MI Training: Live Supervision by Tele-Conference

MI培训：电话会议现场监督

• 批准号: 6695318
• 负责人: Edward V. Nunes
• 金额: $ 34.6万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-25 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6695318
• 关键词: behavior therapy; behavioral /social science research tag; clinical research; community health services; counseling; health care model; human subject; interview; method development; model design /development; motivation; patient oriented research; substance abuse related disorder; telecommunications; training

DESCRIPTION (provided by applicant): The goal of this project is to develop a new method for teaching Motivational Interviewing (MI) to community-based substance abuse counselors, using live supervision by tele-conference. Conferences and workshops are the most common methods of introducing new treatments to substance abuse practitioners, but studies suggest these are relatively ineffective at engendering new skills, while training involving interaction and feedback, including supervision on taped sessions, have shown promise. Live supervision, where supervisors directly observe trainee's interviews, is a cornerstone of basic clinical training in many fields but has seen little use for continuing education. Basic principles of learning theory suggest that live supervision in a trainee's clinical context with immediate feedback would most efficiently shape new counseling skills. Tele-Conference Supervision for Motivational Interviewing (TCS-MI) will follow a didactic introduction to Motivational Interviewing (MI) with live supervision in which supervisors will listen over the telephone to counselors practicing MI and give feedback through an ear-plug monitor, employing the principle of differential reinforcement--positive verbal feedback for MI-appropriate activity and labeling MI-inappropriate activity. Motivational Interviewing is chosen as the focus, because it is evidence-based, widely applicable to addiction treatment, and can be challenging, since mastery requires acquisition of new counseling skills and suppression of others such as persuasion or confrontation. If successful, it is hoped that TCS principles could be applied to training on a wide variety of behavioral treatments. TCS-MI will be developed and refined during an initial uncontrolled trial (Study 1). A controlled trial (Study 2) will follow in which substance abuse counselors recruited from local community-based treatment programs will be randomly assigned to TCS-MI (N = 30), a standard MI workshop (N = 30) or standard supervision with discussion of taped sessions (N = 30). It is hypothesized that counselors trained with TCS-MI will achieve superior MI skills, as measured by the Motivational Interview Skill Coding (MISC) system, compared to controls.

描述（由申请人提供）： 该项目的目标是开发一种新方法，通过电话会议进行现场监督，向社区药物滥用咨询师教授动机访谈（MI）。会议和研讨会是向药物滥用从业者介绍新疗法的最常见方法，但研究表明，这些在培养新技能方面相对无效，而涉及互动和反馈的培训，包括对录音课程的监督，已显示出希望。现场监督，即主管直接观察受训者的访谈，是许多领域基础临床培训的基石，但对继续教育几乎没有用处。学习理论的基本原则表明，在受训者的临床环境中进行实时监督并提供即时反馈将最有效地塑造新的咨询技能。动机访谈电话会议监督 (TCS-MI) 将在对动机访谈 (MI) 进行教学介绍后进行现场监督，监督人员将通过电话聆听辅导员的 MI 练习，并通过耳塞监视器提供反馈，使用差异强化原则——对 MI 适当的活动进行积极的口头反馈，并标记 MI 不适当的活动。选择动机访谈作为焦点，因为它是基于证据的，广泛适用于成瘾治疗，并且可能具有挑战性，因为掌握它需要获得新的咨询技能和压制他人，例如说服或对抗。如果成功，TCS 原则有望应用于各种行为治疗的培训。 TCS-MI 将在最初的非对照试验（研究 1）中得到开发和完善。随后将进行一项对照试验（研究 2），从当地社区治疗计划中招募的药物滥用咨询师将被随机分配到 TCS-MI（N = 30）、标准 MI 研讨会（N = 30）或标准监督讨论组录音会话 (N = 30)。据假设，根据动机面试技能编码 (MISC) 系统的衡量，接受 TCS-MI 培训的辅导员将比对照组获得更出色的 MI 技能。