The Technical Hypothesis of Motivational Interviewing: An Examination of Change Language in Traditional and Computer-based MI for Disordered Gamblers

dc.contributor.advisorHodgins, David Carson
dc.contributor.authorSwan, Jennifer L.
dc.contributor.committeememberMcGrath, Daniel S.
dc.contributor.committeememberCurrie, Shawn R.
dc.contributor.committeememberMudry, Tanya E.
dc.contributor.committeememberGoldstein, Abby L.
dc.date2019-06
dc.date.accessioned2019-04-16T15:36:18Z
dc.date.available2019-04-16T15:36:18Z
dc.date.issued2019-04-12
dc.description.abstractBackground: Motivational interviewing (MI) has shown promise as a brief treatment for disordered gamblers. The technical hypothesis of MI purports that MI-consistent therapist behaviours result in greater change language on the part of the client, which in turn leads to a more favourable outcome. The present research builds on existing literature examining client change language as the mechanism by which MI promotes behaviour change among disordered gamblers in telephone MIs (Study 1), a web-based MI program (Study 2), and in a controlled, computerized task (Study 3). Method: Transcription and coding of 50 brief MIs with disordered gamblers and path analyses was used to examine the links between therapist and client behaviours and outcome (Study 1). Multiple regression was used to examine 45 transcripts from the web-based program (Study 2). Linear mixed models were used to examine the effect of a brief, controlled, MI-consistent task on 335 participants’ self-reported importance and confidence of gambling-related behaviour change. Results: Results broadly supported previous findings that therapist MI-consistent behaviours were significantly associated with higher rates of both sustain and change language. Commitment language did not significantly predict outcome; however, the relationship between outcome and the proportion of change to sustain language approached significance. For the web-based program, only the negative relationship between participants’ sustain language and outcome approached significance. The controlled task in Study 3 did not significantly affect participant outcome; all conditions reported changes in importance, confidence, and gambling behaviour. Conclusions: Implications for treatment of disordered gambling, web-based treatments, and future research in MI are discussed.en_US
dc.identifier.citationSwan, J. L. (2019). The technical hypothesis of motivational interviewing: An examination of change language in traditional and computer-based MI for disordered gamblers (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/36360
dc.identifier.urihttp://hdl.handle.net/1880/110167
dc.language.isoengen_US
dc.publisher.facultyArtsen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectGambling disorder, gambling, addiction, motivational interviewing, brief interventions, longitudinal, repeated measuresen_US
dc.subject.classificationPsychology--Clinicalen_US
dc.titleThe Technical Hypothesis of Motivational Interviewing: An Examination of Change Language in Traditional and Computer-based MI for Disordered Gamblersen_US
dc.typedoctoral thesisen_US
thesis.degree.disciplinePsychology – Clinicalen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameDoctor of Philosophy (PhD)en_US
ucalgary.item.requestcopytrue
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