Rehabilitation Sciences Graduate Programs, University of British Columbia, Vancouver, British Columbia, Canada.
Disabil Rehabil. 2013 Jun;35(11):919-23. doi: 10.3109/09638288.2012.711897. Epub 2012 Sep 20.
Despite recent advances in rehabilitation research, moving evidence into clinical practice remains a challenge. This article explores a novel approach to knowledge translation (KT) - motivational interviewing (MI). MI is a style of communication that is typically used to facilitate health related behavior change in patients. Here we explore its potential use as a KT intervention aimed at clinicians.
Commentary. Relevant literature on MI and KT is summarized and discussed by considering how MI could be used in a KT strategy aimed at rehabilitation clinicians.
Clinician motivation and readiness to change are key issues influencing implementation of evidence-based practice. We provide an argument suggesting that clinicians' readiness to change clinical practices can potentially be enhanced through MI. The MI conceptual framework, principles, and strategies, typically used in patients, are discussed here in a novel context - enhancing clinician change in practice.
MI is an effective intervention when the goal is to motivate individuals to change a current behavior. We suggest that MI is an evidence-based intervention that has been proven to be effective with patients and warrants study as a promising KT intervention.
• Despite recent advances in rehabilitation research, moving evidence into practice remains a challenge. • Clinician motivation is one key issue influencing the implementation of evidence-based practice. • Clinician motivation to implement evidence-based practice can potentially be enhanced through an approach called motivational interviewing (MI). • Motivational interviewing is an evidence-based intervention that has proven to be effective in promoting behavioral change in patients, and warrants study in terms of its potential as a KT intervention.
尽管康复研究近年来取得了进展，但将证据转化为临床实践仍然是一个挑战。本文探讨了一种新的知识转化（KT）方法——动机性访谈（MI）。MI 是一种通常用于促进患者健康相关行为改变的沟通方式。在这里，我们探讨了它作为一种针对临床医生的 KT 干预措施的潜在用途。
评论。通过考虑 MI 如何在针对康复临床医生的 KT 策略中使用，总结和讨论了与 MI 和 KT 相关的文献。
临床医生的动机和改变的准备情况是影响实施基于证据的实践的关键问题。我们提出了一个论点，即通过 MI，临床医生改变临床实践的准备情况可能会得到增强。MI 的概念框架、原则和策略通常用于患者，在这里我们在一个新的背景下讨论——增强临床医生在实践中的改变。
当目标是激励个人改变当前行为时，MI 是一种有效的干预措施。我们认为，MI 是一种经过验证的有效干预措施，对患者有效，值得研究作为一种有前途的 KT 干预措施。
尽管康复研究近年来取得了进展，但将证据转化为实践仍然是一个挑战。
临床医生的动机是影响实施基于证据的实践的关键问题之一。
临床医生实施基于证据的实践的动机可以通过一种称为动机性访谈（MI）的方法得到增强。
动机性访谈是一种经过验证的有效干预措施，可有效促进患者的行为改变，值得研究其作为 KT 干预措施的潜力。
