The effectiveness of consultation for clinicians learning to deliver motivational interviewing with fidelity
The effectiveness of consultation for clinicians learning to deliver motivational interviewing with fidelity
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DOI：
10.1080/23761407.2018.1480988
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Barwick, Melanie
中科院分区：
文献类型：
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作者：
Barac, Raluca;Kimber, Melissa;Barwick, Melanie
尽管新出现的文献记录了会诊后临床医生能力的提高，但很少有实证研究将会诊作为一种实施策略。为此，本研究考察了在四个社区儿童和青少年心理健康组织实施激励性访谈的背景下进行的咨询。我们使用定性的方法有两个目的：描述咨询过程和探索受训者对咨询的看法。参与者包括22名临床医生和9名主管，他们在接受激励性访谈培训后，每月接受为期7个月的基于电话的小组咨询。分析表明，咨询被认为是有效的，因为它有助于保持激励性访谈的活力，通过与他人的合作和联系实现深刻的学习功能，并作为反思实践变化的受保护的时间。我们的发现有助于了解在实施儿童和青少年心理健康研究支持的干预措施时似乎有效的咨询要素。
Despite the emerging literature documenting gains in clinician competence following consultation, little empirical work has examined consultation as an implementation strategy. To this end, the present study examined consultation in the context of implementing motivational interviewing in four community child and youth mental health organizations. We used qualitative methods with a dual goal: to describe the consultation process and to explore trainees' perspectives on consultation. Participants included 22 clinicians and 9 supervisors who received monthly, group, phone-based consultation for seven months following training in motivational interviewing. Analyses showed that consultation was perceived as effective because it helped to keep motivational interviewing alive, fulfilled a profound learning function through collaboration and connection with others, and served as protected time for reflection on practice change. Our findings contribute to a body of knowledge about consultation elements that appear to be effective when implementing research-supported interventions in child and youth mental health.