Mixed-method evaluation of an online motivational interviewing intervention as a potential adjunct to internet-delivered cognitive behaviour therapy: immediate benefits and user feedback

Date
2019-04
Authors
Beck, Cynthia D.
Journal Title
Journal ISSN
Volume Title
Publisher
Faculty of Arts, University of Regina
Abstract

While Internet-delivered cognitive behaviour therapy (ICBT) can effectively reduce anxiety and depression, not all clients benefit equally from treatment. Motivational Interviewing (MI) can result in behaviour change and, coupled with face-to-face therapy, can lead to enhanced outcomes; however, little research has examined MI as an adjunct to ICBT. The aim of the current study was to evaluate user feedback on a newly developed online MI intervention and to explore the immediate impact of the MI lesson on motivation for change. Two samples of participants, one with ICBT experience (n = 21) and one without ICBT experience (n = 20), reviewed and evaluated the online MI intervention. Pre and post lesson participants rated their motivation. Following MI, both samples of participants reported a statistically significant increase in ability to reduce symptoms (p < .0001) and an increase that approached statistical significance in perceived importance of reducing symptoms (p < .052). Furthermore, after completing the MI intervention, participants reported increased confidence in recommending the lesson to a friend (p < .002) and increased belief that the lesson would be successful in helping someone to prepare for ICBT (p < .0001). Examination of ratings of the MI intervention and open-ended comments were positive, although participants made recommendations for expanding the exercises or content to assist with self-reflection. The current research provides evidence for the face validity of the MI intervention and sets the foundation for research on MI as a potential adjunct to ICBT for improving motivation prior to active treatment.

Description
A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Bachelor of Arts (Honours) in Psychology, University of Regina. 77 p.
Keywords
Anxiety, Depression, Mental, Motivational interviewing, Cognitive behaviour therapy, Internet--Psychological aspects, Evaluation, Internet-delivered Cognitive Behaviour Therapy
Citation