Facilitating behavioral change in voice therapy: The relevance of motivational interviewing

TitleFacilitating behavioral change in voice therapy: The relevance of motivational interviewing
Publication TypeJournal Article
Year of Publication2006
AuthorsBehrman, A
JournalAmerican Journal of Speech-Language Pathology
PublisherAmerican Speech-Language-Hearing Assn
Place PublishedUS
Publication Languageeng
ISBN Number1058-0360
Accession Number2007-07438-002. First Author & Affiliation: Behrman, Alison
KeywordsAdherence, behavior change, Compliance, interviewing, Motivation, motivational interviewing, Speech Therapy, treatment compliance, vocal behavioral change, Voice therapy

Purpose: The purpose of this article is to present an exploration of some of the issues surrounding adherence to vocal behavioral change in voice therapy within the context of Motivational Interviewing (Ml) and to explore MI's potential for integration into voice therapy (Ml-adapted voice therapy). MI is a style of interpersonal communication in which resistance is minimized through the use of skillful listening in a directive, constructive discussion about behavior change. The goal of MI-adapted voice therapy is to enhance patient adherence to vocal behavioral change. Method: A narrative review of the literature is presented, together with the experiences of the author with 10 adult patients with voice disorders who participated in Ml-adapted voice therapy. Results: It is shown that the principles of Ml can be applied throughout the therapy program. Points of resistance to vocal behavioral change that were common across many patients appeared to be addressed appropriately by specific MI dialogue strategies. Conclusions: It is concluded that MI-adapted voice therapy holds promise as an approach to address patient adherence to vocal behavioral change. However, research is necessary to define the efficacy of this approach and the factors associated with its efficacy. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)

Go to top