Skip to main content
Top
Published in: Journal of Contemporary Psychotherapy 1/2022

01-03-2022 | Original Paper

Comparative Evaluation of Motivational Interviewing Components in Alcohol Treatment

Authors: Antonia Csillik, Thierry Meyer, Evgeny Osin

Published in: Journal of Contemporary Psychotherapy | Issue 1/2022

Login to get access

Abstract

Previous research has firmly established the efficacy of Motivational Interviewing (MI) in helping individuals to overcome their alcohol addiction. However, there is a large diversity in the sizes of these effects and it is not clear how the different MI strategies and techniques contribute to treatment outcomes. We compared the efficacy of three MI intervention plans using a randomized matched pre-test/post-test design spanning a 10-week period. The participants were 45 French individuals (29 male and 16 female) seeking treatment for alcohol dependence who received 5 sessions of MI. Participants from all groups reported moderate to strong changes (d > 0.80) in alcohol consumption, temptation to drink, abstinence self-efficacy, internal motivation to change behavior, and well-being (anxiety, depression, satisfaction with life, and self-esteem). ANCOVA analyses showed that the changes in alcohol consumption, temptation to drink, and abstinence self-efficacy were weakest in the group that only used the internal motivation strategies and strongest in the group using a combination of the internal motivation strategies, decisional balance, and self-efficacy strategies. The findings support the efficacy of a combination of three MI strategies. Future research comparing the effects of different MI intervention plans could help to ensure consistently effective alcohol addiction treatment.
Literature
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revision. American Psychiatric Association.CrossRef American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revision. American Psychiatric Association.CrossRef
go back to reference Apodaca, T. R., & Longabaugh, R. (2009). Mechanisms of change in motivational interviewing: A review and preliminary evaluation of the evidence. Addiction, 104, 705–715.CrossRef Apodaca, T. R., & Longabaugh, R. (2009). Mechanisms of change in motivational interviewing: A review and preliminary evaluation of the evidence. Addiction, 104, 705–715.CrossRef
go back to reference Bandura, A. (1997). The anatomy of stages of change. American Journal of Health Promotion: AJHP, 12(1), 8–10.CrossRef Bandura, A. (1997). The anatomy of stages of change. American Journal of Health Promotion: AJHP, 12(1), 8–10.CrossRef
go back to reference Blais, M. R., Vallerand, R. J., Pelletier, L. G., & Brière, N. M. (1989). L’Échelle de satisfaction de vie : Validation canadienne-française du “Satisfaction with Life Scale.” Revue Canadienne Des Sciences Du Comportement, 21, 210–223.CrossRef Blais, M. R., Vallerand, R. J., Pelletier, L. G., & Brière, N. M. (1989). L’Échelle de satisfaction de vie : Validation canadienne-française du “Satisfaction with Life Scale.” Revue Canadienne Des Sciences Du Comportement, 21, 210–223.CrossRef
go back to reference Bouvard, M., & Cottraux, J. (1996). Protocoles et Échelles d’Évaluation en Psychiatrie et en Psychologie. Collection Médecine et Psychothérapie, Masson. Paris, France, pp.208–209, 222–223. Bouvard, M., & Cottraux, J. (1996). Protocoles et Échelles d’Évaluation en Psychiatrie et en Psychologie. Collection Médecine et Psychothérapie, Masson. Paris, France, pp.208–209, 222–223.
go back to reference Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine, 158(16), 1789–1795.CrossRef Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine, 158(16), 1789–1795.CrossRef
go back to reference Collins, S. E., & Carey, K. B. (2005). Lack of effect for decisional balance as a brief motivational intervention for at-risk college drinkers. Addictive Behaviors, 30(7), 1425–1430.CrossRef Collins, S. E., & Carey, K. B. (2005). Lack of effect for decisional balance as a brief motivational intervention for at-risk college drinkers. Addictive Behaviors, 30(7), 1425–1430.CrossRef
go back to reference Csillik, A. (2015). Positive motivational interviewing: Activating clients’ strengths and Intrinsic motivation to change. Journal of Contemporary Psychotherapy, 45(2), 119–128.CrossRef Csillik, A. (2015). Positive motivational interviewing: Activating clients’ strengths and Intrinsic motivation to change. Journal of Contemporary Psychotherapy, 45(2), 119–128.CrossRef
go back to reference DiClemente, C. C. (1986). Self-efficacy and the addictive behaviors. Journal of Social and Clinical Psychology, 4, 302–315.CrossRef DiClemente, C. C. (1986). Self-efficacy and the addictive behaviors. Journal of Social and Clinical Psychology, 4, 302–315.CrossRef
go back to reference DiClemente, C. C., Carbonari, J. P., Montgomery, R. P., & Hughes, S. O. (1994). The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol, 55(2), 141–148.CrossRef DiClemente, C. C., Carbonari, J. P., Montgomery, R. P., & Hughes, S. O. (1994). The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol, 55(2), 141–148.CrossRef
go back to reference Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.CrossRef Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.CrossRef
go back to reference Dimitrov, D. M., & Rumrill, P. D., Jr. (2003). Pretest-posttest designs and measurement of change. Work, 20(2), 159–165.PubMed Dimitrov, D. M., & Rumrill, P. D., Jr. (2003). Pretest-posttest designs and measurement of change. Work, 20(2), 159–165.PubMed
go back to reference Gache, P., Michaud, P., Landry, U., Accietto, C., Arfaoui, S., Wenger, O., & Daeppen, J.-B. (2005). The alcohol use disorders identification test (AUDIT) as a screening tool for excessive drinking in primary care: Reliability and validity of a French version. Alcoholism: Clinical and Experimental Research, 29(11), 2001–2007.CrossRef Gache, P., Michaud, P., Landry, U., Accietto, C., Arfaoui, S., Wenger, O., & Daeppen, J.-B. (2005). The alcohol use disorders identification test (AUDIT) as a screening tool for excessive drinking in primary care: Reliability and validity of a French version. Alcoholism: Clinical and Experimental Research, 29(11), 2001–2007.CrossRef
go back to reference Hettema, J., Steele, J., & Miller, M. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111.CrossRef Hettema, J., Steele, J., & Miller, M. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111.CrossRef
go back to reference Ilgen, M., McKellar, J., & Tiet, Q. (2005). Abstinence self-efficacy and abstinence 1 year after substance use disorder treatment. Journal of Consulting and Clinical Psychology, 73(6), 1175–1180.CrossRef Ilgen, M., McKellar, J., & Tiet, Q. (2005). Abstinence self-efficacy and abstinence 1 year after substance use disorder treatment. Journal of Consulting and Clinical Psychology, 73(6), 1175–1180.CrossRef
go back to reference Krigel, S. W., Grobe, J. E., Goggin, K., Harris, K. J., Moreno, J. L., & Catley, D. (2017). Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit. Addictive Behaviors, 64, 171–178.CrossRef Krigel, S. W., Grobe, J. E., Goggin, K., Harris, K. J., Moreno, J. L., & Catley, D. (2017). Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit. Addictive Behaviors, 64, 171–178.CrossRef
go back to reference LaBrie, J. W., Pederson, E. R., Earleywine, M., & Olsen, H. (2006). Reducing heavy drinking in college males with the decisional balance: Analyzing an element of motivational interviewing. Addictive Behaviors, 31, 254–263.CrossRef LaBrie, J. W., Pederson, E. R., Earleywine, M., & Olsen, H. (2006). Reducing heavy drinking in college males with the decisional balance: Analyzing an element of motivational interviewing. Addictive Behaviors, 31, 254–263.CrossRef
go back to reference Langevin, V., François, M., Boini, S., & Riou, A. (2011, 3ème trimestre) Hospital Anxiety and Depression Scale (HADS). Documents pour le Médecin du Travail. INRS. No. 127, pp. 481–485. Langevin, V., François, M., Boini, S., & Riou, A. (2011, 3ème trimestre) Hospital Anxiety and Depression Scale (HADS). Documents pour le Médecin du Travail. INRS. No. 127, pp. 481–485.
go back to reference Levesque, C. S., Williams, G. C., Elliot, D., Pickering, M. A., Bodenhamer, B., & Finley, P. J. (2007). Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Education Research, 22(5), 691–702.CrossRef Levesque, C. S., Williams, G. C., Elliot, D., Pickering, M. A., Bodenhamer, B., & Finley, P. J. (2007). Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Education Research, 22(5), 691–702.CrossRef
go back to reference Li, L., Zhu, S., Tse, N., Tse, S., & Wong, P. (2016). Effectiveness of motivational interviewing to reduce illicit drug use in adolescents: A systematic review and meta-analysis. Addiction, 111(5), 795–805.CrossRef Li, L., Zhu, S., Tse, N., Tse, S., & Wong, P. (2016). Effectiveness of motivational interviewing to reduce illicit drug use in adolescents: A systematic review and meta-analysis. Addiction, 111(5), 795–805.CrossRef
go back to reference Lundahl, B., Moleni, T., Burke, B., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93(2), 157–168.CrossRef Lundahl, B., Moleni, T., Burke, B., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93(2), 157–168.CrossRef
go back to reference Magill, M., Apodaca, T. R., Borsari, B., Gaume, J., Hoadley, A., Gordon, R., Tonigan, J. S., & Moyers, T. (2018). A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change. Journal of Consulting and Clinical Psychology, 86(2), 140–157.CrossRef Magill, M., Apodaca, T. R., Borsari, B., Gaume, J., Hoadley, A., Gordon, R., Tonigan, J. S., & Moyers, T. (2018). A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change. Journal of Consulting and Clinical Psychology, 86(2), 140–157.CrossRef
go back to reference Matzger, H., Kaskutas, L. A., & Weisner, C. (2005). Reasons for drinking less and their relationship to sustained remission from problem drinking. Addiction, 100, 1637–1646.CrossRef Matzger, H., Kaskutas, L. A., & Weisner, C. (2005). Reasons for drinking less and their relationship to sustained remission from problem drinking. Addiction, 100, 1637–1646.CrossRef
go back to reference Miller, W. R. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147–172.CrossRef Miller, W. R. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147–172.CrossRef
go back to reference Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). The Guilford Press. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). The Guilford Press.
go back to reference Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. Guilford Press. Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. Guilford Press.
go back to reference Miller, W. R., & Rose, G. (2009). Toward a theory of motivational interviewing. American Psychologist, 64(6), 527–537.CrossRef Miller, W. R., & Rose, G. (2009). Toward a theory of motivational interviewing. American Psychologist, 64(6), 527–537.CrossRef
go back to reference Miller, W. R., & Rose, G. S. (2015). Motivational interviewing and decisional balance: Contrasting responses to client ambivalence. Behavioural and Cognitive Psychotherapy, 43(2), 129–141.CrossRef Miller, W. R., & Rose, G. S. (2015). Motivational interviewing and decisional balance: Contrasting responses to client ambivalence. Behavioural and Cognitive Psychotherapy, 43(2), 129–141.CrossRef
go back to reference Müller, A., Znoj, H., & Moggi, F. (2019). How are self-efficacy and motivation related to drinking five years after residential treatment a longitudinal multicenter study. European Addiction Research, 25, 213–223.CrossRef Müller, A., Znoj, H., & Moggi, F. (2019). How are self-efficacy and motivation related to drinking five years after residential treatment a longitudinal multicenter study. European Addiction Research, 25, 213–223.CrossRef
go back to reference Parackal, M., & Parackal, S. (2016). Implication of alcohol consumption on aggregate wellbeing. Perspectives in Public Health, 137(4), 220–226.CrossRef Parackal, M., & Parackal, S. (2016). Implication of alcohol consumption on aggregate wellbeing. Perspectives in Public Health, 137(4), 220–226.CrossRef
go back to reference Pelc, I. (1978). Contribution à l'Étude de la Psychopathologie de l'Alcoolisme Chronique. Thèse pour l'agrégation de l'enseignement supérieur, Université libre de Bruxelles, Ronéo - Faculté de Médecine. Pelc, I. (1978). Contribution à l'Étude de la Psychopathologie de l'Alcoolisme Chronique. Thèse pour l'agrégation de l'enseignement supérieur, Université libre de Bruxelles, Ronéo - Faculté de Médecine.
go back to reference Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, N.J.: Princeton University Press. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, N.J.: Princeton University Press.
go back to reference Ryan, R. M., Plant, R. W., & O’Malley, S. (1995). Initial motivations for alcohol treatment: Relations with patient characteristics, treatment involvement and dropout. Addictive Behaviors, 20, 279–297.CrossRef Ryan, R. M., Plant, R. W., & O’Malley, S. (1995). Initial motivations for alcohol treatment: Relations with patient characteristics, treatment involvement and dropout. Addictive Behaviors, 20, 279–297.CrossRef
go back to reference Saunders, J. B., Aasland, O. G., Babor, T. F., De La Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88(6), 791–804.CrossRef Saunders, J. B., Aasland, O. G., Babor, T. F., De La Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88(6), 791–804.CrossRef
go back to reference Steele, D. W., Becker, S. J., Danko, K. J., Balk, E. M., Adam, G. P., Saldanha, I. J., et al. (2020). Brief behavioral interventions for substance use in adolescents: A meta-analysis. Pediatrics, 146(4), e20200351.CrossRef Steele, D. W., Becker, S. J., Danko, K. J., Balk, E. M., Adam, G. P., Saldanha, I. J., et al. (2020). Brief behavioral interventions for substance use in adolescents: A meta-analysis. Pediatrics, 146(4), e20200351.CrossRef
go back to reference Vallieres, E. F., & Vallerand, R. J. (1990). Traduction et validation canadienne-française de l’échelle de l’estime de soi de Rosenberg. International Journal of Psychology, 25(2), 305–316.CrossRef Vallieres, E. F., & Vallerand, R. J. (1990). Traduction et validation canadienne-française de l’échelle de l’estime de soi de Rosenberg. International Journal of Psychology, 25(2), 305–316.CrossRef
go back to reference Wood, A. M., & Tarrier, N. (2010). Positive clinical psychology: A new vision and strategy for integrated research and practice. Clinical Psychology Review, 30(7), 819–829.CrossRef Wood, A. M., & Tarrier, N. (2010). Positive clinical psychology: A new vision and strategy for integrated research and practice. Clinical Psychology Review, 30(7), 819–829.CrossRef
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRef Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRef
Metadata
Title
Comparative Evaluation of Motivational Interviewing Components in Alcohol Treatment
Authors
Antonia Csillik
Thierry Meyer
Evgeny Osin
Publication date
01-03-2022
Publisher
Springer US
Published in
Journal of Contemporary Psychotherapy / Issue 1/2022
Print ISSN: 0022-0116
Electronic ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-021-09517-4

Other articles of this Issue 1/2022

Journal of Contemporary Psychotherapy 1/2022 Go to the issue