Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden
MeetMe Psykologkonsult AB, Gothenburg, Sweden.
Vet Rec. 2020 Sep 5;187(5):191. doi: 10.1136/vr.105646. Epub 2020 Apr 17.
Communication skills to promote changes in management routines are especially important in veterinary herd health management (VHHM). Motivational interviewing (MI) is a communication methodology shown to be effective in stimulating client behaviour change. This study aimed to evaluate a 6-month MI-training programme for veterinarians.
Thirty-eight cattle veterinarians gathered in groups of four to eight at six workshops separated by 3-4 weeks, during which they read literature and practised their skills. MI skills were evaluated before and after training using audio recordings of role-play conversations with professional actors. Recordings were coded using the MI Treatment Integrity Code (MITI) V.4.2.1. The effect of training was evaluated by 16 regression models. Participants filled in questionnaires about their experiences.
All participants improved their MI skills after training in at least one parameter and significant improvements were found in all but 3 of the 16 statistically evaluated MITI variables. The mean (25th-75th percentiles) ratings of the veterinarians' perceived relevance of MI skills in their work was 4.9 (4.0-6.0) and of their satisfaction with the programme was 5.1 (5.0-6.0) on a 6-point Likert scale.
Results show that MI training was perceived to be useful and relevant and successfully improved veterinarians' communication skills in VHHM.
在兽医群体健康管理（VHHM）中，促进管理常规变化的沟通技巧尤为重要。动机性访谈（MI）是一种被证明能有效激发客户行为改变的沟通方法。本研究旨在评估一项针对兽医的 6 个月 MI 培训计划。
38 名牛兽医分组参加了六次研讨会，每组 4 至 8 人，间隔 3-4 周，在此期间他们阅读文献并练习技能。在培训前后，使用与专业演员进行角色扮演对话的录音，使用 MI 治疗完整性代码（MITI）V.4.2.1 评估 MI 技能。通过 16 个回归模型评估培训效果。参与者填写了关于他们经验的问卷。
所有参与者在至少一个参数上的 MI 技能都有所提高，在 16 个经过统计学评估的 MITI 变量中，除了 3 个变量外，其余变量都有显著提高。兽医对 MI 技能在工作中的相关性的感知评分平均值（25 分-75 分）为 4.9（4.0-6.0），对计划的满意度评分为 5.1（5.0-6.0），均为 6 分制。
结果表明，MI 培训被认为是有用和相关的，并成功地提高了兽医在 VHHM 中的沟通技巧。
