A randomized trial of methods to help clinicians learn motivational interviewing

被引:697
作者
Miller, WR [1 ]
Yahne, CE
Moyers, TB
Martinez, J
Pirritano, M
机构
[1] Univ New Mexico, Dept Psychol, Albuquerque, NM 87131 USA
[2] Univ New Mexico, Ctr Alcoholism Subst Abuse & Addict, Albuquerque, NM 87131 USA
关键词
D O I
10.1037/0022-006X.72.6.1050
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The Evaluating Methods for Motivational Enhancement Education trial evaluated methods for learning motivational interviewing (MI). Licensed substance abuse professionals (N = 140) were randomized to 5 training conditions: (a) clinical workshop only; (b) workshop plus practice feedback; (c) workshop plus individual coaching sessions; (d) workshop, feedback, and coaching; or (e) a waiting list control group of self-guided training. Audiotaped practice samples were analyzed at baseline, posttraining, and 4, 8, and 12 months later. Relative to controls, the 4 trained groups showed larger gains in proficiency. Coaching and/or feedback also increased posttraining proficiency. After delayed training, the waiting list group showed modest gains in proficiency. Posttraining proficiency was generally well maintained throughout follow-up. Clinician self-reports of MI skillfulness were unrelated to proficiency levels in observed practice.
引用
收藏
页码:1050 / 1062
页数:13
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