What is seen through the looking glass: The impact of training on practitioner self-rating of Motivational Interviewing skills
What is seen through the looking glass: The impact of training on practitioner self-rating of Motivational Interviewing skills
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DOI：
10.1017/s1352465807003712
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发表时间：
2007-01-01
影响因子：
1.8
通讯作者：
Wells, Elizabeth
中科院分区：
文献类型：
--
作者：
Hartzler, Bryan;Baer, John S.;Wells, Elizabeth
基于证据的治疗的培训工作需要评估，但从业者自我报告的技能获取的价值受到质疑。因此，一个关键问题是如何准确地从业者评估自己的临床技能。在本研究中，23名社区从业者参加了动机访谈（MI）的培训，完成了标准化的病人（SP）的采访之前和之后的培训，并提供自我评级的MI元素后，每次采访。采访录音后来被独立编码。结果表明，培训有助于：1）从业者和独立评级之间的合理协议;和2）更有效地使用MI，尽管从业者倾向于低估培训收益。这种对训练的微观分析记录了最初的技能获得沿着从业者自我意识的提高。此外，它阐明了如何从业者自我评级和客观的技能评估方法可以串联使用，以更充分地描述从业者的学习。
Training efforts for evidenced based treatments require evaluation, yet the value of practitioner self-reports of skills acquisition has been questioned. Thus, a key issue concerns how accurately practitioners assess their own clinical skills. In the current study, 23 community practitioners participated in training of Motivational Interviewing (MI), completed standardized patient (SP) interviews before and after training, and provided self-ratings of MI elements after each interview. Interview recordings were later coded independently. Results suggest training contributed to: 1) reasonable agreement between practitioner and independent ratings; and 2) more effective use of MI, despite a tendency for practitioners to underestimate training gains. This micro-analysis of training documents initial skill gains along with increased practitioner self-awareness. Further, it exemplifies how practitioner self-ratings and objective skill assessment methods may be used in tandem to more fully describe practitioner learning.