Table 4 Illustrative quotes for MI-SNI interface reactions theme

Name listing

(Q: was it difficult naming 15 people?)

[BT11]: “Kind of hard.”

[BT12]: “Not at all…Fifteen; I think that’s a good amount of people.”

[BT13]: “Moderately, just on the spot…by the end of the 15 names I thought of another whole different set of names that I could have said and changed the outcome of the graphs and all that.”

[BT14]: “It was a lot of people to really think about. I was like okay, 15 people. I was kind of reaching for people that I actually talk to…I feel like it’s too many…Ten to 12, maybe. Ten or 11. Ten, 11, 12, one of those because… for me it’s like I’m homeless, I do use some substances and I don’t like to have a big circle. I have little, close people that may know what I do or I do it with them, I get it from them and stuff like that. That’s for me. Because some of those people I talk to only in here, not outside of here…I wish I would have brought my cell phone so I could see who I’ve been talking to.”

[BT31]: “That actually wasn't very hard.”

[BT32]: “Some people such as myself, we don’t have 15 people to name off. Sometimes we only have like three people in our lives…(Q: But you were able to come up with 15?) They just weren’t all close buddies…I don’t really talk to people so it’s like this is hard. So that comes up, it’s going to be like a challenge for those people that are trying to change their patterns, like change their life. Because if they have to name people that they don’t even associate with and they see that result, it’s like…this means nothing then…Like incorporate even it’s just somebody that you say hello to once in a while, whether it’s a good person or a bad person. Just notate it like if you don’t have many people in your life, basically, include any outside sources.”

[BT14]: (Q: was it comfortable providing names?) “The people that I named I know wouldn’t mind if I talked about them like that… if I come up with nicknames and stuff, later in time I’m going to be like, who the hell is this?…If I gave initials, I’m like, oh, this is going to be this person and this person, but who was I talking about?”

Discussions of screen wording

[BT11]: “The one part where it says people that you would use with and it says use a normal amount and then use more than—I think I’m a real addict, so there is no normal use for me. When I use, it’s excessive and there’s no moderation and there’s no control. So I think when non-addicts take it, they can relate to that and be like oh, yeah, I didn’t really want to get that fucked up. But if a real addict like me is taking it, every time with everyone if I ever use with them, it would be excessive. Every time.”

[BT14]: “I liked how they asked about, what are your immediate goals, what do you want to accomplish?”

[BT31]: “I also liked the way that the questions were worded and how you worded them to get the point across and also it helped me understand more better.. I probably wouldn't have said the right thing or what I actually meant, if the questions were worded differently…Also the choices that you had were very good choices. Do you know what I'm talking about? Like when you pick the two things, they were good choices, too.”

[BT31]: “I would like to pick more than just two places to improve, because I wanted to pick all of them, because I feel like I need all of them. I need to improve my mental health and substance abuse and get out of here and keep my job and—you know? So if there could be more options.”

[BT31]: “And then I noticed with the substance use, there wasn't an option for “using less with”…Because I don't want to be using the same amount. I want to slowly go off, to where eventually I'm at a point where I don't need it anymore. I don't have to do it. I've found different coping skills, I've found another way, you know?…Because I don't want to use more, I don't want to use the same. I want to slowly use less.”

[BT31]: “It felt very scripted and very monotone and not flowing…I would rather have it to where she just says what rolls off right and it doesn't feel like she's being, say this and this and—you know?”

Computer interface

[BT13]: “I guess nowadays it’d be a lot easier doing it on a computer. But I think that they should get a case manager or somebody else to be there with them and bring up new ideas that they’re not necessarily thinking of at the moment.”

[BT32]: “Sometimes the pages become extremely too bright. So in technical format, dull it down. Dull the brightness down.”