Modification of motivational interviewing for use with people with mild intellectual disability and challenging behavior

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Abstract

Background
Motivational interviewing is a promising method to increase treatment motivation for people with mild intellectual disability and challenging behaviour. The purpose of the present study was to identify how professionals could adapt motivational interviewing techniques for use with clients.
Method
We conducted semistructured qualitative interviews and focus groups with 26 clients, parents, and professionals. A general inductive approach led to the identification of multiple core themes.
Results
The authors recommend several modifications to accommodate motivational interviewing for use with clients: adapt to language level, adjust to cognitive abilities, and control for social desirability of responding. In addition, certain characteristics of professionals were also found to be critical for effective motivational interviewing: trustworthiness, engagement, acceptance, empathy, and honesty.
Conclusions
Concrete recommendations for the adaptation of the motivational interviewing techniques for use with people with mild intellectual disability and challenging behaviour are identified. Certain characteristics of professionals are also critical for maximising the treatment motivation of clients.
Keywords: Motivational interviewing, intellectual disability, challenging behaviour
Original languageEnglish
Pages (from-to)279-291
JournalJournal of Intellectual and Developmental Disability
Volume38
Issue number4
DOIs
Publication statusPublished - 2013

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disability
social desirability
trustworthiness
cognitive ability
qualitative interview
empathy
parents
acceptance
Focus Groups
Intellectual Disability
Interviewing
Language
language
Interviews
Group

Cite this

@article{1e247abb0a5d4192ba1a2de77e3212a6,
title = "Modification of motivational interviewing for use with people with mild intellectual disability and challenging behavior",
abstract = "Background Motivational interviewing is a promising method to increase treatment motivation for people with mild intellectual disability and challenging behaviour. The purpose of the present study was to identify how professionals could adapt motivational interviewing techniques for use with clients.Method We conducted semistructured qualitative interviews and focus groups with 26 clients, parents, and professionals. A general inductive approach led to the identification of multiple core themes.Results The authors recommend several modifications to accommodate motivational interviewing for use with clients: adapt to language level, adjust to cognitive abilities, and control for social desirability of responding. In addition, certain characteristics of professionals were also found to be critical for effective motivational interviewing: trustworthiness, engagement, acceptance, empathy, and honesty.Conclusions Concrete recommendations for the adaptation of the motivational interviewing techniques for use with people with mild intellectual disability and challenging behaviour are identified. Certain characteristics of professionals are also critical for maximising the treatment motivation of clients.Keywords: Motivational interviewing, intellectual disability, challenging behaviour",
author = "N. Frielink and P.J.C.M. Embregts",
year = "2013",
doi = "10.3109/13668250.2013.809707",
language = "English",
volume = "38",
pages = "279--291",
journal = "Journal of Intellectual and Developmental Disability",
issn = "1366-8250",
publisher = "Informa Healthcare",
number = "4",

}

TY - JOUR

T1 - Modification of motivational interviewing for use with people with mild intellectual disability and challenging behavior

AU - Frielink, N.

AU - Embregts, P.J.C.M.

PY - 2013

Y1 - 2013

N2 - Background Motivational interviewing is a promising method to increase treatment motivation for people with mild intellectual disability and challenging behaviour. The purpose of the present study was to identify how professionals could adapt motivational interviewing techniques for use with clients.Method We conducted semistructured qualitative interviews and focus groups with 26 clients, parents, and professionals. A general inductive approach led to the identification of multiple core themes.Results The authors recommend several modifications to accommodate motivational interviewing for use with clients: adapt to language level, adjust to cognitive abilities, and control for social desirability of responding. In addition, certain characteristics of professionals were also found to be critical for effective motivational interviewing: trustworthiness, engagement, acceptance, empathy, and honesty.Conclusions Concrete recommendations for the adaptation of the motivational interviewing techniques for use with people with mild intellectual disability and challenging behaviour are identified. Certain characteristics of professionals are also critical for maximising the treatment motivation of clients.Keywords: Motivational interviewing, intellectual disability, challenging behaviour

AB - Background Motivational interviewing is a promising method to increase treatment motivation for people with mild intellectual disability and challenging behaviour. The purpose of the present study was to identify how professionals could adapt motivational interviewing techniques for use with clients.Method We conducted semistructured qualitative interviews and focus groups with 26 clients, parents, and professionals. A general inductive approach led to the identification of multiple core themes.Results The authors recommend several modifications to accommodate motivational interviewing for use with clients: adapt to language level, adjust to cognitive abilities, and control for social desirability of responding. In addition, certain characteristics of professionals were also found to be critical for effective motivational interviewing: trustworthiness, engagement, acceptance, empathy, and honesty.Conclusions Concrete recommendations for the adaptation of the motivational interviewing techniques for use with people with mild intellectual disability and challenging behaviour are identified. Certain characteristics of professionals are also critical for maximising the treatment motivation of clients.Keywords: Motivational interviewing, intellectual disability, challenging behaviour

U2 - 10.3109/13668250.2013.809707

DO - 10.3109/13668250.2013.809707

M3 - Article

VL - 38

SP - 279

EP - 291

JO - Journal of Intellectual and Developmental Disability

JF - Journal of Intellectual and Developmental Disability

SN - 1366-8250

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