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Brief motivational interviewing

Lisa M Quintiliani, Devin M Mann, Marissa Puputti, Emily Quinn, Deborah J Bowen
BACKGROUND: Health behavior and weight management interventions for cancer survivors have the potential to prevent future cancer recurrence and improve long-term health; however, their translation can be limited if the intervention is complex and involves high participant burden. Mobile health (mHealth) offers a delivery modality to integrate interventions into daily life routines. OBJECTIVE: The objective of this study was to evaluate the effects of a one-group trial with a pre-post evaluation design on engagement (use and acceptability), physiological (weight), behavioral (diet and physical activity), and other secondary outcomes...
January 2016: JMIR Cancer
Esther Choo, K Morrow Guthrie, Michael Mello, Terrie F Wetle, Megan Ranney, Chantal Tapé, Caron Zlotnick
OBJECTIVE: Addressing violence and linking women to community services in parallel with drug change goals is critical for women with coexisting intimate partner violence (IPV) and substance use disorders (SUD). Our objective was to develop a Web-based intervention to address violence and drug use among women patients in the ED. METHODS: The intervention was developed in a five-step process: 1) Initial intervention development based on selected theoretical frameworks; 2) In-depth interviews with the target population; 3) Intervention adaptation, with iterative feedback from further interviews; 4) Beta testing and review by an advisory committee of domestic violence advocates; 5) Acceptability and feasibility testing in a small open trial...
April 2016: Partner Abuse
E Castaigne, P Hardy, F Mouaffak
After attempting suicide, 60 to 70% of patients are discharged from emergency departments and referred to outpatient treatment which entails psychosocial strategies, pharmacological strategies or a combination. The main objective of outpatient care consists in preventing recurrent suicidal behavior. Yet suicide attempters have been found to be very difficult to engage in treatment. Between 11% and 50% of attempters refuse outpatient treatment or drop out of outpatient therapy very quickly. In order to address this extremely serious issue, for the past 20 years monitoring or follow up interventions has been presented as a promising approach...
September 27, 2016: L'Encéphale
Kathryn Greene, Danielle Catona, Elvira Elek, Kate Magsamen-Conrad, Smita C Banerjee, Michael L Hecht
This article describes formative research (a pilot study, interviews, and focus groups) conducted as part of a feasibility test of 2 versions (Analysis vs. Planning) of a brief media literacy intervention titled Youth Message Development (YMD). The intervention targets high school student alcohol use with activities to understand persuasion strategies, increase counter-arguing, and then apply these new skills to ad analysis or a more engaging ad poster planning activity. Based on the theory of active involvement (Greene, 2013), the Planning curriculum is proposed to be more effective than the Analysis curriculum...
October 2016: Journal of Health Communication
Bo-Hyun Park, YuKyung Ko
BACKGROUND: DCE was applied to investigate nursing students' preferred hospital choice criteria and to investigate the trends in the trade-offs by calculating the marginal rate of substitution between these criteria. This study identified the properties of the hospitals primarily selected by nursing students, and aims to estimate the monetary value of each attribute. METHODS: Based on discussions and in-depth interviews with nursing students' focus groups and a literature review, we created a discrete choice experiment (DCE) that assessed how students' stated preference for a certain hospital choice was influenced by various job attributes: higher salary, location, hospital type, salary per year, provision of a dormitory, etc...
September 29, 2016: Human Resources for Health
Mathieu Saubade, Christos Karatzios, Cyril Besson, Anne-Charlotte Farasse, Benaim Charles, Gérald Gremion
OBJECTIVE: Approximately 42% of Europeans never practice physical activity (PA) or sports and 40% spend more than 5:30 per day in a sitting position. The objective of this literature review is to identify the necessary means to promote PA and tools available for physicians to advise and prescribe a suitable AP. MATERIAL/PATIENTS AND METHODS: Electronic database research using Medline, the Cochrane Library and Google Scholar. RESULTS: Prescription of PA in the medical office is more and more encouraged...
September 2016: Annals of Physical and Rehabilitation Medicine
Damaris J Rohsenow, Rosemarie A Martin, Jennifer W Tidey, Suzanne M Colby, Peter M Monti
: Treatment for substance use disorders (SUD) provides an opportunity to use voucher-based treatment for smoking. Nicotine replacement (NRT) could improve outcomes previously observed with vouchers without NRT. METHODS: A randomized controlled trial compared contingent vouchers (CV) for smoking abstinence to noncontingent vouchers (NV), when all received counseling and NRT. Smokers who had not sought smoking treatment (n=340) in residential SUD treatment were provided 14days of vouchers for complete smoking abstinence per exhaled carbon monoxide (CO) after a 5-day smoking reduction period, or vouchers only for breath samples, plus brief advice (four sessions) and 8weeks of NRT...
August 18, 2016: Journal of Substance Abuse Treatment
Matthew J O'Brien, Margaret R Moran, Joyce W Tang, Maria C Vargas, Mary Talen, Laura J Zimmermann, Ronald T Ackermann, Namratha R Kandula
PURPOSE: The purpose of this study was to explore how adults with prediabetes perceive their risk of developing diabetes and examine their preferences for evidence-based treatment options to prevent diabetes. METHODS: A qualitative study was conducted in 2 large Midwest primary care practices, involving in-depth semistructured interviews with 35 adult patients with prediabetes. RESULTS: This ethnically diverse (77% nonwhite) sample of middle-aged primary care patients exhibited multiple diabetes risk factors...
September 12, 2016: Diabetes Educator
Kevin Glatt, Christopher Okunseri, Diane Flanagan, Pippa Simpson, Yumei Cao, Earnestine Willis
OBJECTIVES: Home visiting programs promote the education and health of Early Head Start (EHS) children and pregnant women. However, EHS's oral health component is unevenly implemented. We conducted an educational intervention to improve oral health knowledge and motivational interviewing techniques among Wisconsin EHS home visitors. METHODS: A questionnaire assessing oral health-related knowledge and confidence was administered to home visitors before and after an educational session...
June 2016: Journal of Public Health Dentistry
Jaison Joseph, Debasish Basu
AIMS: The aim of this paper is to systematically review the efficacy of alcohol brief intervention in middle-income countries. METHODS: Randomized controlled trials (RCTs) of face-to-face brief motivational intervention aimed at reducing heavy alcohol use conducted in middle-income countries were identified through electronic databases: Medline, EMBASE and Cochrane Library published up to and including 2015. Methodological quality assessment of the RCTs was made by using two validated tools...
August 27, 2016: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
Reza Zarenoe, Lena Lindhe Söderlund, Gerhard Andersson, Torbjörn Ledin
PURPOSE: To test the effects of a brief motivational interviewing (MI) program as an adjunct to hearing aid rehabilitation for patients with tinnitus and sensorineural hearing loss. RESEARCH DESIGN: This was a pilot randomized controlled trial. STUDY SAMPLE: The sample consisted of 50 patients aged between 40 and 82 yr with both tinnitus and sensorineural hearing loss and a pure-tone average (0.5, 1, 2, and 4 kHz) < 70 dB HL. All patients were first-time hearing aid users...
September 2016: Journal of the American Academy of Audiology
Jennifer C Elliott, Erin Delker, Melanie M Wall, Tianshu Feng, Efrat Aharonovich, Melissa Tracy, Sandro Galea, Jennifer Ahern, Aaron L Sarvet, Deborah S Hasin
BACKGROUND: Heavy alcohol consumption can be harmful, particularly for individuals with HIV. There is substantial variability in response to interventions that aim to reduce drinking. Neighborhood drinking norms may explain some of this variability among HIV-infected patients. Therefore, we investigated whether neighborhood-level drinking norms modified response to alcohol intervention among HIV-infected heavy drinkers. METHODS: Heavily-drinking HIV comprehensive care patients (n = 230) completed 1 of 3 brief alcohol interventions (an educational intervention, a motivational interviewing [MI] intervention, or an MI intervention with a technological enhancement called HealthCall)...
October 2016: Alcoholism, Clinical and Experimental Research
Guillaume Fontaine, Sylvie Cossette, Sonia Heppell, Louise Boyer, Tanya Mailhot, Marie-Josée Simard, Jean-Francois Tanguay
BACKGROUND: Brief motivational interviewing (MI) can contribute to reductions in morbidity and mortality related to coronary artery disease, through health behavior change. Brief MI, unlike more intensive interventions, was proposed to meet the needs of clinicians with little spare time. While the provision of face-to-face brief MI training on a large scale is complicated, Web-based e-learning is promising because of the flexibility it offers. OBJECTIVE: The primary objective of this pilot study was to examine the feasibility and acceptability of a Web-based e-learning platform for brief MI (MOTIV@CŒUR), which was evaluated by nurses in cardiovascular care...
2016: Journal of Medical Internet Research
Brynne Gilmore, Ben Jack Adams, Alex Bartoloni, Bana Alhaydar, Eilish McAuliffe, Joanna Raven, Miriam Taegtmeyer, Frédérique Vallières
INTRODUCTION: Understanding what enhances the motivation and performance of community health workers (CHWs) in humanitarian emergencies represents a key research gap within the field of human resources for health. This paper presents the research protocol for the Performance ImprovEment of CHWs in Emergency Settings (PIECES) research programme. Enhancing Learning and Research in Humanitarian Action (ELRHA) funded the development of this protocol as part of their Health in Humanitarian Crises (R2HC) call (No...
2016: BMJ Open
Emily F Rothman, Na Wang
OBJECTIVE: To describe the intervention development process and feasibility testing of a hospital-based brief intervention to reduce the perpetration of adolescent dating abuse (ADA). To our knowledge, this intervention is the first to focus exclusively on ADA perpetration reduction via a motivational interview-type intervention in this setting. METHOD: The rationale for and the six Intervention Mapping steps used to generate the intervention are described. Feasibility is conceptualized as intervention acceptability, demand, implementation, practicality, integration, and limited-efficacy...
July 2016: Psychology of Violence
Odd Martin Vallersnes, Mari A Bjornaas, Cathrine Lund, Dag Jacobsen, Øivind Ekeberg, Mette Brekke
BACKGROUND: Young patients with acute poisoning by substances of abuse have increased mortality rates in the long term. In Oslo, Norway, most of these patients are treated at the Oslo Accident and Emergency Outpatient Clinic. The majority were discharged without follow-up. In 2010, the clinic implemented an intervention program for patients under the age of 23 presenting with acute poisoning by substances of abuse. The intervention was a brief motivational interview with a social worker before discharge, followed by a telephone consultation...
2016: BMC Research Notes
Lauren D Oshman, Gene N Combs
INTRODUCTION: Motivational interviewing is a useful skill to address the common problem of patient ambivalence regarding behavior change by uncovering and strengthening a person's own motivation and commitment to change. The Family Medicine Milestones underline the need for clear teaching and monitoring of skills in communication and behavior change in Family Medicine postgraduate training settings. METHODS: This article reports the integration of a motivational interviewing curriculum into an existing longitudinal narrative therapy-based curriculum on patient-centered communication...
May 2016: International Journal of Psychiatry in Medicine
Bronwyn Myers, Katherine Sorsdahl, Neo K Morojele, Connie Kekwaletswe, Paul A Shuper, Charles D H Parry
Although hazardous/harmful alcohol use impacts response to HIV treatment, there have been few attempts to deliver alcohol-reduction interventions within South African HIV treatment services. As a first step towards implementing alcohol-focused interventions in these settings, we explored patients' views of the acceptability of a brief motivational interviewing and problem-solving intervention. In-depth interviews were conducted with 11 patients recruited from three HIV treatment sites in Tshwane, South Africa, who had completed the intervention...
July 19, 2016: AIDS Care
Bhaskar Purohit, Tim Martineau
BACKGROUND: India faces a critical shortage of government doctors in rural and underserved areas. Several measures have been introduced to address the shortage, but significant problems still remain. The main aim of the current research was to understand the existing recruitment-related policies and systems in place for government doctors in Gujarat and to identify issues that prevent effective recruitment of doctors that could have implications for doctors' shortage in the state. The research also aims to fill the knowledge gap in the existing literature on why recruitment in civil services is an important HR function to address the shortage of doctors...
2016: Human Resources for Health
Mandy D Owens, Barbara S McCrady
Almost half of convicted jail inmates have an alcohol use disorder and many are released to environments that put them in contact with network members and cues that make them more likely to relapse on alcohol or drugs. Given the high-risk period immediately following release, the purpose of this study was to examine the efficacy of a brief motivational intervention administered just prior to release to increase substance use treatment entry and attendance, decrease alcohol and drug use, and change social networks for inmates with alcohol use disorders...
September 2016: Journal of Substance Abuse Treatment
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