Mc murran june9-session-plenary
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The document summarizes several systematic reviews and studies on the use of motivational interviewing (MI) with offenders and clients in treatment for personality disorders. The reviews found that MI is effective at: 1) Improving retention in substance abuse treatment programs and motivation for change. 2) Potentially reducing substance use, especially when combined with other treatments like contingency management. 3) However, the evidence is mixed on whether MI can reduce recidivism and change offending behavior.
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Claire Adams Spears1, Donald Hedeker2, Liang Li3, Cai Wu3, Natalie K. Anderson4, Sean C.
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1Georgia State University School of Public Health, Atlanta, GA
2The University of Chicago, Chicago, IL
3The University of Texas MD Anderson Cancer Center, Houston, TX
4The Catholic University of America, Washington, DC
5Rice University, Houston, TX
6Stephenson Cancer Center and The University of Oklahoma Health Sciences Center, Oklahoma
City, OK
7Uniformed Services University of the Health Sciences, Washington, DC
8University of Utah and the Huntsman Cancer Institute, Salt Lake City, UT
Abstract
Objective—To examine cognitive and affective mechanisms underlying Mindfulness-Based
Addiction Treatment (MBAT) versus Cognitive Behavioral Therapy (CBT) and Usual Care (UC)
for smoking cessation.
Method—Participants in the parent study from which data were drawn (N = 412; 54.9% female;
48.2% African-American, 41.5% non-Latino White, 5.4% Latino, 4.9% other; 57.6% annual
income < $30,000) were randomized to MBAT (n = 154), CBT (n = 155), or UC (n = 103). From
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evidenced lower volatility of anger than participants in both other treatments. However, there were
no other significant differences between MBAT and CBT. Compared to those receiving UC,
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Corresponding Author: Claire Adams Spears, Ph.D., Assistant Professor, Division of Health Promotion & Behavior, School of Public
Health, Georgia State University; [email protected]; Phone: 404.413.9335.
HHS Public Access
Author manuscript
J Consult Clin Psychol. Author manuscript; available in PMC 2018 November 01.
Published in final edited form as:
J Consult Clin Psychol. 2017 November ; 85(11): 1029–1040. doi:10.1037/ccp0000229.
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well as higher self-efficacy for managing negative affect without smoking. Indirect effects of
MBAT versus UC on abstinence occurred through each of these mechanisms.
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City, OK
7Uniformed Services University of the Health Sciences, Washington, DC
8University of Utah and the Huntsman Cancer Institute, Salt Lake City, UT
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Addiction Treatment (MBAT) versus Cognitive Behavioral Therapy (CBT) and Usual Care (UC)
for smoking cessation.
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income < $30,000) were randomized to MBAT (n = 154), CBT (n = 155), or UC (n = 103). From
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dependence, withdrawal, self-efficacy, and attentional bias. Biochemically-confirmed 7-day
smoking abstinence was assessed at 4 and 26 weeks post-quit. Although the parent study did not
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to examine treatment effects on hypothesized mechanisms, and indirect effects of treatments on
abstinence were tested.
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no other significant differences between MBAT and CBT. Compared to those receiving UC,
MBAT participants reported lower anxiety, concentration difficulties, craving, and dependence, as
Corresponding Author: Claire Adams Spears, Ph.D., Assistant Professor, Division of Health Promotion & Behavior, School of Public
Health, Georgia State University; [email protected]; Phone: 404.413.9335.
HHS Public Access
Author manuscript
J Consult Clin Psychol. Author manuscript; available in PMC 2018 November 01.
Published in final edited form as:
J Consult Clin Psychol. 2017 November ; 85(11): 1029–1040. doi:10.1037/ccp0000229.
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scrip
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well as higher self-efficacy for managing negative affect without smoking. Indirect effects of
MBAT versus UC on abstinence occurred through each of these mechanisms.
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PCOMS ICCE SAMHSA Review
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This document provides an overview of Italy and Italians through various topics:
- Italians are described as "Saints, Poets, and Sailors" and sometimes referred to as "Latin Lovers".
- Italy has challenges like high levels of politicians under criminal investigation, but also contributions such as Nobel Prizes, Oscar-winning actors and directors, and renowned musicians, architects, and landmarks.
- The document discusses organizing the International Conference on Motivational Interviewing in Venice, Italy, which required help from people outside Italy due to Italians' tendency towards quarreling. It concludes by welcoming attendees to the conference in Venice.
Bill miller icmi 2012 plenary
MET vs TAU in 4 large multisite RCTs found:
1) No main effect on retention or substance use for outpatient treatment.
2) One study found a small effect on early retention but not substance use.
3) Studies of pregnant drug users and Spanish speakers also found no main effects of MET vs TAU.
The findings suggest MET may not produce meaningful improvements over TAU in typical substance abuse treatment settings based on these high quality trials.
Icmi2012
The document discusses key points from a presentation at ICMI 2012 on motivational interviewing (MI). It touches on the relational, technical, and strategic components of MI and questions the relative importance of each. It also questions the evidence for MI training's effects on trainees and clients in real-world settings, as well as whether past times without standards to live up to were better for MI.
Icmi discussant presentation trimmed
The document shows graphs comparing estimated time spent in minutes for assessments and motivational interviewing/motivational enhancement therapy (MI/MET) sessions over multiple time periods for three clinical trials involving behavioral counseling for obesity or weight management. CTN 004 involved 3 MI/MET sessions versus treatment as usual, CTN 005 compared MI to usual intake, and CTN 013 looked at 3 MI/MET sessions versus treatment as usual for pregnant women. The graphs indicate that time spent on assessments was generally greater than time spent in MI/MET sessions according to the estimated minutes across each trial period.
Final slides venice 6 2012 rev
The document discusses the speaker's journey with motivational interviewing (MI) and new applications of MI. It outlines how MI can be applied to disorders like anxiety, PTSD, depression, and more. It also describes how MI serves as an integrative framework for other therapies by returning humanistic values like empathy. Finally, it discusses teaching MI to non-professionals to improve relationships.
Icmi plenary moyers av
1) Therapist empathy and interpersonal skills have a significant impact on client outcomes, accounting for up to 15% of the variance in some studies.
2) Training studies show that baseline empathy can predict future counseling performance, even after standardized MI training. Those with higher baseline empathy had better outcomes.
3) Selecting and training counselors based on relational and empathy skills may be important for effective dissemination and implementation of MI and other psychosocial treatments.
Saitz icmi discussion of spectacular failures2
Richard Saitz discussed several potential reasons for the spectacular failures seen with motivational interviewing (MI) in some studies and clinical settings. In 3 sentences: MI may fail due to unclear outcomes being measured, effects of assessment on self-reported outcomes, poor fidelity of MI implementation in real-world settings, treating patients of varying severity levels where MI may not be enough, and implementing MI in contexts like emergency departments or trauma centers where expectations differ from primary care settings aimed at prevention. Saitz reviewed evidence on these potential factors from multiple studies to explain when and why MI has not shown effects in some trials and clinical situations.
Apodaca thoughts about moyers
- Motivational interviewing is reaching its peak dissemination but questions remain about how to screen for and train empathy, which is difficult to measure.
- While empathy training can improve outcomes, it is unclear if empathy is the most important clinician factor or if some clinicians are simply born with strong relational skills.
- Effective measurement of empathy is still challenging as inter-rater reliability on global empathy ratings remains low.
Resnicow2012icmiplenary
This document discusses concepts related to motivational interviewing (MI) including complexity, chaos theory, and self-regulation as a limited resource. It notes that MI may not be the preferred method in all situations, such as when clients are fully motivated or prefer a more directive style. The document also suggests incorporating concepts like sudden/unplanned change, autonomy preferences, and moving from a focus on "why" to change to "how" to change into MI.
Icmiplenary1a
This document discusses motivational interviewing (MI) as a complex intervention and proposes applying a complex interventions perspective to better understand MI. It suggests that thinking of MI as a complex intervention and using systematic reviews and studies of heterogeneity can help address the large variability seen in MI's effectiveness between studies. The document provides some examples of meta-analyses looking at whether certain factors like medical setting, provider training, or measurement type moderate MI outcomes. It argues that more systematic reviews and methods are needed to better understand MI when implemented in real-world settings.
Butler plenary icmi
The document discusses reflections from attending the ICMI3 conference on motivational interviewing. Some key points:
1) The conference explored the theory and practice of motivational interviewing, how to measure its effects, and how to best train clinicians to deliver it.
2) Studies presented showed motivational interviewing can be effective, for example reducing diabetes, vascular disease, and deaths, but more research is still needed, especially on measuring treatment fidelity.
3) Adopting healthy behaviors like not smoking, maintaining a healthy weight, diet, exercise and alcohol intake was associated with significant reductions in health issues over 30 years in one study.
4) Motivational interviewing shows promise for
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Presentation paolo tranchina teodori icmi venezia 2012
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