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Biomedical subjects

S Rollnick

Publications and source records attributed to S Rollnick.

31 records · Page 2Linked to original sources
PubMed1995

Innovation in clinical method: diabetes care and negotiating skills.

The development of a method to facilitate clinical negotiation with diabetic patients is described. The principles of the method incorporate patient centredness, an assessment of readiness to change and some elements of motivational interviewing. A simple low cost technology is part of the innovative method. Details of the method and its application are published before the results of a randomized controlled trial to ensure that the techniques are in the public domain before the outcome of the trial is known.

Clinical Competence↗
PubMed1994

Results of screening for excessive drinkers in four Sydney teaching hospitals.

In-patients from selected wards at four Sydney teaching hospitals were screened using a self-completed general health questionnaire. Screening was carried out between January 1990 and December 1991 as part of a larger study of brief interventions for excessive alcohol consumers detected in the general hospital setting. Comparison with other screening studies of excessive drinkers in hospitals is difficult, due to factors such as the different screening instruments used and the varying population targeted. However, similar trends among excessive drinkers were found, such as age and gender factors. The routine employment of simple screening instruments to detect excessive drinkers among hospital in-patients is once more urged.

Journal Article↗
PubMed1993

Predictive validity of the Readiness to Change Questionnaire.

Following the development of the Readiness to Change Questionnaire described by Rollnick et al., this article reports on the predictive validity of the questionnaire among a sample of 174 male excessive drinkers identified by screening on wards of general hospitals. Relationships between patients' "stage of change" derived from questionnaires administered prior to discharge from hospital and changes in drinking behaviour at 8 weeks and 6 months follow-up are analysed. Allocated stage of change provided statistically significant relationships with drinking outcome. Multiple regression analysis showed that stage of change remained a significant predictor of changes in alcohol consumption when other possible predictors were taken into account. Two methods for allocating stage of change on the basis of questionnaire responses for use in different circumstances, a "quick" and a "refined" method, are described.

Adolescent↗
PubMed1992

Development of a short 'readiness to change' questionnaire for use in brief, opportunistic interventions among excessive drinkers.

Excessive drinkers (141) identified in medical settings who were not seeking help for an alcohol problem completed a questionnaire based on Prochaska and DiClemente's stages of change model. Principal components analysis revealed a clear factor structure corresponding to the 'precontemplation', 'contemplation' and 'action' stages of change. On this basis, a 12-item 'Readiness to change' questionnaire was developed with satisfactory psychometric properties. As predicted, scale scores on adjacent stages of change showed significantly higher inter-correlations than scores on non-adjacent stages. Concurrent validation by comparison with subjects' choices of cartoons depicting each of the stages of change and with screening questions regarding aspects of drinking behaviour was moderate to very good. The questionnaire provides a short and convenient measure of readiness to change which may be used in conjunction with brief, opportunistic interventions with excessive drinkers.

Adult↗
PubMed1983

A comparison of objective and subjective measures of alcohol dependence as predictors of relapse following treatment.

Shortly before discharge, 50 alcoholic inpatients completed an 'objective' measure of alcohol dependence, the Severity of Alcohol Dependence Questionnaire, and a 'subjective' measure, taken largely from questions previously used by Schaefer (1971). At six-month follow-up, there was a significant difference in the subjective measure between patients who had maintained harm-free drinking and those who had returned to some form of harmful drinking, but no significant relationship was observed for the SADQ. It is concluded that relapse following treatment is better predicted by the subjective measure than by the objective measure of dependence and the implications of this for theories of relapse are noted.

Adolescent↗
PubMed1982

The application of Bandura's self-efficacy theory to abstinence-oriented alcoholism treatment.

This paper explores the relevance of self-efficacy theory (Bandura, 1977b) to the process of abstinence treatment and the phenomenon of relapse. By distinguishing between the particular efficacy and outcome expectations created in treatment it is possible to clarify some of the problems encountered between clinicians and alcoholics. Bandura's theory also explains why some treatment methods might be more effective than others. Analysis of relapse suggests that while some of the expectations created in treatment might serve to promote abstinence, others might unwittingly precipitate relapse. The understanding of abstinence treatment could be enhanced by the testing of hypotheses which emerge from this analysis.

Alcoholism↗
PubMedDate not supplied

The development of a brief scale to measure outcome expectations of reduced consumption among excessive drinkers.

This paper describes the development of a brief scale to measure outcome expectations of reduced consumption among excessive drinkers (low dependence drinkers consuming more than recommended levels). This work, which forms part of a larger matching study of brief intervention, is based on the general proposition that outcome expectations of reduced consumption might be more important than previously thought for understanding and predicting behavior change. Twelve outcomes, derived from interviews with excessive drinkers, formed the basis of a questionnaire, the Excessive Drinker Outcome Expectations Scale (EDOES), which examined not only the valence of each outcome, but a comparison between expectations of reduced consumption versus drinking usual amounts. The questionnaire was administered to 235 hospitalized excessive drinkers. Principal components analysis produced two scales, reflecting the costs and benefits of change. The questionnaire proved to have acceptable levels of test-retest reliability and predictive validity. Analyses of construct validity revealed that outcome expectations of reduced consumption were increasingly positive across stages of change.

Adaptation, Psychological↗