An interventional study of Regular MI-training and Regular MI-training + supervision half in Competence, sponsored by Karolinska Institutet. Completed at 1 site in Sweden. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-08-25.
Sponsored by Karolinska Institutet · Not applicable, Interventional, and Health services research
In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method. The study aims to evaluate to what extent the practitioners acquire and retain MI skills trough the different training methods used by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.
The basis for a successful implementation of an evidence-based treatment in routine clinical care is quality assessment of all stages of delivery, implementation and evaluation. In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method.
Aims: To evaluate to what extent the practitioners acquire and retain MI skills through the different training methods used in the Swedish county councils and municipalities by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.
Method: In 2013-2014, 175 practitioners that attend MI training in five different county councils and municipalities in Sweden will be randomized to one of the study's three groups: (a) "Regular training" (n= 66), b) "Regular training" followed by six individual supervision sessions at monthly intervals based on only the behavior counts component of the Motivational Interviewing Treatment Integrity (MITI) Code (n= 67), and (c) "Regular training" followed by supervision based on both the behavior counts and the five global dimensions of the MITI (n= 67). All practitioners will record three sessions: one before " regular training", one after "regular training" and one six month after training. The practitioners in group b and c will record five additional sessions in conjunction with the supervision. All supervision and recording sessions will be made over the phone with actors role-playing clients. The sessions will be assessed for proficiency in MI by MIC Lab at the Karolinska Institute according to the Swedish translation of MITI 3.1.
Time Frame: The specific time points at which the outcome measure (the Swedish version of the MITI, version 3.1.) will be assessed are:
The participants randomized to the two groups with additional supervision will also be assessed five times between the post-workshop and the follow-up assessment (e.g. every month).
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Exclusion Criteria:
Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities
Behavioral: Regular MI-training
Regular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58)
Behavioral: Regular MI-training · Behavioral: Regular MI-training + supervision half
Regular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58)
Behavioral: Regular MI-training · Behavioral: Regular MI-training + supervision full
Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities
Regular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58)
Regular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58)
Acquisition of MI competence
The effectiveness of the county council workshop trainings will be measured with mean differences between the pre- and post-workshop assessment. The impact of the additional telephone supervision on the county councils' workshop trainings will be measured with mean differences between the post-workshop and the follow-up assessment. All acquisition of MI competence will be assessed by the Swedish version of the MITI, version 3.1. The MITI is a coding system with good psychometric properties widely used as a treatment integrity measure and as a feedback tool to improve MI skills in training and in clinical practice (Moyers, Martin, Manuel, Hendrickson, \& Miller: Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment 2005, 28:19-26.).
Time frame: Change from Baseline (pre-workshop) in MI competence assessed by the Swedish version of the MITI, directly after the workshop trainings (post-workshop), and six months after the workshop trainings (follow-up).
Plan to share: No — No individual participant data will be available.
This study is completed, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.
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