Training%20Clinicians%20in%20Motivational%20Interviewing%20Using%20Tele-Conferencing%20Technology

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Training Clinicians in Motivational Interviewing
Using Tele-Conferencing Technology

• Bruce Goldman
• and
• Kenneth Carpenter

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Training Clinicians in Motivational Interviewing
Using Tele-Conferencing Technology

• Principal Investigator E.V. Nunes, M.D.
• Project Director Jennifer L. Smith, Ph.D.
• Carpenter, K.M., Brooks A., Amrhein, P., Levin,
  D., Schreiber, E.A., Travaglini, L.A.

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Overview

• Disseminating new treatment techniques into
  community based practices remains a significant
  challenge.
• Traditional dissemination techniques include
• Distribution of printed materials
• Didactic interactions conferences, lectures, and
  workshops

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Didactic Dissemination

• Outcome of Didactic Strategies
• BEST increase knowledge and produce short term
  shifts in counseling behaviors.
• WORST have no effect on counselor behavior but
  strengthen an individuals belief that they are
  proficient in the use of an intervention
  strategy.

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Enhancement Strategies

• Sustained development of new counseling skills is
  more likely to be accomplished with
• Practice opportunities in a context that best
  approximates actual clinical encounters.
• Post-instruction supervision.
• The provision of direct feedback and coaching.

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Study Aims

• Develop and test the efficacy of a
  post-instruction supervisory method that
  includes
• Training in a clinicians clinical context
• The provision of real time feedback and coaching
• The use of standard communication technology
• (Telephone).

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Participants

• Recruited from 26 community treatment programs
• 100 Counselors (94 completed training MMTP n50
  Drug free outpatient n32 Residential n12).
• The focus of the training was on developing
  Motivational Interviewing counseling skills

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Design

• Training FU1
  FU2

Pre- Wks
Post- Wks
Patients
Actors
Patients
5 Tele-Conference Sessions
Workshop
5 Taped-Based Sessions
No Supervision
Week 1-2
Weeks 3 to 7
Week 8
Week 20
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Target Behaviors

• MI Spirit
• MI Empathy
• Percentage of Open Questions
• Percentage of Complex Reflections
• Reflection to Question Ratio
• MI Non-adherent behaviors

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TCS demonstrated better performance
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Conclusion

• TCS demonstrated better performance on measures
  of
• MI Spirit
• MI Empathy
• Lower MI non-adherent behavior (compared to
  workshop only).
• Tape supervision demonstrated a trend for better
• performance on complex reflections.