A key challenge for motivational interviewing: training in clinical practice

Weisner, Constance; Satre, Derek D.

doi:10.1111/add.13182

Cited by 12 publications

(13 citation statements)

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“…Many training evaluations do not move beyond acceptability (Byrne‐Davis et al., 2017) which is a necessary but insufficient measure of whether resources were well‐utilised (Sachdeva et al., 2014). Our study represents an important investment of the organisation, trainers and participants in understanding the psychological determinants of change, to help ascertain and maximise training usefulness in practice (Weisner & Satre, 2016) sparking future research to build on these exploratory findings.…”

Section: Discussionmentioning

confidence: 99%

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Improving community health and social care practitioners’ confidence, perceived competence and intention to use behaviour change techniques in health behaviour change conversations

Bull

Dale

2020

Health Soc Care Community

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Section: Discussionmentioning

confidence: 99%

“…Behaviour Change Course Content) and that six sub-themes were relevant. and maximise training usefulness in practice (Weisner & Satre, 2016) sparking future research to build on these exploratory findings.…”

Section: Acceptabilitymentioning

confidence: 99%

Improving community health and social care practitioners’ confidence, perceived competence and intention to use behaviour change techniques in health behaviour change conversations

Bull

Dale

2020

Health Soc Care Community

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“…This study finding may be attributed to less experience using MI in clinical practice compared to the older age groups. Similarly, previous studies have shown MI proficiency and skills and confidence using MI develop over time 29,34,35 . Additionally, the literature reflects the need for dental MI refresher courses to maintain MI fidelity and increase self‐efficacy 4,29,34,35 .…”

Section: Discussionmentioning

confidence: 77%

Dental hygienists’ use of motivational interviewing and perceptions of effectiveness in changing patient behaviors

Rogers

Arnett

Mays

et al. 2022

Journal of Dental Education

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Background:The University of Minnesota (UMN) Dental Hygiene (DH) program devotes considerable time developing students' competency using motivational interviewing (MI). However, the extent to which graduates use MI in clinical practice and their perceptions of MI effectiveness in changing behavior is unknown. Methods: A cross-section of UMN dental hygiene classes from 2010-2019 were emailed an electronic survey using Qualtrics xm software (n = 208). The survey instrument collected demographic information and queried respondents' current MI use and perceptions of its effectiveness in changing patients' behavior. Survey questions were aligned with the constructs of the Theory of Planned Behavior (TPB): attitudes, subjective norms, and perceived behavioral control.Data analyses included descriptive statistics, cross-tabulations, and one-way ANOVA tests.Results: There were 73 responses for a 35% response rate and 58 surveys (28%) included in data analysis. Respondents (95%) used MI, held positive attitudes toward MI and perceived MI to be an effective behavior counseling method (98%). However, respondents expressed concerns about patients' abilities to change behaviors. The three TPB constructs were found to be predictors of MI use in the clinical environment. A significant association was found between age and the TPB construct: behavioral control (p = 0.02). Conclusion:The majority of respondents reported using MI in clinical practice. According to the TPB, respondents exhibited strong behavioral intentions to use MI. Respondents held favorable attitudes toward MI and believed it to be effective in motivating positive behavior change. Respondents were confident in their MI skills and felt supported to use MI in their work environments.

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“…Our finding of a significant intervention effect for MI among participants with lower motivation is consistent with the intent of this intervention, which is designed to enhance motivation for behavior change. 37,52 Adaptive MI could be the most effective intervention approach for patients less motivated to reduce drinking, but implementation may require fidelity support 53 or delivery by behavioral health specialists embedded in primary care. Given the lack of evidence for efficacy of providerdelivered SBIRT in reducing drug use, 47 our findings regarding the effects of MI on drug use are promising and deserve further investigation in primary care.…”

Section: Discussionmentioning

confidence: 99%

Interventions to Reduce Unhealthy Alcohol Use among Primary Care Patients with HIV: the Health and Motivation Randomized Clinical Trial

et al. 2019

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BACKGROUND: Unhealthy alcohol use has adverse effects on HIV treatment. Screening, brief intervention, and referral to treatment (SBIRT) has some evidence of efficacy but may not be sufficient for those with low motivation or comorbid substance use. OBJECTIVE: To examine the effectiveness of motivational interviewing (MI) and emailed feedback (EF) among primary care HIV-positive patients, compared with treatment as usual care (UC) only, which included SBIRT. DESIGN: Randomized clinical trial. PARTICIPANTS: Six hundred fourteen adult HIV-positive patients in Kaiser Permanente Northern California who reported prior-year unhealthy alcohol use. INTERVENTION: Participants were randomized to either three sessions of MI (one in person and two by phone), information regarding alcohol risks via EF through a patient portal, or UC alone. MI and EF participants who reported unhealthy alcohol use at 6 months were offered additional MI and EF treatment, respectively. MAIN MEASURES: Participant-reported unhealthy alcohol use (defined as ≥ 4/≥ 5 drinks per day for women/ men), alcohol problems at 12 months, based on blinded telephone interviews. Secondary outcomes included drug use and antiretroviral (ART) adherence. KEY RESULTS: At 12 months, there were no overall group differences, but in all three arms, there were declines in unhealthy alcohol use and alcohol-related problems (p < 0.001). Participants reporting low motivation to reduce drinking at baseline were less likely to report unhealthy alcohol use if they received MI vs. EF and UC (p = 0.013). At 6 months, reported illegal drug use/misuse of prescription drugs other than marijuana was lower in the MI arm than EF or UC (p = 0.012). There were no differences in ART adherence between groups. CONCLUSIONS: In a randomized trial of HIV-positive patients using two behavioral interventions compared with SBIRT alone, participants in all three conditions reduced unhealthy alcohol use. MI may provide added benefit for patients with low motivation or who report illegal drug use/misuse of prescription drugs.

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A key challenge for motivational interviewing: training in clinical practice

Cited by 12 publications

References 9 publications

Improving community health and social care practitioners’ confidence, perceived competence and intention to use behaviour change techniques in health behaviour change conversations

Improving community health and social care practitioners’ confidence, perceived competence and intention to use behaviour change techniques in health behaviour change conversations

Dental hygienists’ use of motivational interviewing and perceptions of effectiveness in changing patient behaviors

Interventions to Reduce Unhealthy Alcohol Use among Primary Care Patients with HIV: the Health and Motivation Randomized Clinical Trial

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