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

Copeland, L., McNamara, R., Kelson, M. and Simpson, S. (2017) The development of a coding system to code planning talk within motivational interviewing. Patient Education and Counseling, 100(2), pp. 313-319. (doi: 10.1016/j.pec.2016.09.003) (PMID:27637286) (PMCID:PMC5332025)

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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/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 (9.5 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.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Simpson, Professor Sharon
Authors: Copeland, L., McNamara, R., Kelson, M., and Simpson, S.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:Patient Education and Counseling
ISSN (Online):1873-5134
Published Online:04 September 2016
Copyright Holders:Copyright © 2017 The Authors
First Published:First published in Patient Education and Counseling 100(2):313-319
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727631SPHSU Core Renewal: Relationships & Health Improvement Research ProgrammeLisa McDaidMedical Research Council (MRC)MC_UU_12017/11IHW - MRC/CSO SPHU
727661SPHSU Core Renewal: Complexity in Health Improvement Research ProgrammeLaurence MooreMedical Research Council (MRC)MC_UU_12017/14IHW - MRC/CSO SPHU
620221MRC SPHSU/GU Transfer FellowshipsLaurence MooreMedical Research Council (MRC)MC_PC_13027IHW - MRC/CSO SPHU