@article{TheoharovaDemmer2018, author = {Theoharova, Simona and Demmer, Ralf}, title = {Wie klingt Motivation?}, series = {Sucht - Zeitschrift f{\"u}r Wissenschaft und Praxis}, volume = {64}, journal = {Sucht - Zeitschrift f{\"u}r Wissenschaft und Praxis}, number = {4}, publisher = {Hogrefe}, address = {Bern}, issn = {0939-5911}, doi = {10.1024/0939-5911/a000552}, pages = {207 -- 215}, year = {2018}, abstract = {Zusammenfassung.Hintergrund/Fragestellung: W{\"a}hrend einer erfolgreichen Psychotherapie - so Miller und Rollnick (2013) - initiiert der Therapeut ein lautes Nachdenken {\"u}ber Ver{\"a}nderung (change talk), das eine Verhaltens{\"a}nderung einleitet und verschiedene Facetten der Motivation eines Patienten spiegelt. Auf den preparatory change talk (desire, ability, reasons, need) folgt der mobilizing change talk (commitment, activation, taking steps) und schließlich die Verhaltens{\"a}nderung. Die vorliegende Studie ist ein erster Versuch, deutsche Begriffe und Redewendungen zu analysieren, um Therapeuten die Einsch{\"a}tzung der Motivation eines Patienten zu erleichtern. Methodik: Das schrittweise Vorgehen entsprach weitgehend einem in der englischsprachigen Literatur beschriebenen Verfahren zur Einsch{\"a}tzung von Begriffen und Redewendungen hinsichtlich der Motivation eines Sprechers (vgl. Amrhein, 2009): (1) Generierung einer Sammlung relevanter Begriffe und Redewendungen, (2) Einsch{\"a}tzung der St{\"a}rke einer Formulierung durch 430 Probanden, (3) Bestimmung der Retestreliabilit{\"a}t anhand der Einsch{\"a}tzungen von 63 Probanden, (4) Kategorisierung von 140 Begriffen und Redewendungen durch drei Experten. Ergebnisse: Die ausgew{\"a}hlten Begriffe und Phrasen lassen sich zuverl{\"a}ssig den von Miller und Rollnick (2013) beschriebenen Kategorien Preparatory Change Talk oder Mobilizing Change Talk zuordnen, κ = .83 (95 \% CI, .80 ≤ κ≤ .85), p < .001, und spiegeln dar{\"u}ber hinaus verschiedene Auspr{\"a}gungen der Motivation eines Sprechers wider. Die Einsch{\"a}tzungen der St{\"a}rke einer Formulierung sind jedoch nicht stabil (Retestreliabilit{\"a}t: .21 ≤ rtt ≤.70). Schlussfolgerungen: Die Beachtung typischer Schl{\"u}sselw{\"o}rter kann das richtige Timing einer Intervention erleichtern und dar{\"u}ber hinaus Auskunft {\"u}ber die „Entschlossenheit" eines Patienten geben. Im Rahmen von Forschungsprojekten k{\"o}nnten auf der Basis erweiterter Sammlungen relevanter Begriffe und Redewendungen Algorithmen entwickelt werden, die eine Einsch{\"a}tzung der Motivation und damit prognostisch bedeutsame Aussagen erlauben.}, language = {de} } @article{EndrejatBaumgartenKauffeld2017, author = {Endrejat, Paul C. and Baumgarten, Franz and Kauffeld, Simone}, title = {When theory meets practice}, series = {Journal of Change Management}, volume = {17}, journal = {Journal of Change Management}, number = {2}, publisher = {Routledge, Taylor \& Francis Group}, address = {Abingdon}, issn = {1469-7017}, doi = {10.1080/14697017.2017.1299372}, pages = {101 -- 120}, year = {2017}, abstract = {Although more than seven decades have passed since Lewin laid the foundation for how employees' behaviour could be changed within organizations, his ideas are far from being obsolescent. Accordingly, this article demonstrates how Lewin's concepts can still be of use in tackling current issues (i.e. the need to raise energy-saving behaviours within organizations). In order to revive Lewin's concepts, we combine his approaches on organization change with Motivational Interviewing (MI), a facilitation approach that fits well with his democratic and participatory mind-set. After a theoretical consideration of how Lewin's ideas could be accompanied by MI principles, we outline a practical concept for raising the level of employees' energy-saving behaviours to a higher standard. The usefulness of our concept is highlighted on the basis of qualitative (a force field analysis) and quantitative (an increase of energy-saving norms and - behaviours) data. Lewin's legacy for current organization development, and the theoretical as well as practical implications for how his ideas could be applied through a combination with MI practices, are discussed.}, language = {en} } @article{ReinauerViermannFoertschetal.2018, author = {Reinauer, Christina and Viermann, Rabea and Foertsch, Katharina and Linderskamp, Hannah and Warschburger, Petra and Holl, Reinhard W. and Staab, Doris and Minden, Kirsten and Muche, Rainer and Domhardt, Matthias and Baumeister, Harald and Meissner, Thomas}, title = {Motivational Interviewing as a tool to enhance access to mental health treatment in adolescents with chronic medical conditions and need for psychological support (COACH-MI)}, series = {Trials}, volume = {19}, journal = {Trials}, publisher = {BMC}, address = {London}, organization = {COACH Consortium}, issn = {1745-6215}, doi = {10.1186/s13063-018-2997-5}, pages = {9}, year = {2018}, abstract = {Background This cluster-randomised monocentric controlled trial focuses on improving the uptake symptoms of mental health care in adolescents with chronic medical conditions who have been identified by screening to have depression or anxiety. The study aims to determine the efficacy of motivational interviewing (MI) delivered by trained physicians to increase 12- to 20-year-old adolescents' utilisation of psychological health care for symptoms of anxiety or depression. Methods/design In this single-centre approach, n = 1,000 adolescents will be screened (using PHQ-9 and GAD-7), and adolescents with results indicative of anxiety or depressive symptoms (n = 162) will be advised to seek psychological health care in clusters from treating physicians in specialised outpatient departments. Participants who screen positive will receive either two sessions of MI or treatment as usual (TAU; regarded as the typical daily clinical practice), which is focused on recommending them to seek psychological health care for further evaluation. MI efficacy will be compared to the current TAU as the control condition. The primary outcome is the utilisation rate of psychological health care after counselling by an MI-trained physician vs. an untrained physician. Additionally, reasons for not claiming psychological support and changes in disease-related parameters will be evaluated in a 6-month follow-up session. Discussion This trial will evaluate the feasibility of MI as a way to improve the utilisation of mental health-care services by adolescents who need further support other than that provided by standard care for chronic diseases. Physicians offering MI to adolescents may serve as a model for optimising health-care management in daily clinical practice, which may improve adolescents' long-term well-being by improving adherence to medical treatment and preventing negative lifelong consequences into adulthood.}, language = {en} }