OBJECTIVE: Motivational Interviewing (MI) is a counseling approach to support behavioural change. The objective of the present study was to examine the uptake of MI in daily practice by health care professionals in a care management initiative for patients with diabetes in the region of Maastricht, the Netherlands. METHODS: MI was implemented by means of a training. Directly and six months after the training, the application of MI was measured objectively (MITI) and subjectively (questionnaire). In focus interviews, MI-trained professionals (n=10) and MI untrained professionals (n=10) were asked about facilitators and barriers for implementation. Additionally, data on patient characteristics (n=141) were collected. RESULTS: Spirit of MI was present among professionals directly after the training and increased during follow-up. Mostly uncomplicated techniques were applied. Professionals stated the need for training and practice to be able to apply more complicated techniques. CONCLUSION: The applicability of MI in daily practice was found feasible, with various degrees of uptake. Relevant conditions to further improve the implementation of MI in daily practice were identified. PRACTICE IMPLICATIONS: In daily practice, a phased training in MI is recommended, with sufficient time and support by colleagues as essential conditions to profit most from the training sessions.
OBJECTIVE: Motivational Interviewing (MI) is a counseling approach to support behavioural change. The objective of the present study was to examine the uptake of MI in daily practice by health care professionals in a care management initiative for patients with diabetes in the region of Maastricht, the Netherlands. METHODS: MI was implemented by means of a training. Directly and six months after the training, the application of MI was measured objectively (MITI) and subjectively (questionnaire). In focus interviews, MI-trained professionals (n=10) and MI untrained professionals (n=10) were asked about facilitators and barriers for implementation. Additionally, data on patient characteristics (n=141) were collected. RESULTS: Spirit of MI was present among professionals directly after the training and increased during follow-up. Mostly uncomplicated techniques were applied. Professionals stated the need for training and practice to be able to apply more complicated techniques. CONCLUSION: The applicability of MI in daily practice was found feasible, with various degrees of uptake. Relevant conditions to further improve the implementation of MI in daily practice were identified. PRACTICE IMPLICATIONS: In daily practice, a phased training in MI is recommended, with sufficient time and support by colleagues as essential conditions to profit most from the training sessions.
Authors: Khalida Ismail; Daniel Stahl; Adam Bayley; Katherine Twist; Kurtis Stewart; Katie Ridge; Emma Britneff; Mark Ashworth; Nicole de Zoysa; Jennifer Rundle; Derek Cook; Peter Whincup; Janet Treasure; Paul McCrone; Anne Greenough; Kirsty Winkley Journal: Health Technol Assess Date: 2019-12 Impact factor: 4.014
Authors: Kathryn I Pollak; Cynthia J Coffman; James A Tulsky; Stewart C Alexander; Truls Østbye; David Farrell; Pauline Lyna; Rowena J Dolor; Alicia Bilheimer; Pao-Hwa Lin; Michael E Bodner; Terrill D Bravender Journal: J Adolesc Health Date: 2016-05-05 Impact factor: 5.012
Authors: Everlina M A Vlaar; Irene G M van Valkengoed; Vera Nierkens; Mary Nicolaou; Barend J C Middelkoop; Karien Stronks Journal: BMC Public Health Date: 2012-05-23 Impact factor: 3.295
Authors: Brenda A J Berendsen; Stef P J Kremers; Hans H C M Savelberg; Nicolaas C Schaper; Marike R C Hendriks Journal: BMC Fam Pract Date: 2015-03-17 Impact factor: 2.497
Authors: Vera-Christina Mertens; Lars Forsberg; Jeanine A Verbunt; Rob E J M Smeets; Mariëlle E J B Goossens Journal: J Behav Health Serv Res Date: 2016-07 Impact factor: 1.505
Authors: Maria Beckman; Lars Forsberg; Helena Lindqvist; Margarita Diez; Johanna Enö Persson; Ata Ghaderi Journal: PLoS One Date: 2017-07-27 Impact factor: 3.240