测量完成基于能力的动机性访谈课程的职前学生的动机性访谈自我效能感。
Measuring motivational interviewing self-efficacy of pre-service students completing a competency-based motivational interviewing course.
作者信息
Larson Elizabeth, Martin Beth A
机构信息
University of Wisconsin Madison, Occupational Therapy Program, Department of Kinesiology, 2180 Medical Science Center, 1300 University Avenue, Madison, WI 53706, United States of America.
University of Wisconsin Madison, School of Pharmacy, 1022 Rennebohm Hall, 777 Highland Avenue, Madison, WI 53705, United States of America.
出版信息
Explor Res Clin Soc Pharm. 2021 Apr 17;1:100009. doi: 10.1016/j.rcsop.2021.100009. eCollection 2021 Mar.
BACKGROUND
Improving health outcomes requires health care practitioners to work collaboratively with clients to make healthy lifestyle changes. Motivational interviewing (MI) is an evidence-based approach found to evoke and support behavior change.
OBJECTIVE
The aim of this study was to examine changes over time in pre-service professional students' confidence in their MI skills after a 15-week interprofessional MI course.
METHODS
Students ( = 22) completed a newly developed 24-item Motivational Interviewing Confidence Survey (MICS pre and post participation in the course). Summary statistics, initial scale reliability assessment and -tests were carried out.
RESULTS
MICS was a reliable measure (Cronbach's = 0.98) and detected significant changes in students' self-perceived skill set. Using -tests, significant differences were noted in pre- and post-assessments in students' confidence in their skills; students ( values<0.001) demonstrated significant gains in confidence on 23 of 24 MICS items.
CONCLUSION
After participating in the course, students' confidence in their MI skills improved significantly. Adding pre-service training in MI may increase future healthcare practitioners' confidence in their MI skills and improve their capacity to engage in individually tailored, client-driven practice.
背景
改善健康状况需要医护人员与客户合作，以实现健康的生活方式改变。动机性访谈（MI）是一种基于证据的方法，被发现能够激发并支持行为改变。
目的
本研究的目的是考察在参加了为期15周的跨专业动机性访谈课程后，职前专业学生对其动机性访谈技能的信心随时间的变化情况。
方法
学生（n = 22）在参加课程前后完成了一项新开发的包含24个条目的动机性访谈信心调查（MICS）。进行了描述性统计、初始量表信度评估和t检验。
结果
MICS是一种可靠的测量工具（克朗巴哈系数α = 0.98），并检测到学生自我感知技能集的显著变化。使用t检验，在学生对其技能的信心的前后评估中发现了显著差异；学生在24个MICS条目中的23个条目上的信心有显著提高（p值<0.001）。
结论
参加课程后，学生对其动机性访谈技能的信心显著提高。增加动机性访谈的职前培训可能会提高未来医护人员对其动机性访谈技能的信心，并提高他们进行个性化、以客户为导向的实践的能力。
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