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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description | 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. |
doi_str_mv | 10.1371/journal.pone.0163624 |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0163624</identifier><identifier>PMID: 27685152</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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 ; 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)</subject><ispartof>PloS one, 2016-09, Vol.11 (9), p.e0163624-e0163624</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Enö Persson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Enö Persson et al 2016 Enö Persson et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c833t-1fdc4812856fc290ec1a587d9d77a70195bebeba166c6871d0557bab0a46494e3</citedby><cites>FETCH-LOGICAL-c833t-1fdc4812856fc290ec1a587d9d77a70195bebeba166c6871d0557bab0a46494e3</cites><orcidid>0000-0003-4457-0606</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042524/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042524/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27685152$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:134429615$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Enö Persson, Johanna</creatorcontrib><creatorcontrib>Bohman, Benjamin</creatorcontrib><creatorcontrib>Forsberg, Lars</creatorcontrib><creatorcontrib>Beckman, Maria</creatorcontrib><creatorcontrib>Tynelius, Per</creatorcontrib><creatorcontrib>Rasmussen, Finn</creatorcontrib><creatorcontrib>Ghaderi, Ata</creatorcontrib><title>Proficiency in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.</description><subject>Addictive behaviors</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Child health</subject><subject>Childhood obesity</subject><subject>Children</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Conferences</subject><subject>Conferences, meetings and seminars</subject><subject>Drug abuse</subject><subject>Epidemiology</subject><subject>Feedback</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health sciences</subject><subject>Health services</subject><subject>Indicators</subject><subject>Intervention</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Motivational interviewing</subject><subject>Neurosciences</subject><subject>Nurses</subject><subject>Nursing research</subject><subject>Nursing 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in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback</title><author>Enö Persson, Johanna ; Bohman, Benjamin ; Forsberg, Lars ; Beckman, Maria ; Tynelius, Per ; Rasmussen, Finn ; Ghaderi, Ata</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c833t-1fdc4812856fc290ec1a587d9d77a70195bebeba166c6871d0557bab0a46494e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Addictive behaviors</topic><topic>Behavior</topic><topic>Biology and Life Sciences</topic><topic>Child health</topic><topic>Childhood obesity</topic><topic>Children</topic><topic>Children & youth</topic><topic>Childrens health</topic><topic>Conferences</topic><topic>Conferences, meetings and seminars</topic><topic>Drug abuse</topic><topic>Epidemiology</topic><topic>Feedback</topic><topic>Health care</topic><topic>Health care 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Enö Persson, Johanna</au><au>Bohman, Benjamin</au><au>Forsberg, Lars</au><au>Beckman, Maria</au><au>Tynelius, Per</au><au>Rasmussen, Finn</au><au>Ghaderi, Ata</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proficiency in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-09-29</date><risdate>2016</risdate><volume>11</volume><issue>9</issue><spage>e0163624</spage><epage>e0163624</epage><pages>e0163624-e0163624</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27685152</pmid><doi>10.1371/journal.pone.0163624</doi><tpages>e0163624</tpages><orcidid>https://orcid.org/0000-0003-4457-0606</orcidid><oa>free_for_read</oa></addata></record> |
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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 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) |
title | Proficiency in Motivational Interviewing among Nurses in Child Health Services Following Workshop and Supervision with Systematic Feedback |
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