The development of a coding system to code planning talk within motivational interviewing

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Copeland, Lauren ; McNamara, Rachel ; Kelson, Mark ; Simpson, Sharon (2017)
  • Publisher: Elsevier
  • Journal: Patient Education and Counseling, volume 100, issue 2, pages 313-319 (issn: 0738-3991, eissn: 1873-5134)
  • Related identifiers: pmc: PMC5332025, doi: 10.1016/j.pec.2016.09.003
  • Subject: Planning | Outcome measure | Behavior change counselling | BF | Weight loss maintenance | Medicine(all) | Motivational interviewing | Lifestyle change | Article

Objective:\ud \ud Understanding mechanisms of motivational interviewing (MI) could improve practice. Planning is important for behavior change, and a component of MI. We aimed to develop a scale to measure planning talk within MI and explore the potential association between planning and weight loss maintenance (WLM).\ud \ud Methods:\ud \ud A literature review and thematic analysis was used to develop the coding system. Reliability was tested using MI examples and a transcript. It was applied to 50 sessions and associations between planning and WLM were analyzed using logistic and linear regression.\ud \ud Results:\ud \ud The coding system included: past, continuing, future and hypothetical plans and goal setting, varying on specificity and commitment. The percentage agreement was 86% and 75% for examples and transcript reliability respectively. Frequent planners, potentially decrease their weight 2.8 kg(−9.7, 0.6) and BMI 1.2 kg/m2(−3.1, 0.4) more compared to less frequent planners. Frequent goal setters increase their BMI(3.6 kg/m2, 1.5, 5.7) and weight (9.5 kg, 3.4, 15.6) compared to non-goal setters.\ud \ud Conclusion:\ud \ud It is feasible to measure planning, with acceptable agreement. Limited conclusions for the potential associations were demonstrated.\ud \ud Practice implications:\ud \ud This is the first scale to measure planning, an important aspect of MI which has received less attention.
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