Cognitive dissonance 2: A theoretical grounding of motivational interviewing

Draycott, Simon; Dabbs, Alan

doi:10.1111/j.2044-8260.1998.tb01391.x

Cited by 56 publications

(40 citation statements)

References 3 publications

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“…Our analyses suggest that motivational interviewing might highlight concerns (with the reduction in satisfaction between baseline and 12 months) but also facilitate the patients' perception that they had the capacity to make changes that in turn would lead to reduction in A1C. One possible theoretical explanation for these results could be taken from the work by Draycott and Dabbs (23,24), who mapped the principles of cognitive dissonance onto the principles and method of motivational interviewing. The method of motivational interviewing incorporates the principle of "deploying discrepancy" in which the patients' core values and personal aspirations are contrasted, through empathic listening, with the behavioral problem under discussion.…”

Section: Secondary Outcome Measures: Psychosocial Questionnairesmentioning

confidence: 94%

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

et al. 2007

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OBJECTIVE -We sought to examine the efficacy of motivational interviewing with teenagers aged 14 -17 years with type 1 diabetes.RESEARCH DESIGN AND METHODS -In a randomized controlled trial analyzed by intention to treat, 66 teenagers with type 1 diabetes attending diabetes clinics in South Wales, U.K., were randomly assigned to the intervention group (38) and control group (28). Teenagers in the intervention group received motivational interviewing, and the control group received support visits. All participants received individual sessions over 12 months. The main outcome measures assessed at baseline, 6, 12, and 24 months were serum A1C and psychosocial selfreport questionnaires including quality of life and well-being measures.RESULTS -At 12 months, 60 patients had complete data. At the end of the intervention (12 months), the mean A1C in the motivational interviewing group was significantly lower than in the control group (P ϭ 0.04), after adjusting for baseline values. At 24 months (when n ϭ 47), this difference in A1C was maintained (P ϭ 0.003). There were differences in psychosocial variables at 12 months, with the motivational interviewing group indicating more positive well-being, improved quality of life, and differences in their personal models of illness (all P Ͻ 0.01). Some of these differences were maintained at 24 months.CONCLUSIONS -Motivational interviewing can be an effective method of facilitating behavioral changes in teenagers with type 1 diabetes with subsequent improvement in their glycemic control.

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Section: Secondary Outcome Measures: Psychosocial Questionnairesmentioning

confidence: 94%

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

et al. 2007

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“…27 Family members may experience cognitive dissonance when they perceive an inconsistency between their preference and what is actually required of them. These observations are consistent with prior fi ndings linking dissonance to physiologic arousal 28 and incongruence in responses to PTSD interventions.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Symptoms of Posttraumatic Stress and Depression in Family Members After Patient Death in the ICU

Gries

Engelberg

Kross

et al. 2010

Chest

276

250

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Background: Patients' deaths in the ICU have been associated with a high burden of psychologic symptoms in families. This study identifi es characteristics associated with psychologic symptoms in family members. Methods: Families of patients dying in the ICU or within 30 h of ICU discharge in 11 hospitals previously participated in a randomized trial. In the current study, we assessed these families for symptoms of posttraumatic stress disorder (PTSD) and depression with follow-up surveys. Outcomes included validated measures of PTSD (PTSD Checklist) and depressive (Patient Health Questionnaire) symptoms. Predictors included family member mental-health history, involvement in decision making, and demographics. Results: Surveys were completed by 226 families. Response rate was 46% in the original randomized trial and 82% in this study. Prevalence (95% CI) of PTSD and depressive symptoms were 14.0% (9.7%-19.3%) and 18.4% (13.5%-24.1%), respectively. Family characteristics associated with increased symptoms included: female gender (PTSD, P 5 .020; depression, P 5 .005), knowing the patient for a shorter duration (PTSD, P 5 .003; depression, P 5 .040), and discordance between family members' preferences for decision making and their actual decision-making roles (PTSD, P 5 .005; depression, P 5 .049). Depressive symptoms were also associated with lower educational level ( P 5 .002). Families with psychologic symptoms were more likely to report that access to a counselor (PTSD, P , .001; depression, P 5 .003) and information about spiritual services might have been helpful while the patient was in the ICU (PTSD, P 5 .024; depression, P 5 .029). Conclusions

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“…Theories can be quite elaborate, or relatively simple. Examples include the theory of reasoned action [41][42][43][44] ; theories of cognitive dissonance [45][46][47][48][49][50][51][52] ; stages of change [53][54][55] ; Roger's Diffusion of Innovation Theory 32 ; Social Cognitive Theory [56][57][58][59][60][61] ; and Social Influence Theory.…”

Section: Appendix: Defining Terms Theorymentioning

confidence: 99%

Models, Strategies, and Tools.

Sales

Smith²,

Curran

et al. 2006

J Gen Intern Med

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This paper presents a case for careful consideration of theory in planning to implement evidence‐based practices into clinical care. As described, theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. Strategies should be linked to specific interventions and/or intervention components to be implemented, and the choice of tools should match the interventions and overall strategy, linking back to the original theory and framework. The thesis advanced is that in most studies where there is an attempt to implement planned change in clinical processes, theory is used loosely. An example of linking theory to intervention design is presented from a Mental Health Quality Enhancement Research Initiative effort to increase appropriate use of antipsychotic medication among patients with schizophrenia in the Veterans Health Administration.

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Cognitive dissonance 2: A theoretical grounding of motivational interviewing

Cited by 56 publications

References 3 publications

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

A Multicenter Randomized Controlled Trial of Motivational Interviewing in Teenagers With Diabetes

Predictors of Symptoms of Posttraumatic Stress and Depression in Family Members After Patient Death in the ICU

Models, Strategies, and Tools.

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