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Mechanisms of change in motivational interviewing: a review and preliminary evaluation of the evidence
Addiction · 2009 · Vol. 104(5) · pp. 705–715
Timothy R. Apodaca✉(John Brown University)Richard Longabaugh(Brown University)
Abstract
The most consistent evidence was found for three constructs: client change talk/intention (related to better outcomes); client experience of discrepancy (related to better outcomes); and therapist MI-Inconsistent behavior (related to worse outcomes). Regarding therapist use of specific techniques, use of a decisional balance exercise showed the strongest association to better outcomes.
Substance Abuse Treatment and OutcomesHealth Policy Implementation ScienceCommunity Health and DevelopmentMotivational interviewingPsychologyMediationCausal chainClinical psychologyInclusion (mineral)Behavior changePsychotherapistSocial psychologyPsychological intervention
MeSH terms
Behavior TherapyCooperative BehaviorCounselingEvaluation Studies as TopicHumansMotivationProfessional-Patient RelationsOutcome Assessment, Health CarePatient-Centered CareSubstance-Related Disorders
Funding
- National Institutes of Health
Citations
486
FWCI
16.31
field-weighted impact
References
43
Percentile
99%
vs. same field & year
Citations per year
References
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Addiction · 2001 · 907 citations
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Addiction · 2002 · 1,099 citations
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Drug and Alcohol Dependence · 2005 · 470 citations
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The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials.
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Mediation Analysis
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Technometrics · 1989 · 83,853 citations
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