivations: classic definitions and new directions. Contemporary Educational Psychology, 25, 54–67. doi: 10.1006/ceps.1999.1020 Google Scholar
Salkovskis, P. M. (1995). Demonstrating specific skills in cognitive and behaviour therapy. In Aveline, M. and Shapiro, D. (eds), Research Foundations for Psychotherapy Practice. Chichester: Wiley.Google Scholar
Snape, L. and Atkinson, C. (2016). The evidence for student-focused motivational interviewing in educational settings: a review of the literature. Advances in School Mental Health Promotion, 9, 119–139. doi: 10.1080/1754730X.2016.1157027 Google Scholar
Steele Shernoff, E., Kratochwill, T. R. and Stoiber, L. M. (2002). Evidence-based interventions in school psychology: an illustration of task force coding criteria using single-participant research design. School Psychology Quarterly, 17, 390–422. doi: 10.1521/scpq.17.4.390.20863 Google Scholar
Strait, G. G., Smith, B. H., McQuillin, S., Terry, J., Swan, S. and Malone, P. S. (2012). A randomized trial of motivational interviewing to improve middle school students’ academic performance, Journal of Community Psychology, 40, 1032–1039. doi: 10.1002/jcop Google Scholar
Vansteenkiste, M. and Sheldon, K. M. (2006). There's nothing more practical than a good theory: integrating motivational interviewing and self-determination theory. The British Journal of Clinical Psychology, 45, 63–82. doi: 10.1348/014466505X34192 Google Scholar
West, R. (2005). Time for a change: putting the Transtheoretical (Stages of Change) Model to rest. Addiction, 100, 1036–1039. doi: 10.1111/j.1360-0443.2005.01139.x Google Scholar
Wilson, T. G. and Schlam, T. R. (2004). Thetranstheoretical model and motivational interviewing in the treatment of eating and weight disorders. Clinical Psychology Review, 24, 361–378. doi: 10.1016/j.cpr.2004.03.003 Google Scholar
Zalmanowitz, S. J., Babins-Wagner, R., Rodger, S., Corbett, B. A. and Leschied, A. (2013). The association of readiness to change and motivational interviewing with treatment outcomes in males involved in domestic violence group therapy. Journal of Interpersonal Violence, 28, 956–74. doi: 10.1177/0886260512459381 Google Scholar
Submit a response

Comments

No Comments have been published for this article.