| Teaching community program clinicians motivational interviewing using expert and train-the-trainer strategies. | |
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MedLine Citation:
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PMID: 20925684 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: The effectiveness of expert-led (EX) and train-the-trainer (TT) strategies was compared to a self-study approach (SS) for teaching clinicians motivational interviewing (MI). DESIGN: Twelve community treatment programs were assigned randomly to the three conditions. EX and TT conditions used skill-building workshops and three monthly supervision sessions guided by treatment integrity ratings, performance feedback and coaching techniques. Trainers in TT were first trained and certified in MI and then prepared carefully to deliver the workshops and supervise MI at their programs. Clinicians in SS only received the training materials. SETTING: Licensed out-patient and residential addiction and mental health treatment programs in the US state of Connecticut were involved in the study. PARTICIPANTS: Ninety-two clinicians who provided addiction treatment within these programs and had limited experience with MI participated in the study. MEASUREMENTS: Primary outcomes were the clinicians' MI adherence and competence and the percentage of clinicians meeting clinical trial standards of MI performance. Assessments occurred at baseline, post-workshop, post-supervision and at 12-week follow-up. FINDINGS: The study found EX and TT, in comparison to SS, improved clinicians' adherence and competence significantly, with higher percentages of clinicians reaching clinical trial standards of MI performance and few differences between EX and TT. CONCLUSIONS: This study supports the combined use of workshops and supervision to teach community program clinicians MI and suggests the train-the-trainer approach may be a feasible and effective strategy for disseminating empirically supported treatments. |
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Authors:
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Steve Martino; Samuel A Ball; Charla Nich; Monica Canning-Ball; Bruce J Rounsaville; Kathleen M Carroll |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural Date: 2010-10-06 |
Journal Detail:
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Title: Addiction (Abingdon, England) Volume: 106 ISSN: 1360-0443 ISO Abbreviation: Addiction Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-06 Completed Date: 2011-05-25 Revised Date: 2012-04-04 |
Medline Journal Info:
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Nlm Unique ID: 9304118 Medline TA: Addiction Country: England |
Other Details:
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Languages: eng Pagination: 428-41 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors, Addiction © 2010 Society for the Study of Addiction. |
Affiliation:
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Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. steve.martino@yale.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Clinical Competence* Connecticut Education, Medical, Continuing / methods* Educational Measurement / methods Female Humans Interview, Psychological* Male Middle Aged Motivation Program Development Program Evaluation Regression Analysis Substance Abuse Treatment Centers Substance-Related Disorders / therapy* Teaching / methods* Teaching Materials Technology Transfer |
| Grant Support | |
ID/Acronym/Agency:
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P50 DA009241-15/DA/NIDA NIH HHS; P50 DA009241-16/DA/NIDA NIH HHS; P50 DA009241-17/DA/NIDA NIH HHS; P50 DA009241-18/DA/NIDA NIH HHS; P50-DA09241/DA/NIDA NIH HHS; R01 DA016970-01/DA/NIDA NIH HHS; R01 DA016970-02/DA/NIDA NIH HHS; R01 DA016970-02S1/DA/NIDA NIH HHS; R01 DA016970-03/DA/NIDA NIH HHS; R01 DA023230-05/DA/NIDA NIH HHS; R01 DA16970/DA/NIDA NIH HHS; U10 DA013038-07/DA/NIDA NIH HHS; U10 DA013038-08/DA/NIDA NIH HHS; U10 DA013038-09/DA/NIDA NIH HHS; U10 DA013038-10/DA/NIDA NIH HHS; U10-DA013038/DA/NIDA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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