title: Training and experience of public health nurses in using behavior change counseling.
abstract: OBJECTIVE
  The objective of this study was to evaluate the effectiveness, feasibility, and usefulness of a behavior change counseling (BCC) training program for public health nurses to facilitate behavior change in patients.
  
  
  METHODS
  This was a quasi-experimental feasibility study. Twelve rural public health nurses participated in the study.
  
  
  METHODS
  Nurses participated in a 1-day BCC training workshop and 2 follow-up telephone calls within 8 weeks. Their pre- and posttraining BCC skills were evaluated based on audio-taped interactions using the Behavior Change Counseling Index (BECCI). Additionally, interviews were conducted with the nurses to understand their experience with the training in the use of BCC in their practice.
  
  
  RESULTS
  Descriptive statistics demonstrated increased BECCI scores after training. Nurses described the training workshop as valuable. Training in BCC helped nurses realize and improve their communication skills to facilitate patients' behavior changes. Nurses believed that additional training using BCC techniques in typical patient situations would help them improve their skill and confidence in using this method.
  
  
  CONCLUSIONS
  Nurses found BCC to be a useful tool to facilitate patients' behavioral changes. Although training resulted in increased skill in using BCC, nurses felt that they needed additional training to master BCC skills.
authors.affiliation: Center for Human Development and Partners in Healthcare Clinic, La Grande, Oregon, USA. kpfister@eou.edu
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Pfister-Minogue
authors.forename: Catherine
authors.initials: C
authors.lastname: Salveson
mesh_terms: D000223:Adaptation, Psychological; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D037001:Directive Counseling; D004493:Education; D004521:Educational Measurement; D004522:Educational Status; D005240:Feasibility Studies; D006305:Health Status Indicators; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D009042:Motivation; D015403:Nursing Evaluation Research; D011594:Psychometrics; D011637:Public Health Nursing / Q000379:methods*; D015203:Reproducibility of Results; D012424:Rural Population; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D013637:Tape Recording