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How is motivational interviewing (un)related to self-determination theory: An empirical study from different healthcare settings
Scandinavian Journal of Psychology ( IF 1.8 ) Pub Date : 2021-06-22 , DOI: 10.1111/sjop.12757
Eirik Abildsnes 1, 2 , Nina Elin Andresen 3 , Solveig Storbaekken 3 , Gro Beate Samdal 4 , Thomas Mildestvedt 5 , Eivind Meland 5
Affiliation  

To explore how quality aspects and clients’ verbal behaviors in Motivational Interviewing sessions correspond with counsellors’ support of basic psychological needs described in Self-determination Theory, we conducted a mixed method study with quantitative analyses of transformed qualitative data from counselling sessions. Coding manuals identified if the counselling was consistent with Motivational Interviewing and the support of basic psychological needs. The study supported a conceptual relationship between motivational interviewing (MI) and self-determination theory (SDT), except for autonomy support which was conceptualized differently in the two approaches. Relational support in SDT and MI were closely linked to each other and were also strongly related to other MI-congruent and promotive counselors’ verbal behavior. Client amotivation in SDT and change talk in MI were negatively correlated, and clients’ autonomous motivation in SDT was related to change talk in MI. Counselors emphasized relational support, using decisional balance comprehensively, but offered competence support less often. The counseling was, however, sensitive to the clients’ motivational regulation of behavior change.

中文翻译:

动机性访谈 (un) 与自我决定理论有何关系:来自不同医疗保健环境的实证研究

为了探讨动机访谈中的质量方面和客户的言语行为如何与自我决定理论中描述的辅导员对基本心理需求的支持相对应,我们进行了一项混合方法研究,对来自咨询会话的转换后的定性数据进行定量分析。编码手册确定咨询是否与动机访谈和基本心理需求的支持一致。该研究支持动机访谈 (MI) 和自决理论 (SDT) 之间的概念关系,除了在两种方法中概念化的自主支持不同。SDT 和 MI 中的关系支持彼此密切相关,也与其他 MI 一致和促进辅导员的言语行为密切相关。SDT中的客户动机与MI中的变化谈话呈负相关,SDT中客户的自主动机与MI中的变化谈话相关。辅导员强调关系支持,全面使用决策平衡,但较少提供能力支持。然而,咨询对客户对行为改变的动机调节很敏感。
更新日期:2021-06-22
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