TY - JOUR A1 - Theoharova, Simona A1 - Demmer, Ralf T1 - Wie klingt Motivation? T1 - The sound of motivation BT - Eine Analyse deutschsprachiger Begriffe und Redewendungen zur Tabakentwöhnung BT - an analysis of German-language terms and phrases on smoking cessation JF - Sucht - Zeitschrift für Wissenschaft und Praxis N2 - Zusammenfassung.Hintergrund/Fragestellung: Während einer erfolgreichen Psychotherapie – so Miller und Rollnick (2013) – initiiert der Therapeut ein lautes Nachdenken über Veränderung (change talk), das eine Verhaltensänderung 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 Verhaltensänderung. Die vorliegende Studie ist ein erster Versuch, deutsche Begriffe und Redewendungen zu analysieren, um Therapeuten die Einschätzung der Motivation eines Patienten zu erleichtern. Methodik: Das schrittweise Vorgehen entsprach weitgehend einem in der englischsprachigen Literatur beschriebenen Verfahren zur Einschätzung von Begriffen und Redewendungen hinsichtlich der Motivation eines Sprechers (vgl. Amrhein, 2009): (1) Generierung einer Sammlung relevanter Begriffe und Redewendungen, (2) Einschätzung der Stärke einer Formulierung durch 430 Probanden, (3) Bestimmung der Retestreliabilität anhand der Einschätzungen von 63 Probanden, (4) Kategorisierung von 140 Begriffen und Redewendungen durch drei Experten. Ergebnisse: Die ausgewählten Begriffe und Phrasen lassen sich zuverlässig 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 darüber hinaus verschiedene Ausprägungen der Motivation eines Sprechers wider. Die Einschätzungen der Stärke einer Formulierung sind jedoch nicht stabil (Retestreliabilität: .21 ≤ rtt ≤.70). Schlussfolgerungen: Die Beachtung typischer Schlüsselwörter kann das richtige Timing einer Intervention erleichtern und darüber hinaus Auskunft über die „Entschlossenheit“ eines Patienten geben. Im Rahmen von Forschungsprojekten könnten auf der Basis erweiterter Sammlungen relevanter Begriffe und Redewendungen Algorithmen entwickelt werden, die eine Einschätzung der Motivation und damit prognostisch bedeutsame Aussagen erlauben. N2 - Background/Aim: According to Miller and Rollnick (2013), successful treatment for mental illness and substance abuse, respectively, involves change talk about client motivation. A complete conversation about motivation comprises both preparatory (desire, ability, reasons, need) and mobilizing change talk (commitment. activation, taking steps). The present study seeks to adopt a well-established English-language assessment instrument used to classify clients change talk. Method: Therefore, 150 German-language phrases reflecting motivation for change were presented to 430 volunteers and three experts in motivational interviewing. Results: Assignment of phrases to the distinct categories of change talk was highly reliable, kappa = .83 (95% CI, .80 <= kappa <= .85), p < .001 . Most phrases reflected a modest level of motivation. Test-retest reliabilities of strength ratings ranged from r(tau tau) = .21 to r(tau tau) = .70. Conclusions: Careful listening to specific phrases reflecting client motivation may enable counsellors to adopt interventions to clients level of motivation. Future research may seek to expand the data basis of linguistic analyses by including a wider range of German-language phrases. An increased item pool may facilitate the identification of terms and phases related to subsequent behaviour change. KW - motivation KW - motivational interviewing KW - language KW - tobacco dependence Y1 - 2018 U6 - https://doi.org/10.1024/0939-5911/a000552 SN - 0939-5911 SN - 1664-2856 VL - 64 IS - 4 SP - 207 EP - 215 PB - Hogrefe CY - Bern ER - TY - JOUR A1 - Endrejat, Paul C. A1 - Baumgarten, Franz A1 - Kauffeld, Simone T1 - When theory meets practice BT - Combining Lewin’s Ideas about Change with Motivational Interviewing to Increase Energy-Saving Behaviours Within Organizations JF - Journal of Change Management N2 - 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. KW - Kurt Lewin KW - field theory KW - group dynamics KW - motivational interviewing KW - energy-saving KW - organization development Y1 - 2017 U6 - https://doi.org/10.1080/14697017.2017.1299372 SN - 1469-7017 SN - 1479-1811 VL - 17 IS - 2 SP - 101 EP - 120 PB - Routledge, Taylor & Francis Group CY - Abingdon ER - TY - JOUR A1 - Reinauer, Christina A1 - Viermann, Rabea A1 - Foertsch, Katharina A1 - Linderskamp, Hannah A1 - Warschburger, Petra A1 - Holl, Reinhard W. A1 - Staab, Doris A1 - Minden, Kirsten A1 - Muche, Rainer A1 - Domhardt, Matthias A1 - Baumeister, Harald A1 - Meissner, Thomas T1 - 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) BT - study protocol for a clusterrandomised controlled trial JF - Trials N2 - 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. KW - Adolescents KW - adherence to medical treatment KW - anxiety KW - chronic condition KW - depression KW - motivational interviewing Y1 - 2018 U6 - https://doi.org/10.1186/s13063-018-2997-5 SN - 1745-6215 VL - 19 PB - BMC CY - London ER -