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

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.

Study Overview

• Status: Completed
• Conditions: Competence
• Intervention / Treatment: Behavioral: Regular MI-training; Behavioral: Regular MI-training + supervision half; Behavioral: Regular MI-training + supervision full

Detailed Description

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).

• Study Type: Interventional
• Enrollment (Actual): 174
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Sweden
  • Stockholm, Sweden, 117 63
    • MIC Lab, Department of Clinical Neuroscience, Karolinska Institutet

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Subjects are practitioners that attend MI-training in five different Swedish county councils 2013-2014.

Exclusion Criteria:

• Practitioners younger than 18 and older than 65

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Regular MI-training; Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities	Behavioral: Regular MI-training; Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities
Active Comparator: 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)	Behavioral: Regular MI-training; Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities; 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)
Active Comparator: 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)	Behavioral: Regular MI-training; Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities; Behavioral: 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)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Acquisition of MI competence	The effectiveness of the county council workshop trainings will be measured with mean differences between the pre- and post-workshop assessment. The impact of the additional telephone supervision on the county councils' workshop trainings will be measured with mean differences between the post-workshop and the follow-up assessment. All acquisition of MI competence will be assessed by the Swedish version of the MITI, version 3.1. The MITI is a coding system with good psychometric properties widely used as a treatment integrity measure and as a feedback tool to improve MI skills in training and in clinical practice (Moyers, Martin, Manuel, Hendrickson, & Miller: Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment 2005, 28:19-26.).	Change from Baseline (pre-workshop) in MI competence assessed by the Swedish version of the MITI, directly after the workshop trainings (post-workshop), and six months after the workshop trainings (follow-up).

Collaborators and Investigators

• Sponsor: Karolinska Institutet
• Collaborators: Ministry of Health and Social Affairs, Sweden
• Investigators: Study Director: Lars Forsberg, PhD, Karolinska Institutet

Study record dates

Study Major Dates

• Study Start: January 1, 2013
• Primary Completion (Actual): October 1, 2014
• Study Completion (Actual): October 1, 2014

Study Registration Dates

• First Submitted: February 13, 2014
• First Submitted That Met QC Criteria: August 21, 2016
• First Posted (Estimate): August 25, 2016

Study Record Updates

• Last Update Posted (Estimate): August 25, 2016
• Last Update Submitted That Met QC Criteria: August 21, 2016
• Last Verified: August 1, 2016

More Information

Terms related to this study

• Keywords: Motivational Interviewing, Clinical supervision, Education
• Other Study ID Numbers: R30024-2 AAMR

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: No individual participant data will be available.