The development of a coding system to code planning talk within motivational interviewing. Issue 2 (February 2017)

• Record Type: Journal Article
• Authors: Copeland, Lauren; McNamara, Rachel; Kelson, Mark; Simpson, Sharon
• Is Part Of: Patient education and counseling. Volume 100:Issue 2(2017)
• Page Start: 313
• Page End: 319
• Publication Date: 2017-02
• Subjects: Motivational interviewing -- Outcome measure -- Planning -- Weight loss maintenance -- Behavior change counselling -- Lifestyle change; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.09.003
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Scale developed to measure planning talk within motivational interviewing session. It is feasible to measure planning, with acceptable agreement. The measure can be applied to data to test associations. 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 kg(−9.7, 0.6) and BMI 1.2 kg/m 2 (−3.1, 0.4) more compared to less frequent planners. Frequent goal setters increase their BMI(3.6 kg/m 2, 1.5, 5.7) and weight (9.5 kg, 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.