Skip to main content

Table 1 Summary of blended MI and PST sessions and objectives

From: The efficacy of a blended motivational interviewing and problem solving therapy intervention to reduce substance use among patients presenting for emergency services in South Africa: A randomized controlled trial

At baseline · Conduct screening/assessment of alcohol use
30 min · Provide feedback on results of screening/assessment
  · Increase knowledge of how alcohol use impacts on physical and mental health
  · Use MI to build rapport and develop readiness to change
  ° Assess readiness to change (using readiness ruler for confidence and importance)
  ° Assess pros and cons of change (Decision-balance exercise)
  ° Use MI to try and shift participant and elicit a commitment to change
Session 1 Patient check-in (using MI) (5 min)
60 minutes · Build the Rationale for PST (15 min):
    · Explain the structure of PST
    · Explain the link between problems and alcohol use, and the rationale for PST
    · Establish positive problem orientation
    · Describe the steps of PST
    · Build the rationale for activity scheduling
  · Describe the steps of Problem Solving (15 min)
  · First Problem Solving Session with counsellor (using the steps) and describe homework (25 min)
Session 2 · Patient check-in (using MI) (5 min)
40 minutes · Review homework from previous week and challenges/difficulties (5 min)
  ° Elicit positive change talk and affirm commitment to change using MI techniques
  ° Review PST steps and affirm attempts to change
  · Explain what can be done about problems that are not important (coping with negative thoughts) (10 min)
  · Second Problem Solving Session with counsellor and an exercise (25 min)
Session 3 · Review practice exercises from session 3 (5 min)
40 minutes · Explain what can be done about problems that are important but cannot be solved (5 min)
  · Third Problem Solving Session with counsellor and an exercise (30 min)
Session 4 · Review practice exercises from session 3 (5 min)
40 minutes ·  Fourth Problem Solving Session with counsellor and an exercise (30 min)
  · Use MI to affirm progress to date and discuss way forward and follow-sup (5 min)