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The Language of Change among Individuals with Mild Intellectual Disability or Borderline Intellectual Functioning: Client Responses to Therapist Motivational Interviewing Skills

Title: The Language of Change among Individuals with Mild Intellectual Disability or Borderline Intellectual Functioning: Client Responses to Therapist Motivational Interviewing Skills
Language: English
Authors: Lotte C. F. Gosens (ORCID 0000-0003-4589-7846); Jannet M. de Jonge; Robert Didden; Roy Otten (ORCID 0000-0002-9763-5875); Evelien A. P. Poelen (ORCID 0000-0003-3083-1780)
Source: Journal of Applied Research in Intellectual Disabilities. 2026 39(1).
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 8
Publication Date: 2026
Document Type: Journal Articles; Reports - Research
Descriptors: Mild Intellectual Disability; Allied Health Personnel; Interviews; Skills; Motivation Techniques; Counseling Techniques; Substance Abuse; Attitude Change
DOI: 10.1111/jar.70169
ISSN: 1360-2322; 1468-3148
Abstract: Background: The link between a therapist's motivational interviewing skills and the subsequent response of individuals with mild intellectual disabilities to borderline intellectual functioning (MID-BIF) is unknown. This study examines this sequential relationship and describes change talk (CT) in individuals with MID-BIF during substance use disorder (SUD) treatment. Method: In this study, 35 treatment sessions were sequentially coded using the Motivational Interviewing Sequential Code for Observing Process Exchanges. Observed and expected frequencies of transitions, transitional probabilities, odds ratios and 95% confidence intervals were calculated in Generalized Sequential Querier software. Furthermore, frequencies of CT in IBM SPSS statistics were calculated. Results: Questions and reflections of CT and two-sided questions were followed by CT. Questions and reflections of counter change talk (CCT) and two-sided questions were followed by CCT. Individuals expressed all kinds of CT utterances. Conclusions: Questions and reflections of CT are powerful skills in evoking CT in individuals with MID-BIF during SUD treatment.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1497648
Database: ERIC