Acquisition of MI Competence Trough the Training Methods Used in the Swedish County Councils and Municipalities

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2014-10-31

Brief Summary

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In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method. The study aims to evaluate to what extent the practitioners acquire and retain MI skills trough the different training methods used by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.

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Detailed Description

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The basis for a successful implementation of an evidence-based treatment in routine clinical care is quality assessment of all stages of delivery, implementation and evaluation. In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method.

Aims: To evaluate to what extent the practitioners acquire and retain MI skills through the different training methods used in the Swedish county councils and municipalities by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.

Method: In 2013-2014, 175 practitioners that attend MI training in five different county councils and municipalities in Sweden will be randomized to one of the study's three groups: (a) "Regular training" (n= 66), b) "Regular training" followed by six individual supervision sessions at monthly intervals based on only the behavior counts component of the Motivational Interviewing Treatment Integrity (MITI) Code (n= 67), and (c) "Regular training" followed by supervision based on both the behavior counts and the five global dimensions of the MITI (n= 67). All practitioners will record three sessions: one before " regular training", one after "regular training" and one six month after training. The practitioners in group b and c will record five additional sessions in conjunction with the supervision. All supervision and recording sessions will be made over the phone with actors role-playing clients. The sessions will be assessed for proficiency in MI by MIC Lab at the Karolinska Institute according to the Swedish translation of MITI 3.1.

Time Frame: The specific time points at which the outcome measure (the Swedish version of the MITI, version 3.1.) will be assessed are:

1. Before the county councils' workshop trainings (pre-workshop).
2. Directly after the workshop trainings (post-workshop).
3. Six months after the workshop trainings (follow-up). =\> Since the different county council workshop trainings differ in time (e.g. one to four month) the participants from the different county councils will be followed for a period in between seven month (one + six) to ten month (four + six).

The participants randomized to the two groups with additional supervision will also be assessed five times between the post-workshop and the follow-up assessment (e.g. every month).

Conditions

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Competence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Regular MI-training

Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities

Group Type ACTIVE_COMPARATOR

Regular MI-training

Intervention Type BEHAVIORAL

Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities

Regular MI-training + supervision half

Regular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58)

Group Type ACTIVE_COMPARATOR

Regular MI-training

Intervention Type BEHAVIORAL

Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities

Regular MI-training + supervision half

Intervention Type BEHAVIORAL

Regular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58)

Regular MI-training + supervision full

Regular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58)

Group Type ACTIVE_COMPARATOR

Regular MI-training

Intervention Type BEHAVIORAL

Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities

Regular MI-training + supervision full

Intervention Type BEHAVIORAL

Regular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58)

Interventions

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Regular MI-training

Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities

Intervention Type BEHAVIORAL

Regular MI-training + supervision half

Regular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58)

Intervention Type BEHAVIORAL