title: Strengthening motivational interviewing skills following initial training: a randomised trial of workplace-based reflective practice.
abstract: OBJECTIVE
  The study assesses whether a workplace-based educational intervention helps professionals who had trained in Motivational Interviewing (MI) become more competent in it.
  
  
  METHODS
  Randomised controlled trial.
  
  
  METHODS
  Professionals in health and social services in Dorset, UK, who had received training in MI (n=54).
  
  
  METHODS
  (a)
  
  
  METHODS
  Update day in MI (b) THEME (Twelve Hours to Enhance Motivational Effectiveness): Update day plus 12 weekly worksheets to stimulate reflection on practice of MI, feedback to audiotaped sessions with clients, and three 30 minute sessions of telephone coaching.
  
  
  METHODS
  Degree of competence in MI, as assessed from videotapes of interviews with simulated patients, carried out at entry to the study and 4 months later. Each videotape was coded independently by two trained coders using the Motivational Interviewing Treatment Integrity (MITI) system.
  
  
  RESULTS
  Of the 44 participants who completed the second assessment, those in THEME showed significantly (p<0.05) greater increases in the Spirit of MI and overall competence in MI.
  
  
  CONCLUSIONS
  Workplace based interventions may enhance the effectiveness of brief training in MI and other psychological therapies.
authors.affiliation: Addiction Service, Dorset HealthCare NHS Foundation Trust, Sedman Unit, 16 Tower Road, Bournemouth, Dorset, BH1 4LP, United Kingdom. geraldbennett@btopenworld.com
authors.forename: Gerald A
authors.initials: GA
authors.lastname: Bennett
authors.forename: Julie
authors.initials: J
authors.lastname: Moore
authors.forename: Tina
authors.initials: T
authors.lastname: Vaughan
authors.forename: Lindsey
authors.initials: L
authors.lastname: Rouse
authors.forename: Jood A
authors.initials: JA
authors.lastname: Gibbins
authors.forename: Peter
authors.initials: P
authors.lastname: Thomas
authors.forename: Kay
authors.initials: K
authors.lastname: James
authors.forename: Phil
authors.initials: P
authors.lastname: Gower
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004645:Empathy; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007406:Interview, Psychological / Q000379:methods / Q000592:standards*; D008297:Male; D008605:Mental Health Services; D009042:Motivation; D016544:Patient Simulation; D019966:Substance-Related Disorders / Q000517:prevention & control / Q000523:psychology*; D014741:Video Recording