Proficiency in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback

Research on training in motivational interviewing (MI) has shown eroding skills after workshops not followed by additional training input (supervision/coaching). There is a need for more research evaluating different types and lengths of post-workshop training with follow-up periods extending six mo...

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Bibliographic Details
Published in:PloS one 2016-09, Vol.11 (9), p.e0163624-e0163624
Main Authors: Enö Persson, Johanna, Bohman, Benjamin, Forsberg, Lars, Beckman, Maria, Tynelius, Per, Rasmussen, Finn, Ghaderi, Ata
Format: Article
Language:English
Subjects:
Addictive behaviors
Behavior
Biology and Life Sciences
Child health
Childhood obesity
Children
Children & youth
Childrens health
Conferences
Conferences, meetings and seminars
Drug abuse
Epidemiology
Feedback
Health care
Health care industry
Health sciences
Health services
Indicators
Intervention
Medical personnel
Medicin och hälsovetenskap
Medicine and Health Sciences
Motivational interviewing
Neurosciences
Nurses
Nursing research
Nursing services
Obesity
Parents & parenting
Pediatric nursing
People and Places
Physical Sciences
Prevention
Primary care
Public health
Skills
Social Sciences
Studies
Supervision
Training
Workshops
Workshops (Educational programs)
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Summary:Research on training in motivational interviewing (MI) has shown eroding skills after workshops not followed by additional training input (supervision/coaching). There is a need for more research evaluating different types and lengths of post-workshop training with follow-up periods extending six months. This study is an extension of a previous evaluation of the level of proficiency in MI after workshop and four sessions of supervision among nurses in Swedish child health services. To explore the level of MI proficiency among nurses participating in an intervention to prevent childhood obesity (n = 33), after receiving five additional sessions of supervision including feedback on observed practice, as well as level of proficiency at follow-up. Level of proficiency was measured 4 and 12 months after completed supervision using recorded practice samples coded according to the Motivational Interviewing Treatment Integrity (MITI) Code. Potential predictors of outcome were investigated. Proficiency remained on the same levels after nine sessions of supervision as after four sessions, and was generally low. The percentage of nurses reaching the proficiency level ranged from 18.2 to 54.5% across indicators. MI-spirit had increased significantly at follow-up, and the rest of the indicators remained on the same levels. No predictors of outcome were found. Comprehensive training programs with prolonged post-workshop supervision and feedback on observed practice may help to sustain but not improve participants' proficiency in MI. Potential explanations to the results and suggestions for future research are discussed.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0163624