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针对成瘾及心理健康临床医生的动机性访谈工作坊培训评估

An evaluation of workshop training in motivational interviewing for addiction and mental health clinicians.

作者信息

Baer John S, Rosengren David B, Dunn Christopher W, Wells Elizabeth A, Ogle Richard L, Hartzler Bryan

机构信息

Department of Psychology, University of Washington, VA Medical Center, Seattle, WA 98108-1597, USA.

出版信息

Drug Alcohol Depend. 2004 Jan 7;73(1):99-106. doi: 10.1016/j.drugalcdep.2003.10.001.

Abstract

We evaluated a 2-day training workshop on motivational interviewing (MI) for addiction and mental health clinicians (n = 22). Clinicians completed the helpful responses questionnaire (HRQ) and taped interactions with a standardized patient (SP). Independent, blinded coders rated the tapes using the motivational interviewing skills code (MISC). Post-training assessment showed significant increase on the HRQ and two of four MISC summary scores for SP interviews. At 2-month follow-up, means of the HRQ and two MISC summary scores remained higher than baseline, but declined from post-training. Some MI skills improved to a greater degree than others, and a subset of clinicians (> 40%) showed continued improvement at follow-up. Results were consistent across interviews with different SPs, supporting the use of this assessment method. Findings highlight the need for additional research on the use of standardized patients, alternative assessment techniques, and effective methods of technology transfer for MI skill acquisition and retention.

摘要

我们对针对成瘾和心理健康临床医生(n = 22)开展的为期两天的动机性访谈(MI)培训工作坊进行了评估。临床医生完成了有益回应问卷(HRQ),并与标准化患者(SP)进行了录音互动。独立的、不知情的编码员使用动机性访谈技能编码(MISC)对录音进行评分。培训后评估显示,在HRQ以及SP访谈的四个MISC总结分数中的两个分数上有显著提高。在2个月的随访中,HRQ的均值以及两个MISC总结分数仍高于基线,但较培训后有所下降。一些MI技能的改善程度高于其他技能,并且一部分临床医生(> 40%)在随访时表现出持续的改善。在与不同SP的访谈中结果一致,支持了这种评估方法的使用。研究结果突出表明,需要对标准化患者的使用、替代评估技术以及MI技能获取和保留的有效技术转移方法进行更多研究。

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