Modification of motivational interviewing for use with people with mild intellectual disability and challenging behaviour

Abstract

Background Motivational interviewing is a promising method to increase treatment motivation for people with mild intellectual disability and challenging behaviour. The purpose of the present study was to identify how professionals could adapt motivational interviewing techniques for use with clients.

Method We conducted semistructured qualitative interviews and focus groups with 26 clients, parents, and professionals. A general inductive approach led to the identification of multiple core themes.

Results The authors recommend several modifications to accommodate motivational interviewing for use with clients: adapt to language level, adjust to cognitive abilities, and control for social desirability of responding. In addition, certain characteristics of professionals were also found to be critical for effective motivational interviewing: trustworthiness, engagement, acceptance, empathy, and honesty.

Conclusions Concrete recommendations for the adaptation of the motivational interviewing techniques for use with people with mild intellectual disability and challenging behaviour are identified. Certain characteristics of professionals are also critical for maximising the treatment motivation of clients.

Keywords:

• Motivational interviewing
• intellectual disability
• challenging behaviour

Author note

The research was funded by Dichterbij, the Netherlands. Dichterbij has not imposed any restrictions on free access to, or publication of, the research data. There is no conflict of interest for any of the authors.

Acknowledgements

We would like to thank the clients, parents, and professionals of Dichterbij in the Netherlands for their participation in this study. In addition, we thank several colleagues of the Academic Collaborative Center Living with an Intellectual Disability, Tranzo, the Netherlands, for their support during the data collection.