title: A randomized trial of methods to help clinicians learn motivational interviewing.
abstract: The Evaluating Methods for Motivational Enhancement Education trial evaluated methods for learning motivational interviewing (MI). Licensed substance abuse professionals (N = 140) were randomized to 5 training conditions: (a) clinical workshop only; (b) workshop plus practice feedback; (c) workshop plus individual coaching sessions; (d) workshop, feedback, and coaching; or (e) a waiting list control group of self-guided training. Audiotaped practice samples were analyzed at baseline, posttraining, and 4, 8, and 12 months later. Relative to controls, the 4 trained groups showed larger gains in proficiency. Coaching and/or feedback also increased posttraining proficiency. After delayed training, the waiting list group showed modest gains in proficiency. Posttraining proficiency was generally well maintained throughout follow-up. Clinician self-reports of MI skillfulness were unrelated to proficiency levels in observed practice.
authors.affiliation: Department of Psychology, Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM 87131-1161, USA. wrmiller@unm.edu
authors.forename: William R
authors.initials: WR
authors.lastname: Miller
authors.forename: Carolina E
authors.initials: CE
authors.lastname: Yahne
authors.forename: Theresa B
authors.initials: TB
authors.lastname: Moyers
authors.forename: James
authors.initials: J
authors.lastname: Martinez
authors.forename: Matthew
authors.initials: M
authors.lastname: Pirritano
mesh_terms: D000328:Adult; D000368:Aged; D005246:Feedback; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007407:Interviews as Topic; D007858:Learning; D008297:Male; D008875:Middle Aged; D009042:Motivation; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000628:therapy; D011795:Surveys and Questionnaires