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An Evaluation of Training in Motivational Interviewing for Nurses in Child Health Services

Published online by Cambridge University Press:  28 May 2012

Benjamin Bohman ,
Lars Forsberg ,
Ata Ghaderi  and
Finn Rasmussen
Benjamin Bohman
Affiliation:
Karolinska Institutet, Stockholm, Sweden
Lars Forsberg
Affiliation:
Karolinska Institutet, Stockholm, Sweden
Ata Ghaderi
Affiliation:
Karolinska Institutet, Stockholm, Sweden
Finn Rasmussen*
Affiliation:
Karolinska Institutet, Stockholm, Sweden
*
Reprint requests to Finn Rasmussen, Karolinska Institutet, Department of Public Health Sciences, Norrbacka, 171 76 Stockholm, Sweden. E-mail: [email protected]
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Abstract

Background: Acquiring proficiency in motivational interviewing (MI) may be more difficult than generally believed, and training research suggests that the standard one-time workshop format may be insufficient. Although nurses represent one of the professions that have received most training in MI, training in this group has rarely been systematically evaluated using objective behavioral measures. Aims: To evaluate an enhanced MI training program, comprising a 3.5-day workshop, systematic feedback on MI performance, and four sessions of supervision on practice samples. Methods: Nurses (n = 36) in Swedish child health services were trained in MI. Skillfulness in MI was assessed using the Motivational Interviewing Treatment Integrity (MITI) Code. Effects of training were compared to beginning proficiency thresholds. Results: Participants did not reach beginning proficiency thresholds on any of the indicators of proficiency and effect sizes were small. Conclusions: The present study adds to a growing body of literature suggesting that the current standard MI training format may not provide practitioners with enough skillfulness. Moreover, the results indicate that even enhanced training, including systematic feedback and supervision, may not be sufficient. Suggestions for improved MI training are made.

Keywords

Motivational interviewingtraining evaluationnurseschild health services
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 41 , Issue 3 , May 2013 , pp. 329 - 343
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

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References

Amrhein, P. C., Miller, W. R., Yahne, C. E., Palmer, M. and Fulcher, L. (2003). Client commitment language during motivational interviewing predicts drug use outcomes. Journal of Consulting and Clinical Psychology, 71, 862–878. doi: 10.1037/0022-006x.71.5.862.Google Scholar
Apodaca, T. R. and Longabaugh, R. (2009). Mechanisms of change in motivational interviewing: a review and preliminary evaluation of the evidence. Addiction, 104, 705–715. doi: 10.1111/j.1360-0443.2009.02527.x.Google Scholar
Baer, J. S., Rosengren, D. B., Dunn, C. W., Wells, E. A., Ogle, R. L. and Hartzler, B. (2004). An evaluation of workshop training in motivational interviewing for addiction and mental health clinicians. Drug and Alcohol Dependence, 73, 99–106. doi: 10.1016/j.drugalcdep.2003.10.001.Google Scholar
Baer, J. S., Wells, E. A., Rosengren, D. B., Hartzler, B., Beadnell, B. and Dunn, C. (2009). Agency context and tailored training in technology transfer: a pilot evaluation of motivational interviewing training for community counselors. Journal of Substance Abuse Treatment, 37, 191–202. doi: 10.1016/j.jsat.2009.01.003.Google Scholar
Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6, 284–290. doi: http://dx.doi.org/10.1037/1040-3590.6.4.284.Google Scholar
Forsberg, L., Berman, A. H., Kallmen, H., Hermansson, U. and Helgason, A. R. (2008). A test of the validity of the motivational interviewing treatment integrity code. Cognitive Behaviour Therapy, 37, 183–191. doi: 10.1080/16506070802091171.Google Scholar
Forsberg, L., Ernst, D. and Farbring, C. A. (2010). Learning motivational interviewing in a real-life setting: a randomised controlled trial in the Swedish Prison Service. Criminal Behaviour and Mental Health. doi: 10.1002/cbm.792.Google Scholar
Forsberg, L., Forsberg, L. G., Lindqvist, H. and Helgason, A. R. (2010). Clinician acquisition and retention of Motivational Interviewing skills: a two-and-a-half-year exploratory study. Substance Abuse, Treatment, Prevention, and Policy, 5, 8. doi: 10.1186/1747-597x-5-8.Google Scholar
Forsberg, L. G., Forsberg, L. and van Loo, T. (2008). Motivational Interviewing Treatment Integrity 3.0 (MITI 3.0): MITI kodningsmanual 3.0 Retrieved 8 December, 2010, from http://ki.se/content/1/c6/06/13/60/Kodningsmanual%20-%20MITI%203.pdfGoogle Scholar
Hettema, J., Steele, J. and Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111. doi: 10.1146/annurev.clinpsy.1.102803.143833.Google Scholar
Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D. and Burke, B. L. (2010). A meta-analysis of motivational interviewing: twenty-five years of empirical studies. Research on Social Work Practice, 20, 137–160. doi: 10.1177/1049731509347850Google Scholar
Madson, M. B., Loignon, A. C. and Lane, C. (2009). Training in motivational interviewing: a systematic review. Journal of Substance Abuse Treatment, 36, 101–109. doi: 10.1016/j.jsat.2008.05.005.CrossRefGoogle ScholarPubMed
Miller, W. R., Hedrick, K. E. and Orlofsky, D. R. (1991). The Helpful Responses Questionnaire: a procedure for measuring therapeutic empathy. Journal of Clinical Psychology, 47, 444–448. doi: 10.1002/1097-4679(199105)47:3<444::AID-JCLP2270470320>3.0.CO;2-UGoogle Scholar
Miller, W. R. and Mount, K. A. (2001). A small study of training in motivational interviewing: does one workshop change clinician and client behavior? Behavioural and Cognitive Psychotherapy, 29, 457–471. doi: 10.1017/S1352465801004064.Google Scholar
Miller, W. R. and Moyers, T. B. (2007). Eight stages in learning motivational interviewing. Journal of Teaching in the Addictions, 5, 3–17. doi: 10.1300/J188v05n01_02.Google Scholar
Miller, W. R., Moyers, T. B., Arciniega, L., Ernst, D. and Forcehimes, A. (2005). Training, supervision and quality monitoring of the COMBINE study behavioral interventions. Journal of Studies on Alcohol, 66 (Suppl 15), 188–195.Google Scholar
Miller, W. R., Moyers, T. B., Ernst, D. and Amrhein, P. (2003). Manual for the Motivational Interviewing Skill Code (MISC) Version 2.0 Retrieved 28 October 2010, from http://www.motivationalinterview.org/training/MISC2.pdfGoogle Scholar
Miller, W. R. and Rollnick, S. (1991). Motivational Interviewing: preparing people to change addictive behavior. New York: Guilford Press.Google Scholar
Miller, W. R. and Rollnick, S. (2002). Motivational interviewing: preparing people for change (2nd ed.). New York: Guilford Press.Google Scholar
Miller, W. R., Rollnick, S. and Moyers, T. B. (1998). Motivational Interviewing: professional training videotape series. University of New Mexico: Center on Alcoholism, Substance Abuse and Addictions.Google Scholar
Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J. and Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology, 72, 1050–1062. doi: 10.1037/0022-006X.72.6.1050.Google Scholar
Mounsey, A. L., Bovbjerg, V., White, L. and Gazewood, J. (2006). Do students develop better motivational interviewing skills through role-play with standardised patients or with student colleagues? Medical Education, 40, 775–780. doi: 10.1111/j.1365-2929.2006.02533.x.Google Scholar
Moyers, T. B., Manuel, J. K., Wilson, P. G., Hendrickson, S. M. L., Talcott, W. and Durand, P. (2008). A randomized trial investigating training in motivational interviewing for behavioral health providers. Behavioural and Cognitive Psychotherapy, 36, 149–162. doi: http://dx.doi.org/10.1017/S1352465807004055.Google Scholar
Moyers, T. B., Martin, T., Manuel, J. K., Hendrickson, S. M. and Miller, W. R. (2005). Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment, 28, 19–26. doi: 10.1016/j.jsat.2004.11.001Google Scholar
Moyers, T. B., Martin, T., Manuel, J. K., Miller, W. R. and Ernst, D. (2007). Revised global scales: Motivational Interviewing Treatment Integrity 3.0 (MITI 3.0) Retrieved 28 October, 2010, from http://casaa.unm.edu/download/miti3.pdfGoogle Scholar
Rakovshik, S. G. and McManus, F. (2010). Establishing evidence-based training in cognitive behavioral therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review, 30, 496–516. doi: 10.1016/j.cpr.2010.03.004.Google Scholar
Rollnick, S., Kinnersley, P. and Butler, C. (2002). Context-bound communication skills training: development of a new method. Medical Education, 36, 377–383. doi: 10.1046/j.1365-2923.2002.01174.x.CrossRefGoogle ScholarPubMed
Rollnick, S., Miller, W. R. and Butler, C. (2008). Motivational Interviewing in Health Care: helping patients change behavior. New York: Guilford Press.Google Scholar
Schoener, E. P., Madeja, C. L., Henderson, M. J., Ondersma, S. J. and Janisse, J. J. (2006). Effects of motivational interviewing training on mental health therapist behavior. Drug and Alcohol Dependence, 82, 269–275. doi: 10.1016/j.drugalcdep.2005.10.003.Google Scholar
Smith, J. L., Amrhein, P. C., Brooks, A. C., Carpenter, K. M., Levin, D., Schreiber, E. A., et al. (2007). Providing live supervision via teleconferencing improves acquisition of motivational interviewing skills after workshop attendance. Americal Journal of Drug and Alcohol Abuse, 33, 163–168. doi: 10.1080/00952990601091150.CrossRefGoogle ScholarPubMed
Soderlund, L. L., Madson, M. B., Rubak, S. and Nielsen, P. (2011). A systematic review of motivational interviewing training for general health care practitioners. Patient Education and Counseling, 84, 16–26. doi: 10.1016/j.pec.2010.06.025.Google Scholar
Soderlund, L. L. and Nilsen, P. (2009). Feasibility of using motivational interviewing in a Swedish pharmacy setting. International Journal of Pharmacy Practice, 17, 143–149. doi: 10.1211/ijpp/17.03.0004.Google Scholar
Soderlund, L. L., Nilsen, P. and Kristensson, M. (2008). Learning motivational interviewing: exploring primary health care nurses’ training and counselling experiences. Health Education Journal, 67, 102–109. doi: 10.1177/0017896908089389Google Scholar
Tabachnick, B. G. and Fidell, L. S. (2007). Using Multivariate Statistics (5th ed.). New York: Allyn and Bacon.Google Scholar
Walters, S. T., Matson, S. A., Baer, J. S. and Ziedonis, D. M. (2005). Effectiveness of workshop training for psychosocial addiction treatments: a systematic review. Journal of Substance Abuse Treatment, 29, 283–293. doi: 10.1016/j.jsat.2005.08.006.Google Scholar
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