University of Canterbury, New Zealand.
Behav Cogn Psychother. 2010 Mar;38(2):239-44. doi: 10.1017/S1352465809990531. Epub 2009 Nov 26.
While Motivational Interviewing (MI) is effective in reducing client problem behaviours, including health-related behaviours, there is little evidence about how MI training enhances practitioner skills.
The current pilot study addressed this lack by training two health practitioners (Diabetes Nurse Educators) in MI, and evaluated the effect of MI training on both practitioner and patient behaviour when MI was delivered in a clinical settting, with patients experiencing difficulties with diabetes self-management.
Comparisons were made between the practitioners' skills in a baseline condition (Patient Education; PE) and after training in Motivational Enhancement Therapy (MET), a four-session form of MI. At the same time, the effects of the two interventions on patient in-session behaviour were compared. Practitioner and patient data were obtained from transcripts of all PE and MET sessions, which were independently coded using Motivational Interviewing Skills Code therapist and client behaviour counts.
Compared with their baseline performance, practitioners, when trained to practice MET, behaved in ways consistent with MI, and this appears to have evoked beneficial in-session behaviour from the patients.
These results suggest that the MI training was effective.
虽然动机访谈（MI）在减少客户的问题行为方面是有效的，包括与健康相关的行为，但关于 MI 培训如何增强从业者技能的证据很少。
本研究旨在通过对两名健康从业者（糖尿病教育护士）进行 MI 培训来解决这一不足，并评估在临床环境中实施 MI 时 MI 培训对从业者和患者行为的影响，此时患者在糖尿病自我管理方面遇到困难。
在基线条件（患者教育；PE）下对从业者的技能进行比较，并在接受动机增强治疗（MET）培训后进行比较，这是一种四节形式的 MI。同时，比较了两种干预措施对患者在会话中行为的影响。从业者和患者的数据是从所有 PE 和 MET 会话的转录中获得的，使用动机访谈技能编码治疗师和客户行为计数对其进行独立编码。
与基线表现相比，接受 MET 培训的从业者的行为符合 MI，这似乎引起了患者有益的会话行为。
这些结果表明 MI 培训是有效的。
