Cited by 729Substance Abuse Treatment and OutcomesBehavioral Health and InterventionsPsychotherapy Techniques and Applications

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Client commitment language during motivational interviewing predicts drug use outcomes.

Amrhein, Paul C., Miller, William R., Yahne, Carolina E., Palmer, Michael, Fulcher, Laura·2003·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.71.5.862

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Abstract

Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (stragglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to stragglers. CS for client evaluation of a change plan predicted outcome PDA. CS was predicted by strength of desire, ability, need, and reasons, but more strongly predicted outcome PDA, suggesting CS is a pathway for their influence on behavior.

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Authors: Amrhein, P. C., Miller, W. R., Yahne, C. E., Palmer, M., & Fulcher, L.
Affiliations: University of New Mexico (US)
ORCID: Amrhein, Paul C.
Miller, William R.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2003-10
Volume: 71
Issue: 5
Pages: 862-878
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.71.5.862
OpenAlex: W2054961524
Cited by: 729
References: 74
Citations by year: 2026: 12 · 2025: 11 · 2024: 11 · 2023: 23 · 2022: 14 · 2021: 27 · 2020: 66 · 2019: 26 · 2018: 25 · 2017: 30 · 2016: 48 · 2015: 47 · 2014: 42 · 2013: 52 · 2012: 48
FWCI: 12.63
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (1r01da009864-01)
National Institute on Drug Abuse (R01-DA09864)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: motivational interviewing, drug use outcomes, abstinence, drug abusers, self-report validity, readiness to change
MeSH terms: Adult, Female, Follow-Up Studies, Humans, Interview, Psychological, Language, Male, Motivation, Patient Compliance, Prospective Studies, Videotape Recording, Prevalence, Cluster Analysis, Substance-Related Disorders

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Client commitment language during motivational interviewing predicts drug use outcomes.

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