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

Copeland, Lauren ORCID: https://orcid.org/0000-0003-0387-9607, McNamara, Rachel ORCID: https://orcid.org/0000-0002-7280-1611, Kelson, Mark ORCID: https://orcid.org/0000-0001-7744-3780 and Simpson, Sharon 2017. The development of a coding system to code planning talk within motivational interviewing. Patient Education and Counseling 100 (2) , pp. 313-319. 10.1016/j.pec.2016.09.003

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Abstract

Objective: 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). Methods: 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. Results: 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 kgs(-9.7, 0.6) and BMI 1.2kg/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 (9.5kg, 3.4, 15.6) compared to non-goal setters. Conclusion: It is feasible to measure planning, with acceptable agreement. Limited conclusions for the potential associations were demonstrated. Practice implications: This is the first scale to measure planning, an important aspect of MI which has received less attention.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Uncontrolled Keywords:	Motivational interviewing; Outcome measure; Planning; Weight loss maintenance; Behavior change counselling; Lifestyle change
Additional Information:	Pdf uploaded in accordance with publisher's policy at http://www.sherpa.ac.uk/romeo/issn/0738-3991/ (accessed 19/09/2016)
Publisher:	Elsevier
ISSN:	0738-3991
Date of First Compliant Deposit:	19 September 2016
Date of Acceptance:	2 September 2016
Last Modified:	22 Nov 2024 06:30
URI:	https://orca.cardiff.ac.uk/id/eprint/94438

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