A Randomized Trial Investigating Training in Motivational Interviewing for Behavioral Health Providers
A Randomized Trial Investigating Training in Motivational Interviewing for Behavioral Health Providers
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DOI：
10.1017/s1352465807004055
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发表时间：
2008-03-01
影响因子：
1.8
通讯作者：
Durand, Peter
中科院分区：
文献类型：
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作者：
Moyers, Theresa B.;Manuel, Jennifer K.;Durand, Peter
有证据表明，研讨会培训，个性化的反馈，和个人咨询，可以提高动机访谈（MI）之间的高度积极性和熟练的药物滥用辅导员的能力。然而，很少有人知道，这些培训策略的翻译价值辅导员较少的咨询技能和较少的动机，学习MI。这项研究提供了来自随机对照试验的证据，该试验包括129名行为健康提供者，他们被分配接受研讨会培训和丰富学习MI。一组不同的空军行为健康提供者在物质滥用治疗方案的工作进行了培训，在MI，随后在临床会议上观察，在4，8和12个月后的培训。结果表明，培训在提高这些临床医生的技能水平方面是有效的;然而，这些收益在4个月随访时有所下降。以个性化反馈和咨询电话形式进行的培训丰富对临床医生技能水平没有预期的累加效应。本研究的结果支持的假设，更大的资源和激励措施的投资可能是必要的，以实现收益，在MI技能的辅导员相对较低的基线技能比那些通常参与研究。
Evidence indicates that workshop training, personalized feedback, and individual consultation can increase competence in motivational interviewing (MI) among highly motivated and skilled substance abuse counselors. Little is known, however, about the translational value of these training strategies for counselors with fewer counseling skills and less stated motivation to learn MI. This study presents evidence from a randomized, controlled trial of 129 behavioral health providers assigned to receive workshop training and enrichments to learn MI. A diverse group of Air Force behavioral health providers working in substance abuse treatment programs were trained in MI and subsequently observed in clinical sessions at 4, 8 and 12 months after training. Results indicate that training was effective in increasing the skill level of these clinicians; however, these gains had decreased by the 4-month follow-up point. Training enrichments in the form of personalized feedback and consultation phone calls did not have an expected, additive effect on clinician skill level. The results of this study lend support to the hypothesis that a greater investment of resources and incentives may be necessary to achieve gains in MI skills for counselors with relatively lower baseline skills than those commonly participating in research studies.