Proficiency in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback

Persson, Johanna Enö; Bohman, Benjamin; Forsberg, Lars; Beckman, Maria; Tynelius, Per; Rasmussen, Finn; Ghaderi, Ata

doi:10.1371/journal.pone.0163624

Cited by 14 publications

(15 citation statements)

References 21 publications

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“…The improvement in MI skills reached by our participants is similar to that reported in other studies on training of professionals in routine work situations 23 32–34. Only 29 per cent of participants reached ‘moderate competency’ and only 6 per cent reached overall ‘fair competency’ according to the classification suggested by Moyers et al 29.…”

Section: Discussionsupporting

confidence: 90%

Training in motivational interviewing improves cattle veterinarians’ communication skills for herd health management

Svensson

Wickström²,

Emanuelson

et al. 2020

Veterinary Record

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BackgroundCommunication skills to promote changes in management routines are especially important in veterinary herd health management (VHHM). Motivational interviewing (MI) is a communication methodology shown to be effective in stimulating client behaviour change. This study aimed to evaluate a 6-month MI-training programme for veterinarians.MethodsThirty-eight cattle veterinarians gathered in groups of four to eight at six workshops separated by 3–4 weeks, during which they read literature and practised their skills. MI skills were evaluated before and after training using audio recordings of role-play conversations with professional actors. Recordings were coded using the MI Treatment Integrity Code (MITI) V.4.2.1. The effect of training was evaluated by 16 regression models. Participants filled in questionnaires about their experiences.ResultsAll participants improved their MI skills after training in at least one parameter and significant improvements were found in all but 3 of the 16 statistically evaluated MITI variables. The mean (25th–75th percentiles) ratings of the veterinarians’ perceived relevance of MI skills in their work was 4.9 (4.0–6.0) and of their satisfaction with the programme was 5.1 (5.0–6.0) on a 6-point Likert scale.ConclusionsResults show that MI training was perceived to be useful and relevant and successfully improved veterinarians’ communication skills in VHHM.

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Section: Discussionsupporting

confidence: 90%

Training in motivational interviewing improves cattle veterinarians’ communication skills for herd health management

Svensson

Wickström²,

Emanuelson

et al. 2020

Veterinary Record

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“…In fact, this notable lack of decline in fidelity across 30 months of follow up is one of the study's most significant strengths. Skill levels following training and consultation have been maintained for 6 to 15 months in studies of clinicians learning Multisystemic Therapy (Henggeler et al, 2008), measurement-based care (Lyon et al, 2017), MI (Persson et al, 2016), and Trauma-Focused Cognitive Behavioral Therapy (Murray, 2017). The current study's two-year sustainment period with its demonstrated lack of deterioration in fidelity is rare in the literature, and supports the effectiveness of ABC consultation procedures.…”

Section: Discussionsupporting

confidence: 63%

Effects of Fidelity-Focused Consultation on Clinicians’ Implementation: An Exploratory Multiple Baseline Design

Caron

Dozier

2019

Adm Policy Ment Health

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Identification of effective consultation models could inform implementation efforts. This study examined the effects of a fidelity-focused consultation model among community-based clinicians implementing Attachment and Biobehavioral Catch-up. Fidelity data from 1217 sessions from 7 clinicians were examined in a multiple baseline design. In fidelity-focused consultation, clinicians received feedback from consultants' fidelity coding, and also coded their own fidelity. Clinicians' fidelity increased after fidelity-focused consultation began, but did not increase during other training periods. Fidelity was sustained for 30 months after consultation ended. Findings suggest that consultation procedures involving fidelity coding feedback and self-monitoring of fidelity may promote implementation outcomes.

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“…In total, there were 10 supervisors, which were each responsible for on average five nurses. On average five supervisors participated per workshop ( 20 ).…”

Section: Resultsmentioning

confidence: 99%

Economic Evaluation of PRIMROSE—A Trial-Based Analysis of an Early Childhood Intervention to Prevent Obesity

et al. 2018

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BackgroundChildhood obesity is a major clinical and economic health concern. Alongside the clinical understanding of obesity, there is a growing interest in designing and implementing interventions that are worth their money given the scarce resources in the health care sector. This study is one of the first efforts to provide evidence by assessing the effects and costs of a population-based primary prevention intervention targeting pre-school children attending child health centers in Sweden.MethodsThe economic evaluation is based on the PRIMROSE cluster-randomized controlled trial aiming to establish healthy eating and physical activity among pre-school children (9–48 months of age) through motivational interviewing applied by trained nurses at child health centers. The cost-effectiveness is assessed over the trial period from a societal perspective. The primary outcome was BMI at age 4. Cost data was prospectively collected alongside the trial. Scenario analyses were carried out to identify uncertainty.ResultsThe estimated additional mean total costs of the PRIMROSE intervention were 342 Euro (95% CI: 334; 348) per child. During pre-school years direct costs mainly consist of training costs and costs for the additional time used by nurses to implement the intervention compared to usual care. Early indirect costs mainly consist of parents’ absence from work due to their participation in the intervention. The incremental cost-effectiveness ratio in the base case analysis was 3,109 Euro per 1 BMI unit prevented.ConclusionWe cannot provide evidence that the PRIMROSE intervention is cost-effective, given the uncertainty in the effect measure. Until further evidence is provided, we recommend resources to be spent elsewhere within the field of obesity prevention. Furthermore, to achieve valid and reliable cost-effectiveness results, the economic evaluation of obesity prevention programs in early childhood should incorporate the life time impact to capture all relevant costs and benefits.

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Proficiency in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback

Cited by 14 publications

References 21 publications

Training in motivational interviewing improves cattle veterinarians’ communication skills for herd health management

Training in motivational interviewing improves cattle veterinarians’ communication skills for herd health management

Effects of Fidelity-Focused Consultation on Clinicians’ Implementation: An Exploratory Multiple Baseline Design

Economic Evaluation of PRIMROSE—A Trial-Based Analysis of an Early Childhood Intervention to Prevent Obesity

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