An Evaluation of Training in Motivational Interviewing for Nurses in Child Health Services

Bohman, Benjamin; Forsberg, Lisa; Ghaderi, Ata; Rasmussen, Finn

doi:10.1017/s1352465812000331

Cited by 39 publications

(61 citation statements)

References 30 publications

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“…A more recent report evaluating an enhanced training in MI for nurses working in child health services and as part of a randomised trial for obesity control, found no difference in proficiency levels for participants between pre-and post-training [13]. This result contrasted with the findings reported in our study.…”

Section: Discussioncontrasting

confidence: 99%

“…This result contrasted with the findings reported in our study. The differences might be due to the fact that the study by Bohman et al [13] measured MI proficiency using scores from a recorded session coded using the Motivational Interviewing Treatment Integrity (MITI) Code, and coaching and support subsequent to the initial workshop training. But no pre-training scores were available to judge the changes that may have occurred.…”

Section: Discussionmentioning

confidence: 99%

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An evaluation of workshop training in motivational interviewing for oral health counsellors

Raheb

Arrow²

2013

J Contemp Med Edu

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The aim of the study was to describe the findings of workshop training of clinical and non-clinical oral health personnel in a motivational interviewing (MI) approach to oral health counselling.A two-day workshop was conducted to provide training in MI as part of the training for a randomised controlled trial. The training involved a series of short presentations covering the principles, practice and the 'spirit' of the MI approach, structured practice exercises and role-play demonstrations. Participants (n=10) undertook structured practice exercises in the use of openended questions, non-verbal listening and reflective skills, summaries and affirmations in MI. Trainees then undertook simulated parent practice exercises using role-play with performance feedback and MI with parents of preschool children in a dental care setting.The workshop was evaluated using a knowledge-based questionnaire, trainer evaluation and a Helpful Response Questionnaire. Data were analysed using the paired t-test and the Wilcoxon Signed Rank test.Mean MI knowledge (from 4.3±1.5 to 6.4±1.4,p < 0.01) and Helpful Response Questionnaire scores (from 6.9 to 11.3,p < 0.01) significantly improved.The two-day workshop improved knowledge in MI and empathy among participants.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An evaluation of workshop training in motivational interviewing for oral health counsellors

Raheb

Arrow²

2013

J Contemp Med Edu

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“…The training and assessment of the nurses' MI proficiency are described in detail elsewhere. [26][27][28] Families in intervention CHCs took part in 9 sessions (1 group, 6 individual, and 2 individual telephone sessions) in a time frame of ∼39 months. The parents, in conjunction with the nurses, formulated goals for changes in unhealthy behaviors and for maintenance of healthy physical activity and food habits.…”

Section: The Interventionmentioning

confidence: 99%

“…Yet it is still possible that the absence of effects is partially explained by a certain lack of proficiency in MI among the intervention nurses, despite extensive training and supervision. 27 However, there is currently no validity study of thresholds for proficiency in MI. Another study in a Swedish primary care setting concluded that nurses needed more training, feedback, and supervision in clinical practice to promote MI improvement.…”

Section: Why the Lack Of Intervention Effects?mentioning

confidence: 99%

Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT

Döring¹,

Ghaderi

Bohman

et al. 2016

Pediatrics

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The objective was to evaluate a manualized theory-driven primary preventive intervention aimed at early childhood obesity. The intervention was embedded in Swedish child health services, starting when eligible children were 9 to 10 months of age and continuing until the children reached age 4. METHODS:Child health care centers in 8 Swedish counties were randomized into intervention and control units and included 1355 families with 1369 infants. Over ∼39 months, families in the intervention group participated in 1 group session and 8 individual sessions with a nurse trained in motivational interviewing, focusing on healthy food habits and physical activity. Families in the control group received care as usual. Primary outcomes were children's BMI, overweight prevalence, and waist circumference at age 4. Secondary outcomes were children's and mothers' food and physical activity habits and mothers' anthropometrics. Effects were assessed in linear and log-binominal regression models using generalized estimating equations.RESULTS: There were no statistically significant differences in children's BMI (β = -0.11, 95% confidence interval [CI]: -0.31 to 0.08), waist circumference (β = -0.48, 95% CI: -0.99 to 0.04), and prevalence of overweight (relative risk = 0.95, 95% CI: 0.69 to 1.32). No significant intervention effects were observed in mothers' anthropometric data or regarding mothers' and children's physical activity habits. There was a small intervention effect in terms of healthier food habits among children and mothers.CONCLUSIONS: There were no significant group differences in children's and mothers' anthropometric data and physical activity habits. There was, however, some evidence suggesting healthier food habits, but this should be interpreted with caution.

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“…[38] (32%; n = 11); [32] (4%; n = 6); [39] (20%; n = 19); [27] (8%; n = 115); [25] (30%; n = 54); [40] (10%; n unknown); [22] (25%; n unknown) [36] (27%: n = 15)). However, in some studies, all sessions were coded by at least two of the coders [28,31,41,42]. Having a large proportion, or indeed all sessions, double-coded will of course increase the validity of the results, but will not always be feasible were the total number of audio-recorded sessions is large.…”

Section: Inter-rater Reliabilitymentioning

confidence: 99%

How to Measure Motivational Interviewing Fidelity in Randomized Controlled Trials: Practical Recommendations

Jelsma

Mertens

Forsberg

et al. 2015

Contemporary Clinical Trials

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Many randomized controlled trials in which motivational interviewing (MI) is a key intervention make no provision for the assessment of treatment fidelity. This methodological shortcoming makes it impossible to distinguish between high-and low-quality MI interventions, and, consequently, to know whether MI provision has contributed to any intervention effects. This article makes some practical recommendations for the collection, selection, coding and reporting of MI fidelity data, as measured using the Motivational Interviewing Treatment Integrity Code. We hope that researchers will consider these recommendations and include MI fidelity measures in future studies.

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An Evaluation of Training in Motivational Interviewing for Nurses in Child Health Services

Cited by 39 publications

References 30 publications

An evaluation of workshop training in motivational interviewing for oral health counsellors

An evaluation of workshop training in motivational interviewing for oral health counsellors

Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT

How to Measure Motivational Interviewing Fidelity in Randomized Controlled Trials: Practical Recommendations

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