Motivational Interviewing Training of Substance Use Treatment Professionals: A Systematic Review

Madson, Michael B.; Villarosa‐Hurlocker, Margo C.; Schumacher, Julie A.; Williams, Daniel C.; Gauthier, Jami M.

doi:10.1080/08897077.2018.1475319

Cited by 29 publications

(23 citation statements)

References 50 publications

(99 reference statements)

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“…The combination of staff training, performance feedback, and coaching has been found to be one of the most effective strategies for helping prepare individuals to implement MIBIs with proficiency (Barwick et al, 2012;Darnell et al, 2016;de Roten et al, 2013;Madson et al, 2009Madson et al, , 2019Martino, 2010;Miller et al, 2004). The ATTC Network has long used this multifaceted strategy to help addiction treatment organizations improve the integration of motivational interviewing for SUDs.…”

Section: Rationale For Testing the Isf Strategy As An Adjunct To The Attc Strategymentioning

confidence: 99%

The implementation and sustainment facilitation strategy improved implementation effectiveness and intervention effectiveness: Results from a cluster-randomized, type 2 hybrid trial

Garner

Gotham

Chaple

et al. 2020

Implementation Research and Practice

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Background: Substance use disorders (SUDs) among people with HIV are both prevalent and problematic. The Substance Abuse Treatment to HIV care project was funded to test the Implementation and Sustainment Facilitation (ISF) strategy as an adjunct to the Addiction Technology Transfer Center (ATTC) strategy for integrating a motivational interviewing-based brief intervention (MIBI) for SUDs within HIV community-based organizations. Methods: Using a cluster-randomized, type 2 hybrid trial design, 39 HIV organizations were randomized to either (1) ATTC ( n = 19) or (2) ATTC + ISF ( n = 20). Each HIV organization identified two staff members to be prepared to implement the MIBI ( N = 78). Subsequently, during the implementation phase, HIV organizations in each condition randomized client participants ( N = 824) to one of the two intervention conditions: usual care (UC; n = 415) or UC + MIBI ( n = 409). Both staff-level outcomes and client-level outcomes were examined. Results: The ISF strategy had a significant impact on the implementation effectiveness (i.e., the consistency and the quality of implementation; β = .65, p = .01) but not on time-to-proficiency (β = −.02) or level-of-sustainment (β = .09). In addition, the ISF strategy was found to have a significant impact on the intervention effectiveness (the effectiveness of the MIBI), at least in terms of significantly decreasing the odds (odds ratio = 0.11, p = .02) of clients using their primary substance daily during follow-up. Conclusion: The ISF strategy was found to be an effective adjunct to the ATTC strategy in terms of implementation effectiveness and intervention effectiveness. It is recommended that future efforts to integrate the project’s MIBI for SUD within HIV organizations use the ATTC + ISF strategy. However, given the ISF strategy did not have a significant impact on level-of-sustainment, implementation research testing the extent to which the ATTC + ISF strategy can be significantly enhanced through effective sustainment strategies is warranted. Plain language abstract Substance use among people living with HIV is associated with increased mental health problems, worse medication adherence, and worse HIV viral suppression. Increasing substance use-related services in HIV community-based organizations is an important public health need. The Substance Abuse Treatment to HIV care project tested two strategies for helping HIV organizations implement a brief intervention (BI) designed to motivate clients to decrease their substance use. The project also tested if receiving a BI improved clients’ outcome. Two staff from each of the 39 participating organizations were taught how to deliver the BI using the Addiction Technology Transfer Center (ATTC) training strategy (online and in-person training, monthly feedback, and coaching). Half of the organizations also received the Implementation and Sustainment Facilitation (ISF) strategy, which included monthly meetings with an ISF coach for the two BI staff and one or more leadership staff from the organization. Organizations that received both the ATTC and ISF strategies delivered more BIs and higher quality BIs than organizations that only received the ATTC strategy. In addition, clients receiving BIs at organizations that received both strategies were more likely to decrease their substance use. However, receiving both strategies did not improve how quickly staff learned to deliver the BI or improve the number of BIs delivered during the project’s 6-month sustainment phase. Future research focused on implementing BIs within HIV organizations should consider using the ATTC and ISF strategies while also seeking to enhance the strategies to improve sustainment.

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Section: Rationale For Testing the Isf Strategy As An Adjunct To The Attc Strategymentioning

confidence: 99%

The implementation and sustainment facilitation strategy improved implementation effectiveness and intervention effectiveness: Results from a cluster-randomized, type 2 hybrid trial

Garner

Gotham

Chaple

et al. 2020

Implementation Research and Practice

View full text Add to dashboard Cite

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“…the most consistent findings in this area is that skills acquired in workshops decline quickly over time without continued feedback or coaching (Madson et al, 2019). Such limited skill development and maintenance may be due to the often didactic structure of workshops, despite the plethora of research that indicates passive learning does not produce lasting skill acquisition (Bloom, 2005;Jameson, Stadter, & Poulton, 2007).…”

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confidence: 99%

Rolling with resistance: A client language analysis of deliberate practice in continuing education for psychotherapists

Bartolomeo

Shukla

Westra

et al. 2020

Couns and Psychother Res

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workshops, the dominant model of postgraduate training, are not systematically tested and in fact are limited for improving therapist performance. This is because they typically focus more on knowledge than skill (e.g., Davis et al., 1999;Owen et al., 2016;Taylor & Neimeyer, 2017). Workshops on motivational interviewing are one of the few areas where therapist learning has been studied versus assumed (MI;Miller & Rollnick, 2002). MI workshops tend to involve relatively higher amounts of practice, and reviews of 2-day workshops indicate that they have large effects on self-reported skills and modest effects on observer-rated skills pre-to post-work-

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“…In two recent meta-analyses, de Roten, Zimmermann, Ortega, and Despland (2013) identified 12–16 hr as an adequate dose of MI workshop training and noted that coaching and feedback further enhance skill, while Schwalbe, Oh, and Zweben (2014) showed that MI training effects were best maintained through a minimum of 5 hr of coaching from an expert MI trainer over a 6-month period. Reviews of the MI training literature reveal that although workshop training alone used to be common (Madson, Loignon, & Lane, 2009; Söderlund, Madson, Rubak, & Nilsen, 2011), the vast majority of recent MI training studies include at least some postworkshop coaching (Madson, Villarosa-Hurlocker, Schumacher, Williams, & Gauthier, 2019). Although a survey of MI trainers suggests that this intensive training may reflect years of practices and attitudes that community providers must unlearn in order to learn MI (Schumacher, Madson, & Nilsen, 2014), our experience training psychology interns in MI suggests substantial variability in dose of training necessary to achieve competence in MI even within that group (Schumacher et al, 2018).…”

Section: Promises and Challenges Of Motivational Interviewing To Addr...mentioning

confidence: 99%

Practice and dissemination of motivational interviewing: A psychology internship curriculum.

Schumacher¹,

Coffey²,

Williams³

et al. 2020

Training and Education in Professional Psychology

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Sufficient training in substance use issues has been identified as a common gap in professional psychology graduate training. Satisfactory training in evidence-based practices has also been identified as a common gap for providers who care for individuals with substance use problems. The "practice and dissemination" curriculum we developed seeks to address both of these gaps during the predoctoral internship training year by first training psychology interns to competently deliver motivational interviewing (MI) to individuals with substance use problems and then train community providers and volunteers to do so. From 2012-2013, a total of 55 community providers and volunteers from a homeless shelter, a substance use treatment facility, and a community mental health facility received training in MI through this curriculum by attending continuing education events delivered by 17 psychology interns. Evaluation of the dissemination portion of the curriculum as part of an exempt educational research project revealed that community providers were able to achieve significant increases in MI knowledge, readiness to implement MI, and MI skill as assessed with a video analogue measure by the end of the workshop. They also reported satisfaction with the workshop. These evaluation findings provide preliminary support for the curriculum as a novel and efficacious way to disseminate MI to community providers. Research is necessary to determine long-term outcomes of such training and to identify strategies to overcome potential barriers such as the substantial faculty effort necessary to implement the intensive curriculum. JULIE A. SCHUMACHER, PhD, is professor and vice chair for education in the Department of Psychiatry and Human Behavior at the University of Mississippi Medical Center. She received her doctorate from Stony Brook University and completed an internship at Napa State Hospital. Her research and professional interests include motivational interviewing, prevention and treatment of substance use and dual disorders, and violence and trauma.SCOTT F. COFFEY, PhD, passed away during the revision of this manuscript. Prior to his death, he was a professor emeritus in the Department of Psychiatry and Human Behavior at the University of Mississippi Medical Center. He received his doctorate from the University of Mississippi and completed his internship at the Medical University of South Carolina. He was best known for his work on negative emotion, trauma, and substance use disorders.

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Motivational Interviewing Training of Substance Use Treatment Professionals: A Systematic Review

Cited by 29 publications

References 50 publications

The implementation and sustainment facilitation strategy improved implementation effectiveness and intervention effectiveness: Results from a cluster-randomized, type 2 hybrid trial

The implementation and sustainment facilitation strategy improved implementation effectiveness and intervention effectiveness: Results from a cluster-randomized, type 2 hybrid trial

Rolling with resistance: A client language analysis of deliberate practice in continuing education for psychotherapists

Practice and dissemination of motivational interviewing: A psychology internship curriculum.

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