AIM: The study assesses whether a workplace-based educational intervention helps professionals who had trained in Motivational Interviewing (MI) become more competent in it. DESIGN: Randomised controlled trial. PARTICIPANTS: Professionals in health and social services in Dorset, UK, who had received training in MI (n=54). INTERVENTION: (a) CONTROL: Update day in MI (b) THEME (Twelve Hours to Enhance Motivational Effectiveness): Update day plus 12 weekly worksheets to stimulate reflection on practice of MI, feedback to audiotaped sessions with clients, and three 30 minute sessions of telephone coaching. MEASUREMENTS: Degree of competence in MI, as assessed from videotapes of interviews with simulated patients, carried out at entry to the study and 4 months later. Each videotape was coded independently by two trained coders using the Motivational Interviewing Treatment Integrity (MITI) system. FINDINGS: Of the 44 participants who completed the second assessment, those in THEME showed significantly (p<0.05) greater increases in the Spirit of MI and overall competence in MI. CONCLUSIONS: Workplace based interventions may enhance the effectiveness of brief training in MI and other psychological therapies.
RCT Entities:
AIM: The study assesses whether a workplace-based educational intervention helps professionals who had trained in Motivational Interviewing (MI) become more competent in it. DESIGN: Randomised controlled trial. PARTICIPANTS: Professionals in health and social services in Dorset, UK, who had received training in MI (n=54). INTERVENTION: (a) CONTROL: Update day in MI (b) THEME (Twelve Hours to Enhance Motivational Effectiveness): Update day plus 12 weekly worksheets to stimulate reflection on practice of MI, feedback to audiotaped sessions with clients, and three 30 minute sessions of telephone coaching. MEASUREMENTS: Degree of competence in MI, as assessed from videotapes of interviews with simulated patients, carried out at entry to the study and 4 months later. Each videotape was coded independently by two trained coders using the Motivational Interviewing Treatment Integrity (MITI) system. FINDINGS: Of the 44 participants who completed the second assessment, those in THEME showed significantly (p<0.05) greater increases in the Spirit of MI and overall competence in MI. CONCLUSIONS: Workplace based interventions may enhance the effectiveness of brief training in MI and other psychological therapies.
Authors: Josef I Ruzek; Raymond C Rosen; Lisa Marceau; Mary Jo Larson; Donn W Garvert; Lauren Smith; Anne Stoddard Journal: Implement Sci Date: 2012-05-14 Impact factor: 7.327