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向精神病学实习生传授动机性访谈技巧:一项全国性调查的结果

Teaching Motivational Interviewing Skills to Psychiatry Trainees: Findings of a National Survey.

作者信息

Abele Misoo, Brown Julie, Ibrahim Hicham, Jha Manish K

机构信息

George E. Wahlen VA Medical Center, Salt Lake City, UT, USA.

VA North Texas Medical Center, Dallas, TX, USA.

出版信息

Acad Psychiatry. 2016 Feb;40(1):149-52. doi: 10.1007/s40596-014-0149-0. Epub 2014 May 15.

DOI:10.1007/s40596-014-0149-0
PMID:24832675
Abstract

OBJECTIVE

The authors report on the current status of motivational interviewing education and training director attitudes about providing it to psychiatry residents.

METHODS

Training directors of general, child/adolescent and addiction psychiatry training programs were invited to participate in an anonymous online survey.

RESULTS

Of the 333 training directors who were invited to participate, 66 of 168 (39.3%) general, 41 of 121 (33.9%) child/adolescent, and 19 of 44 (43.2%) addiction psychiatry training directors completed the survey. The authors found that 90.9% of general, 80.5% of child/adolescent, and 100% of addiction psychiatry training programs provided motivational interviewing education. Most programs used multiple educational opportunities; the three most common opportunities were didactics, clinical practice with formal supervision, and self-directed reading. Most training directors believed that motivational interviewing was an important skill for general psychiatrists. The authors also found that 83.3% of general, 87.8% of child/adolescent, and 94.7% of addiction psychiatry training directors reported that motivational interviewing should be taught during general psychiatry residency.

CONCLUSIONS

Motivational interviewing skills are considered important for general psychiatrists and widely offered by training programs. Competency in motivational interviewing skills should be considered as a graduation requirement in general psychiatry training programs.

摘要

目的

作者报告动机性访谈教育与培训的现状,以及培训主任对于向精神病学住院医师提供此类培训的态度。

方法

邀请普通精神病学、儿童/青少年精神病学和成瘾精神病学培训项目的培训主任参与一项匿名在线调查。

结果

在受邀参与的333名培训主任中,168名普通精神病学培训主任中有66名(39.3%)、121名儿童/青少年精神病学培训主任中有41名(33.9%)、44名成瘾精神病学培训主任中有19名(43.2%)完成了调查。作者发现,90.9%的普通精神病学、80.5%的儿童/青少年精神病学以及100%的成瘾精神病学培训项目提供了动机性访谈教育。大多数项目利用了多种教育机会;最常见的三种机会是讲授、有正式督导的临床实践和自主阅读。大多数培训主任认为动机性访谈是普通精神科医生的一项重要技能。作者还发现,83.3%的普通精神病学、87.8%的儿童/青少年精神病学以及94.7%的成瘾精神病学培训主任报告称,动机性访谈应在普通精神病学住院医师培训期间进行教授。

结论

动机性访谈技能被认为对普通精神科医生很重要,并且培训项目广泛提供此类培训。动机性访谈技能的能力应被视为普通精神病学培训项目的毕业要求。

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