Using topic coding to understand the nature of change language in a motivational intervention to reduce alcohol and sex risk behaviors in emergency department patients

摘要: Abstract Objective To elucidate patient language that supports changing a health behavior (change talk) or sustaining the (sustain talk). Methods We developed novel coding system to characterize topics of speech in motivational intervention targeting alcohol and HIV/sexual risk 90 Emergency Department patients. further coded as change sustain talk. Results For both sex, discussions focusing on benefits planning were most likely involve talk, these comprised large portion all Greater discussion barriers facilitators also was associated with more use, drinking common topic sex risk, sexual rarely discussed, talk centered patterns contexts, negations drawbacks, drawbacks change. Conclusions Topic provided unique insights into content Practice implications Patients are voice when conversation focuses rather than ongoing behavior. Interventions addressing multiple behaviors should address motivations for maintaining specific risky behaviors.