Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-28T20:24:33.807Z Has data issue: false hasContentIssue false
  • English
  • Français

Deciding to Change: Enhancing Client Motivation to Change Behaviour

Published online by Cambridge University Press:  22 February 2012

David Ryder
David Ryder*
Affiliation:
Edith Cowan University
*
*Address for correspondence: David Ryder, School of Nursing and Public Health, Edith Cowan University, 100 Joondalup Drive, Joondalup WA 6027, Australia. Email: david.ryder@cowan.edu.au
Get access

Abstract

Cognitive behaviour therapy concentrates on strategies to assist clients in changing their thoughts and/or their behaviour. The aim of this paper is to discuss research findings from the addictions field indicating that an effective approach to therapy is to enhance motivation for change. Research into stages and processes of change, decision making, and motivational interviewing is reviewed. The paper concludes by suggesting ways in which this research can be used by therapists to increase the likelihood that clients will engage in change and maintain change over time.

Type
Research Article
Information
Behaviour Change , Volume 16 , Issue 3 , 01 September 1999 , pp. 165 - 174
Copyright
Copyright © Cambridge University Press 1999

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

Allsop, S. (1990). Relapse prevention and management. Drug and Alcohol Review, 9, 143–153.CrossRefGoogle ScholarPubMed
Allsop, S. (1996). Giving up addiction behavior. In C. Wilkinson & W. Saunders. (Eds), Perspectives on addiction: Making sense of the issues (pp. 132–141). Perth, WA: William Montgomery.Google Scholar
Aveyard, P., Cheng, K., Almond, J., Sherratt, E., Lancashire, R., Lawrence, T., Griffin, C., & Evans, O. (1999). Cluster randomised controlled trial of expert system based on the transtheoretical (“stages of change”) model for smoking cessation in schools. British Medical Journal, 319, 948–953.CrossRefGoogle ScholarPubMed
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Bell, A., & Rollnick, S. (1996). Motivational interviewing in practice: A structured approach. In F. Rotgers, D. Kellers, & J. Morgenstern (Eds.). Treating sub- stance abuse: Theory and technique (pp. 266–285). New York: Guilford.Google Scholar
Berg, G., & Skutle, A. (1985). Motivational training for drunk drivers. In M. Valerius (Ed.), Punishment and/or treatment for driving under the influence of alcohol and other drugs: Current concepts, experiences and perspectives (pp. 189–199). Stockholm, Sweden: University of Bergen.Google Scholar
Bien, T., Miller, W., & Boroughs, J. (1993). Motivational interviewing with alcohol outpatients. Behavioural and Cognitive Psychotherapy, 21, 347–356.CrossRefGoogle Scholar
Bombardier, C., & Rimelle, C. (1999). Motivational interviewing to prevent alcohol abuse after traumatic brain injury: A case series. Rehabilitation Psychology, 44, 52–67.CrossRefGoogle Scholar
Brown, J., & Miller, W. (1993). Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychology of Addictive Behaviours, 7, 211–218.CrossRefGoogle Scholar
Cisler, R., Holder, H., Longabough, R., Stout, R., & Zweben, A. (1998). Actual and estimated costs for alcohol treatment modalities: A case study from Project MATCH. Journal of Studies on Alcohol, 59, 503–512.CrossRefGoogle ScholarPubMed
Draycott, S., & Dabbs, A. (1998). Cognitive dissonance: 2. A theoretical grounding of motivational interviewing. British Journal of Clinical Psychology, 37, 355–364.CrossRefGoogle ScholarPubMed
Egan, G. (1994). The skilled helper: A problem management approach to helping. (4th ed.). Pacific Grove, CA: Brooks/Cole Google Scholar
Etter, J. (1999). Computer based counselling program for stopping smoking [letter to the editor]. British Medical Journal, (on line). Available: http://www.bmj.com/cgi/eletters/319/7215/948#EL1. Google Scholar
Hall, W. (1999). Patient matching in treatment for alcohol dependence: Is the null hypothesis still alive and well? Addiction, 94, 52–54.CrossRefGoogle Scholar
Heather, N., & Robertson, I. (1997). Problem drinking (3rd ed.). Oxford: Oxford University Press. CrossRefGoogle Scholar
Janis, I., & Mann L. (1977). Decision making: A psychological analysis of conflict, choice and commitment. New York: Free Press.Google Scholar
Jarvis, T., Tebbutt, J., & Mattick, R. (1995). Treatment approaches for alcohol and drug dependence: An introductory guide. Milton, QLD: Jacaranda Wiley.Google Scholar
Kemp, R., David, A., & Hayward, P. (1996). Compliance therapy: An intervention targeting insight and treatment adherence in psychotic patients. Behavioural and Cognitive Psychotherapy, 24, 331–350.CrossRefGoogle Scholar
Killick, S., & Allen, C. (1997). Shifting the balance: Motivational interviewing to help change in people with bulimia nervosa. European Eating Disorders Review, 5, 33–41.3.0.CO;2-F>CrossRefGoogle Scholar
Kuchipidi, V., Kobein, K., Flickinger, A., & Iber, F. (1990). Failure of a two hour motivational intervention to alter recurrent drinking behavior in alcoholics with gastrointestinal disease. Journal of Studies on Alcohol, 51, 356–360.CrossRefGoogle Scholar
Mann, R., & Rollnick, S. (1996). Motivational interviewing with a sex offender who believed he was innocent. Behavioural and Cognitive Psychotherapy, 24, 127–134.CrossRefGoogle Scholar
Martin, R., Vellicer, W., & Fava, J. (1996). Latent transition analysis to the stages of change for smoking cessation. Addictive Behaviours, 21, 67–80.CrossRefGoogle Scholar
McGowan, T. (1991). Evaluation of motivational interviewing in the treatment of alcohol related problems. Unpublished Master of Philosophy thesis, University of Paisley, Scotland.Google Scholar
McLeod, J. (1998). An introduction to counselling (2nd ed.). Buckingham, UK: Open University Press. Google Scholar
Miller, W. (1983). Motivational interviewing with problem drinkers. Behavioural Psychotherapy, 11, 147–172.CrossRefGoogle Scholar
Miller, W. (1995). Increasing motivation to change. In R. Hester & W. Miller (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives (2nd ed., pp. 89–104). Boston: Allyn & Bacon.Google Scholar
Miller, W., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford.Google Scholar
Miller, W., Sovereign, R., & Kreige, B. (1988). Motivational interviewing with problem drinkers: II. The drinkers check up as a preventive intervention. Behavioral Psychotherapy, 16, 251–268.CrossRefGoogle Scholar
National Drug Strategy. (1993). An outline for the management of alcohol problems: Quality assurance programme (Monograph 20). Canberra: Australian Government Publishing Service.Google Scholar
Ockene, J., Ockene, I., & Kristellar, J. (1988). The coronary artery smoking intervention study. Worcester, MA: National Heart Lung Blood Institute.Google Scholar
Orford, J. (1985). Excessive appetites: A psychological view of addictions. New York: Wiley.Google Scholar
Peterson, T., & Aldana, S. (1999). Improving exercise behavior: An application of the stages of change model in a worksite setting. American Journal of Health Promotion, 13, 229–232.CrossRefGoogle Scholar
Price, J., & Young, R. (1996). The usefulness of treatment. In C. Wilkinson & W. Saunders (Eds.), Perspectives on addiction: Making sense of the issues (118–125). Perth, WA: William Montgomery.Google Scholar
Prochaska, J., DiClemente, C., & Norcross, J. (1992). In search of how people change: Application to addictive behaviors. American Psychologist, 47, 1102–1114.CrossRefGoogle ScholarPubMed
Project MATCH Research Group. (1998). Matching alcoholism treatments to client heterogeneity: Project MATCH three-year drinking outcomes. Alcoholism: Clinical and Experimental Research, 22, 1300–1311.Google Scholar
Rollnick, S., Heather, N., & Bell, A. (1992). Negotiating behavior change in medical settings: The development of brief motivational interviewing. Journal of Mental Health, 1, 25–37.CrossRefGoogle Scholar
Saunders, W. (1994). The cognitive-behavioral approach to the management of addictive behavior. In J. Chick & R. Cantwell (Eds.), Seminars in alcohol and drug misuse (156–173). London: Royal College of Psychiatrists.Google Scholar
Saunders, W., & Allsop, S. (1991). Alcohol problems and relapse: Can the clinic combat the community? Journal of Consulting and Applied Social Psychology, 1, 213–221.Google Scholar
Saunders, W., & Wilkinson, C. (1990). Motivation and addiction behavior: A psychological perspective. Drug and Alcohol Review, 9, 133–142.CrossRefGoogle ScholarPubMed
Saunders, W., Wilkinson, C., & Phillips, M. (1995). The impact of a brief motivational intervention with opiate users attending a methadone program. Addiction, 90, 415–424.CrossRefGoogle Scholar
Schwarzer, R., & Fuchs, R. (1996). Self efficacy and health behaviors. In M. Conner & P. Norman (Eds.), Predicting health behavior (163–196). Buckingham, UK: Open University Press.Google Scholar
Solomon, L., Secker-Walker, R., Skelly, J., & Flynn, B. (1996). Stages of change in smoking during pregnancy in low income women. Journal of Behavioural Medicine, 19, 333–344.CrossRefGoogle ScholarPubMed
Stockwell, T., Gregson, A., Osborne, J., & Bolt, L. (1989, July). Motivational interviewing with problem drinkers: A controlled trial of a method for reducing client drop-out. Paper presented at the Winter School in the Sun, Alcohol and Drug Foundation, Brisbane, QLD.Google Scholar
Stott, N., Rollnick, S., Rees, M., & Pill, R. (1995). Innovation in clinical method: Diabetes care and negotiation skills. Family Practice, 12, 413–418.CrossRefGoogle Scholar
Tasker, G. (1995). Using motivational interviewing to support “at risk” secondary school students: An exploratory study. Health Promotion Journal of Australia, 5, 51–53.Google Scholar
Van Bilsen, H., & Van Emst, A. (1986). Heroin addiction and motivational milieu therapy. International Journal of Addictions, 21, 707–713.CrossRefGoogle ScholarPubMed
Van Bilsen, H., & Whitehead, B. (1994). Learning controlled drug use: A case study. Behavioural and Cognitive Psychotherapy, 22, 87–95.CrossRefGoogle Scholar