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"Old dogs" and new skills: how clinician characteristics relate to motivational interviewing skills before, during, and after training.

Abstract：

OBJECTIVE:The relationships between the occupational, educational, and verbal-cognitive characteristics of health care professionals and their motivational interviewing (MI) skills before, during, and after training were investigated. METHOD:Fifty-eight community-based addiction clinicians (M = 42.1 years, SD = 10.0; 66% Female) were assessed prior to enrolling in a 2-day MI training workshop and being randomized to one of three post-workshop supervision programs: live supervision via tele-conferencing (TCS), standard tape-based supervision (Tape), or workshop training alone. Audiotaped sessions with clients were rated for MI skillfulness with the Motivational Interviewing Treatment Integrity (MITI) coding system v 2.0 at pre-workshop and 1, 8, and 20 weeks post-workshop. Correlation coefficients and generalized linear models were used to test the relationships between clinician characteristics and MI skill at each assessment point. RESULTS:Baseline MI skill levels were the most robust predictors of pre- and post-supervision performances. Clinician characteristics were associated with MI Spirit and reflective listening skill throughout training and moderated the effect of post-workshop supervision method on MI skill. TCS, which provided immediate feedback during practice sessions, was most effective for increasing MI Spirit and reflective listening among clinicians with no graduate degree and stronger vocabulary performances. Tape supervision was more effective for increasing these skills among clinicians with a graduate degree. Further, TCS and Tape were most likely to enhance MI Spirit among clinicians with low average to average verbal and abstract reasoning performances. CONCLUSIONS:Clinician attributes influence the effectiveness of methods used to promote the acquisition of evidence-based practices among community-based practitioners.

journal_name

J Consult Clin Psychol

journal_title

Journal of consulting and clinical psychology

authors

Carpenter KM,Cheng WY,Smith JL,Brooks AC,Amrhein PC,Wain RM,Nunes EV

doi

10.1037/a0028362

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

560-73

issue

eissn

0022-006X

issn

1939-2117

pii

2012-12073-001

journal_volume

pub_type

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"Old dogs" and new skills: how clinician characteristics relate to motivational interviewing skills before, during, and after training.