The DOI matches its Crossref record; 71 of the 74 references it cites were found in a registry or an index.
Client commitment language during motivational interviewing predicts drug use outcomes.
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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“The final two ACT processes of value exploration and committed action are essential to behavior change. 49”
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Metadata
- Authors
- Amrhein, P. C., Miller, W. R., Yahne, C. E., Palmer, M., & Fulcher, L.
- Affiliations
- University of New Mexico (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2003-10
- Volume
- 71
- Issue
- 5
- Pages
- 862-878
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- 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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