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| Author | : Ailbhe Hogan |
| Publisher | : |
| Total Pages | : |
| Release | : 2017 |
| Genre | : |
| ISBN | : |
| Author | : Antoine Douaihy |
| Publisher | : Oxford University Press, USA |
| Total Pages | : 201 |
| Release | : 2020 |
| Genre | : Medical |
| ISBN | : 0190619953 |
"MI is a practical, brief, and evidence-based approach that takes into consideration how difficult it is to make behavioral changes. Ambivalence represents a patient's experience of simultaneously feeling conflicted (two ways) about changing one's behavior; for example, concurrently wanting to make a change while also feeling reluctant to do so"--
| Author | : Jose Luis Moreno |
| Publisher | : |
| Total Pages | : 117 |
| Release | : 2015 |
| Genre | : Change (Psychology) |
| ISBN | : |
Although studies have demonstrated that change talk (CT) and sustain talk (ST) are related to behavior change in multiple addictive behaviors, few have investigated the relationship between change talk and outcome in health promotion. This is the first study to investigate whether CT and ST are related to HIV medication adherence in a sample of individuals recruited to participate in an ART adherence intervention. MI session tapes from 92 HIV-positive patients were coded for frequency of utterances expressing desire, ability, reasons, need, commitment, other, and taking steps to adhere/not adhere to an ART medication regimen. Strength of language as well as summary scores for both frequency and strength ratings were calculated. Adherence was assessed at Week 2 and Week 12. There was a significant relationship between Total ST and adherence at Week 2. Additionally, multiple regression with bootstrapped standard errors showed that Taking Steps ST was negatively related to adherence at both Week 2 and Week 12. Finally, Taking Steps Strength was related to adherence at Week 2 only. Findings from this study support the need for coding for individual change talk categories to determine what individual forms of change talk are related to health behaviors. The identification of Taking Steps ST as a predictor of poorer adherence suggests that Taking Steps ST might be an indicator of barriers to adhere to ART regimens.
| Author | : Qunesha S. Hinton |
| Publisher | : |
| Total Pages | : 186 |
| Release | : 2018 |
| Genre | : |
| ISBN | : |
Since the development of antiretroviral medications in the mid-1990s, treatment of human immunodeficiency virus (HIV) infection has improved steadily and HIV is now considered a manageable chronic condition with improved quality of life for those who are medically adherent. However, medication regimens typically require near perfect adherence to be effective and people living with HIV/AIDS (PLWHA) may experience a unique set of biopsychosocial barriers that limit or inhibit their ability to be medically adherent. The purpose of this study was to examine the influence of biopsychosocial factors and motivational interviewing on antiretroviral medication adherence in people living with HIV/AIDS (PLWHA). Specifically, this study explored how biopsychosocial barriers (i.e., physical health, mental health, substance use, housing, transportation, and employment concerns) and motivational interviewing predict antiretroviral medication adherence in PLWHA as measured by patients' CD4 count and HIV viral load. This study utilized archival data that was collected between July 2013 and July 2016 at the Brody School of Medicine HIV Clinic and captured patients' biopsychosocial barriers, CD4 count and HIV viral load. A stratified sample of 210 patients was drawn from the archival data for this study. Multiple logistic regression analysis showed that patients' CD4 count cut scores at intake made a significant contribution to the prediction of medication adherence as measured by PLWHA CD4 count cut scores at week 21, when controlling for patients' CD4 count cut scores at intake. Comparatively, results showed a statistical significance for the barrier substance use when examining antiretroviral medication adherence in PLWHA as measured by patients' HIV viral load cut scores at week 21. Further, a non-significant association between patients' CD4 cut scores at week 21 and patients' HIV viral load cut scores at week 21 in predicting antiretroviral medication adherence was found. The results of this study suggest that patients' starting CD4 count and substance use are important components that warrant further research for PLWHA. Further, this study has implications for healthcare professionals, counselors, and counselor educators related to substance use concerns for this specific population. Future research exploring substance use treatment and ARV medication adherence in PLWHA is suggested.
| Author | : Shelly Lynne Peterson |
| Publisher | : |
| Total Pages | : 140 |
| Release | : 2011 |
| Genre | : Change (Psychology) |
| ISBN | : |
Although a number of studies have demonstrated that patients' verbal language in favor of change within a Motivational Interviewing (MI) session, known as "change talk," is related to behavior change and intervention outcomes, few have investigated whether change talk (CT) mediates the effects of other patient characteristics on outcomes. This is the first study to investigate whether CT mediates the effect of patient depressive symptoms on HIV antiretroviral therapy (ART) adherence outcomes. MI session tapes for 100 HIV-positive patients participating in an ART adherence intervention study were coded for frequency of utterances expressing desire, ability, reason, need and commitment to adhere/not adhere to an ART medication regimen. Strength of commitment language was also coded and mean strength of commitment and commitment strength change across the course of the session were calculated. There was a weak but significant negative relationship between patient depressive symptoms and ART adherence rate at week 12. Bootstrap mediation analyses showed no mediation effects for any CT variables on the relationship between depressive symptoms and week 12 ART adherence. Despite the lack of a causal mediation role for CT variables, CT frequency and strength of commitment to change was related to depressive symptoms and ART adherence. Clinically, modified MI strategies for depressed patients may be warranted. Findings from this study support the need for more complex moderator mediator models to investigate whether CT variables mediate the effect of depression on ART adherence outcomes within particular subgroups of depressed patients.
| Author | : Jamie McCallum |
| Publisher | : |
| Total Pages | : 6 |
| Release | : 2015 |
| Genre | : Electronic books |
| ISBN | : |
| Author | : William T. O'Donohue |
| Publisher | : SAGE |
| Total Pages | : 476 |
| Release | : 2006-07-07 |
| Genre | : Education |
| ISBN | : 9781412944823 |
In Nazi Germany, the cult of celebrity was the embodiment of Hitler s style of cultural governance. Hitler s rise to power owed much to the creation of his own celebrity, and the country s greatest stars, whether they were actors, writers, or musicians, could be one of only two things. If they were compliant, they were lauded and awarded status symbols for the regime; but if they resisted or were simply Jewish they were traitors to be interned and murdered. This fascinating analysis offers a shocking portrait of a Hitler shaped by aspirations to Hollywood-style fame, of the correlation between art and ambition, of films used as weapons, and of sexual predilections. The Fuhrer believed he was an artist, not a politician, and in his Germany politics and culture became one. His celebrity was cultivated and nurtured by Joseph Goebbels, Germany s supreme head of culture. Hitler and Goebbels enjoyed the company of beautiful female film stars, and Goebbels had his own casting couch. In Germany s version of Hollywood there were scandals, starlets, secret agents, premieres, and party politics. The Third Reich would launch filmmaker and actress Leni Riefenstahl to prominence by making her its own glorifying documentarian, most famously in The Triumph of the Will, the innovative propaganda film starring Hitler and widely considered to be one of the greatest movies ever made. It is no coincidence that Eva Braun, Hitler s longtime partner and wife for the two days leading up to their joint suicide, was a photographer, and in fact shot most of the surviving photographs and film footage of her lover. This book reveals previously unpublished information about the Hitler film, which Goebbels envisaged as the greatest story ever told, although it was ultimately trumped by the dictator s own, real-life Wagnerian finale.
| Author | : Gerard Victory |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2016 |
| Genre | : |
| ISBN | : |
| Author | : U.S. Department of Health and Human Services |
| Publisher | : Lulu.com |
| Total Pages | : 208 |
| Release | : 2019-11-19 |
| Genre | : Reference |
| ISBN | : 1794755136 |
Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
| Author | : William R. Miller |
| Publisher | : Guilford Press |
| Total Pages | : 428 |
| Release | : 2002-04-12 |
| Genre | : Psychology |
| ISBN | : 9781572305632 |
This bestselling work has introduced hundreds of thousands of professionals and students to motivational interviewing (MI), a proven approach to helping people overcome ambivalence that gets in the way of change. William R. Miller and Stephen Rollnick explain current thinking on the process of behavior change, present the principles of MI, and provide detailed guidelines for putting it into practice. Case examples illustrate key points and demonstrate the benefits of MI in addictions treatment and other clinical contexts. The authors also discuss the process of learning MI. The volume’s final section brings together an array of leading MI practitioners to present their work in diverse settings.
