Ep 19 – The role of feedback in Motivational Interviewing
Feedback in Motivational Interviewing
We are excited to welcome Denise Walker to the podcast as she explores the use of feedback in Motivational Interviewing.
Denise is a licensed clinical psychologist, Research Associate Professor at the University of Washington, and Director of the Innovative Programs Research Group.
A main area of her research expertise is on the development and evaluation of interventions for marijuana disorders for both adults and adolescents, utilizing brief interventions (Motivational Enhancement Therapy, MET), longer courses of treatment (MET+CBT), and more recently aftercare. She has been involved in the development and evaluation of the Teen Marijuana Check-Up (TMCU), a school-based intervention to elicit self-referral by heavy using adolescents. The TMCU has been the focus of five clinical trials and is identified as an “Evidence Based” intervention on the NREPP. Another focus of her work is adapting the Check-Up model, a motivational enhancement therapy, to reach other high-risk populations including active duty military personnel with an alcohol disorder, active duty military personnel with untreated PTSD, and domestic violence perpetrators. Feedback can provide useful information, but the way a practitioner offers it matters. Denise explores how personalised and normative feedback can be incorporated into Motivational Interviewing without turning the conversation into an expert-led lecture. The person’s interpretation, values and response remain central to what happens next. The episode considers Motivational Enhancement Therapy, personalised feedback reports and the use of normative data. It also explores how feedback can encourage change talk when practitioners remain curious rather than trying to convince. This approach connects closely with Information Exchange in Motivational Interviewing and offers an alternative to the Fixing Reflex.
In this episode
0:00 – Opening/introductions
2:00 – Denise’s introduction and overview of her work
5:10 – Motivational Enhancement Therapy (MET) and the role of feedback
8:30 – Using normative data
14:10 – Use of MET for active duty members of military with PTSD
27:45 – Role of values in providing feedback
29:45 – The personalized feedback report
34:15 – Findings from the Teen Marijuana Check-up program
48:50 – An alternative to the “righting reflex”
53:45 – Findings from PTSD study
58:45 – Forthcoming research on use of MET for people who have experienced their first
episode of psychosis
1:02:25 – End of recording
Links and contact information:
- Email: ddwalker@uw.edu
- Evidence-based practices resource center: https://www.samhsa.gov/ebp-resource-center (Formerly known as the National Registry of Evidence-Based Programs and Practices)
Listen to Episode 19
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