MI Training: Live Supervision by Tele-Conference

描述(由申请人提供)： 这个项目的目标是开发一种新的方法，利用电话会议的现场监督，向社区药物滥用咨询师教授动机访谈(MI)。会议和研讨会是向药物滥用从业者介绍新疗法的最常见方法，但研究表明，这些方法在培养新技能方面相对无效，而涉及互动和反馈的培训，包括对录音课程的监督，已经显示出希望。现场督导是许多领域基本临床培训的基石，但在继续教育中几乎没有什么用处。学习理论的基本原理表明，在实习生的临床环境中进行现场监督，并立即提供反馈，将最有效地塑造新的咨询技能。激励面试的电话会议监督(TCS-MI)将遵循激励访谈(MI)的教学介绍和现场监督，在现场监督中，主管将通过电话听取练习MI的咨询师的意见，并通过耳塞监测器给予反馈，采用差异强化的原则--对适合MI的活动进行积极的口头反馈，并将MI-不适当的活动标记为MI-不适当的活动。动机访谈之所以被选为重点，是因为它是以证据为基础的，广泛适用于成瘾治疗，而且可能具有挑战性，因为掌握它需要掌握新的咨询技能，并抑制其他人，如说服或对抗。如果成功，人们希望TCS原则可以应用于各种行为治疗的培训。TCS-MI将在最初的非对照试验中开发和改进(研究1)。随后将进行对照试验(研究2)，从当地社区治疗项目中招募的药物滥用咨询师将被随机分配到TCS-MI(N=30)、标准MI工作坊(N=30)或标准监督和讨论录音会议(N=30)。研究假设，与对照组相比，接受TCS-MI培训的辅导员将获得更好的MI技能，通过动机访谈技能编码(MISC)系统进行测量。

DESCRIPTION (provided by applicant): The goal of this project is to develop a new method for teaching Motivational Interviewing (MI) to community-based substance abuse counselors, using live supervision by tele-conference. Conferences and workshops are the most common methods of introducing new treatments to substance abuse practitioners, but studies suggest these are relatively ineffective at engendering new skills, while training involving interaction and feedback, including supervision on taped sessions, have shown promise. Live supervision, where supervisors directly observe trainee's interviews, is a cornerstone of basic clinical training in many fields but has seen little use for continuing education. Basic principles of learning theory suggest that live supervision in a trainee's clinical context with immediate feedback would most efficiently shape new counseling skills. Tele-Conference Supervision for Motivational Interviewing (TCS-MI) will follow a didactic introduction to Motivational Interviewing (MI) with live supervision in which supervisors will listen over the telephone to counselors practicing MI and give feedback through an ear-plug monitor, employing the principle of differential reinforcement--positive verbal feedback for MI-appropriate activity and labeling MI-inappropriate activity. Motivational Interviewing is chosen as the focus, because it is evidence-based, widely applicable to addiction treatment, and can be challenging, since mastery requires acquisition of new counseling skills and suppression of others such as persuasion or confrontation. If successful, it is hoped that TCS principles could be applied to training on a wide variety of behavioral treatments. TCS-MI will be developed and refined during an initial uncontrolled trial (Study 1). A controlled trial (Study 2) will follow in which substance abuse counselors recruited from local community-based treatment programs will be randomly assigned to TCS-MI (N = 30), a standard MI workshop (N = 30) or standard supervision with discussion of taped sessions (N = 30). It is hypothesized that counselors trained with TCS-MI will achieve superior MI skills, as measured by the Motivational Interview Skill Coding (MISC) system, compared to controls.