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A systematic review of motivational interviewing training for general health care practitioners
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. (LIR-gruppen)
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
2011 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 84, no 1, 16-26 p.Article in journal (Refereed) Published
Abstract [en]

Objectiv: This article systematically reviews empirical studies that have evaluated different aspects of motivational interviewing (MI) training for general health care professionals.

Method: Studies were obtained from several databases. To be included, the MI training had to be provided specifically for general health care practitioners for use in their regular face-to-face counselling. The training outcomes had to be linked to the MI training.

Result: Ten studies were found. The median length of the training was 9 h. The most commonly addressed training elements were basic MI skills, the MI spirit, recognizing and reinforcing change talk, and rolling with resistance. Most studies involved follow-up training sessions. The study quality varied considerably. Five studies assessed training outcomes at a single point in time, which yields low internal validity. Four studies used random assignment of practitioners to the MI training and comparison conditions. The training generated positive outcomes overall and had a significant effect on many aspects of the participants’ daily practice, but the results must be interpreted with caution due to the inconsistent study quality.

Conclusion: The generally favourable training outcomes suggest that MI can be used to improve client communication and counselling concerning lifestyle-related issues in general health care. However, the results must be interpreted with caution due to inconsistent methodological quality of the studies.

Practice implication: This review suggests that MI training outcomes are generally favourable, but more high-quality research is needed to help identify the best practices for training in MI.

Place, publisher, year, edition, pages
Shannon, Co. Clare Ireland: Elsevier, 2011. Vol. 84, no 1, 16-26 p.
Keyword [en]
Motivational interviewing; Education; Behaviour change; Counselling
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-60329DOI: 10.1016/j.pec.2010.06.025ISI: 000292674000004PubMedID: 20667432OAI: oai:DiVA.org:liu-60329DiVA: diva2:356204
Available from: 2010-10-11 Created: 2010-10-11 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Motivational Interviewing in Theory and Practice
Open this publication in new window or tab >>Motivational Interviewing in Theory and Practice
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

An estimated 50% of mortality from the 10 leading causes of death is due to behaviour. Individuals can make important contributions to their own health by adopting health-related behaviours and avoiding others. Motivational interviewing (MI) has emerged as a counselling approach for behavioural change that builds on a patient empowerment perspective by supporting autonomy and self-efficacy.

The overall aim of this thesis is to contribute to improved understanding of the different factors that impact on general health care professionals’ learning and practice of MI. Specific aims are; study I was to identify barriers, facilitators and modifiers to use MI with pharmacy clients in community pharmacies; study II was to identify barriers and facilitators to use MI with overweight and obese children in child welfare and school health services; study III was to evaluate the attitudes towards MI and clinical use of MI with children´s weight issues one year after child health care nurses’ participation in MI training; study IV was to systematically review studies that have evaluated the contents and outcomes of MI training for general health care professionals.

Participants in study I were 15 community pharmacy pharmacists in Östergötland, Sweden. Participants in study II were five child welfare centre nurses from the county council and six municipally-employed school health service nurses, all from Östergötland, Sweden. Data for both studies were obtained through focus group interviews. Study III, participants were 76 nurses from child health care centres in Östergötland, Sweden. 1-year after MI training they answered a survey. Study IV, the material was 10 empirical studies that have evaluated different aspects of MI training.

MI training for general health care providers is generally of short duration and tends to focus on specific topics such as diabetes, smoking, and alcohol. The training seems to contain more training on phase I elements, such as clients’ inner motivation, than on phase II, which involves strengthening clients’ commitment to change. MI is seen as practical and useful in work with lifestyle and health promotion issues, especially with issues that may be perceived as sensitive, such as alcohol and obesity. General health care providers have positive attitudes to MI and view MI as being compatible with their values and norms about how they want to work. Clients’ resistance reactions are difficult to handle in the first stages of learning MI, and may lead to frustration. Strategies to avoid resistance are including in the final stages of learning MI. Learning and clinical use of MI for general health care providers is influenced by interactions with their environment (colleagues, staff and organization). Unlearning of old knowledge can be a problem for general health care providers in the learning and clinical use of MI.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2010. 92 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1198
Keyword
Children, counselling, general health care, health promotion, motivational interviewing, nurse, overweight, pharmacist
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-60330 (URN)978-91-7393-334-6 (ISBN)
Public defence
2010-11-11, Aulan, Hälsans Hus, Universitetssjukhuset, Campus US, Linköpings universitet, Linköping, 09:00
Opponent
Supervisors
Available from: 2010-10-11 Created: 2010-10-11 Last updated: 2010-10-11Bibliographically approved

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Lindhe Söderlund, LenaNilsen, Per

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