Sustaining motivational interviewing: a meta-analysis of training studies.
Background and Aims Previous research indicates that motivational interviewing ( MI) skills decline over time among participants in training workshops when post-workshop feedback and coaching are not provided. This study explored moderators of skill retention among trainees learning MI mainly for su...
| Published in: | Addiction Vol. 109; no. 8; pp. 1287 - 1295 |
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| Main Authors: | , , |
| Format: | equations & formulas research tables/charts Journal Article |
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Wiley-Blackwell
Aug2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103971804&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103971804 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Aug2014 vid: 109 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103971804 96956406 10.1111/add.12558 NLM24661345 103971804 ppf: 1287 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Sustaining motivational interviewing: a meta-analysis of training studies. aug: au: Schwalbe, Craig S. Oh, Hans Y. Zweben, Allen affil: Columbia University School of Social Work sug: subj: Motivation Substance Use Rehabilitation Programs Seminars and Workshops Human Meta Analysis Computerized Literature Searching Medline Psycinfo Coding Intraclass Correlation Coefficient Confidence Intervals ab: Background and Aims Previous research indicates that motivational interviewing ( MI) skills decline over time among participants in training workshops when post-workshop feedback and coaching are not provided. This study explored moderators of skill retention among trainees learning MI mainly for substance use disorder treatment in real-world treatment settings, including workshop enhancements and type and dose of post-workshop feedback and coaching. Methods A meta-analysis of training studies was conducted with studies that reported MI skills using observational measures and that included trainees from real-world agency settings. Standardized change scores were calculated to indicate the magnitude of pre-post training change in MI skills; standardized change scores from post-training to 3 and 6+ months follow-up were calculated to indicate the sustainability of training gains over time. Effect sizes were aggregated using random effects models. Results Twenty-one papers that reported the effects of MI training on agency staff were included in this review. Across studies, training yielded gains in MI skills ( d = 0.76). Studies that did not include feedback and/or coaching reported eroding skills over a 6-month follow-up ( d = −0.30), whereas post-workshop feedback/coaching sustained skills ( d = 0.03). Effects of post-workshop feedback/coaching were moderated by frequency, duration and length of training. Moreover, studies reporting low levels of attrition from training protocols showed small increases in skills over the 6-month follow-up period ( d = 0.12), whereas studies with high attrition showed skill erosion ( d = −0.29). Conclusions On average, three to four feedback/coaching sessions over a 6-month period sustain skills among trainees for motivational interviewing, mainly for substance use disorder treatment. However, high rates of attrition from feedback/coaching contributes to post-workshop skill erosion. pubtype: Academic Journal doctype: equations & formulas meta analysis research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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