Motivational Interviewing: An Experiential Online Training Tool

动机访谈：体验式在线培训工具

• 批准号: 8917297
• 负责人: Jeffrey Olivet
• 金额: $ 72.06万
• 依托单位: C4 INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-02 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8917297
• 关键词: Alcohol or Other Drugs use; American; Award; Behavior; Budgets; Caring; Client; Clinical Skills; Code; Communities; Control Groups; Counseling; Data; Development; E-learning; Educational process of instructing; Educational workshop; Effectiveness; Elements; Ensure; Evidence based practice; Focus Groups; Grant; HIV; Health; Homelessness; Human; Individual; International; Intervention; Interview; Knowledge; Learning; Life; Link; Measures; Medical; Mental Health; Mental disorders; Methods; Minority; Modeling; Motivation; National Institute of Mental Health; Nature; Not Hispanic or Latino; Online Systems; Outcome; Participant; Peer Review; Phase; Philosophy; Play; Population; Primary Health Care; Provider; Psychologist; Publishing; Quality of Care; Questionnaires; Randomized; Randomized Controlled Trials; Recording of previous events; Recruitment Activity; Research; Research Infrastructure; Resistance; Services; Site Visit; Small Business Innovation Research Grant; Surveys; Technology; Testing; Text; Time; Training; Translating; Vulnerable Populations; Work; addiction; base; behavior change; behavioral health; case-based; commercialization; design; empowered; follow-up; improved; informant; innovation; journal article; knowledge base; meetings; motivational enhancement therapy; person centered; phase 1 study; phase 2 study; physical conditioning; problem drinker; product development; prototype; randomized trial; response; simulation; skills; smoking cessation; social; supported housing; symposium; tool; web site

DESCRIPTION (provided by applicant): Between 2011 and 2012, the Center for Social Innovation, LLC (C4), developed and evaluated a prototype of the Motivational Interviewing Simulator: An Experiential Online Training Tool. The interactive, case-based, multiplayer web-based game allows service providers to deepen their skills in Motivational Interviewing (MI), a widely recognized evidence-based practice that supports people to make positive behavior changes related to health, wellness, mental illness, and addiction. Phase I study findings support the product's feasibility and the need for a large-scale randomized trial to determine the tool's effectiveness. During Phase I, participants in the Simulator group showed significant improvements in MI skills as measured by Motivational Interviewing Treatment Integrity (MITI) scores (34 percent improvement over baseline) and Helpful Responses Questionnaire (HRQ) scores (13 percent improvement over baseline)-both substantially higher than the rates of improvement for participants in the control groups. This project represents Phase II of the work to further develop the MI Simulator and to study its impact on provider behavior and client outcomes. Phase II will create multiple "play arenas"-Single Player, Two Player, and Advanced Freeplay spaces-and multiple case-based scenarios related to mental health, homelessness, addiction, and primary care. The significantly expanded product will have wide appeal across a large workforce of providers serving vulnerable populations, and it will support NIMH's strategy of "closing the gap between the development of new, research-tested interventions and their widespread use by those most in need." The Phase II randomized controlled trial is guided by four specific aims: 1. Diversify the prototype Motivational Interviewing Simulator to meet the needs of a wider audience. 2. Evaluate the Simulator through a randomized controlled trial. 3. Disseminate Findings. 4. Prepare for Commercialization. During Phase II of this study, we will recruit 180 providers from 18 community agencies serving individuals who live in supportive housing, many of whom have histories of mental illness, addiction, homelessness, and medical problems. After receiving a standardized two-day onsite MI training, participants will be randomized into one of three conditions: 1) MI Training Only; 2) MI Training + eBook (an online comparison with comparable information to the Simulator without the interactive elements); or 3) MI Training + Simulator. The longitudinal, mixed method study will assess providers' acquisition and retention of MI knowledge and skills through surveys and coding of standardized client interviews; barriers and facilitators of MI implementation via focus groups; organizational-level data via key informant interviews and site visits; and client outcomes for 3,600 clients through surveys, administrative, data and focus groups.

描述（由申请人提供）：在2011年至2012年之间，社会创新有限责任公司（C4）开发和评估了动机访谈模拟器的原型：一种体验式在线培训工具。基于案例的互动性，基于多人网络的游戏允许服务提供商加深他们的动机访谈（MI）的技能，这是一种公认​​的循证实践，支持人们对健康，健康，精神疾病和成瘾的积极行为改变。第一阶段的研究结果支持该产品的可行性以及对确定工具有效性的大规模随机试验的需求。在第一阶段，模拟器组的参与者显示了通过动机访谈治疗完整性（MITI）得分（比基线比34％）和有用的回答问卷（HRQ）得分（比基线比13％提高基线）的参与者显着提高MI技能。该项目代表了工作的第二阶段，以进一步开发MI模拟器并研究其对提供商行为和客户结果的影响。第二阶段将创建多个“ Play Arenas” - Single Player，两个播放器和高级自由活动空间以及与心理健康，无家可归，成瘾和初级保健有关的多个基于病例的方案。大量扩展的产品将在为弱势群体的大批提供者提供的大量提供商中具有广泛的吸引力，它将支持NIMH的策略，即“缩小新的，研究测试的干预措施的发展与最有需要的人的广泛使用之间的差距”。 II期随机对照试验的指导下的四个特定目标：1。多样化的原型动机访谈模拟器以满足更广泛的受众的需求。 2。通过随机对照试验评估模拟器。 3。传播发现。 4。准备商业化。在本研究的第二阶段中，我们将招募来自180个社区机构的180个提供者，为居住在支持住房中的个人提供服务，其中许多人都有精神疾病，成瘾，无家可归和医疗问题的历史。在接受标准化的两天现场MI培训后，参与者将被随机分为三个条件之一：1）仅MI培训； 2）MI培训 +电子书（在线比较与模拟器的可比较信息，而没有交互式元素）；或3）MI训练 +模拟器。纵向混合方法研究将通过调查和对标准化客户访谈的编码进行评估提供者的获取和保留MI知识和技能；通过焦点小组实施MI的障碍和促进者；组织级数据通过关键的线人访谈和现场访问；通过调查，管理，数据和焦点小组为3600个客户提供客户成果。