After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?

Hall, Kate, Staiger, Petra K., Simpson, Angela, Best, David and Lubman, Dan I. 2016, After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?, Addiction, vol. 111, no. 7, pp. 1144-1150, doi: 10.1111/add.13014.

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Title After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?
Author(s) Hall, KateORCID iD for Hall, Kate
Staiger, Petra K.ORCID iD for Staiger, Petra K.
Simpson, AngelaORCID iD for Simpson, Angela
Best, David
Lubman, Dan I.
Journal name Addiction
Volume number 111
Issue number 7
Start page 1144
End page 1150
Total pages 7
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2016-07
ISSN 1360-0443
Keyword(s) competence
motivational interviewing
substance use
Summary AIMS: Motivational interviewing (MI) is the most successfully disseminated evidence-based practice in the substance use disorder (SUD) treatment field. This systematic review considers two questions relevant to policymakers and service providers: (1) does training in MI achieve sustained practice change in clinicians delivering SUD treatment; and (2) do clinicians achieve a level of competence after training in MI that impacts upon client outcomes? METHODS: A systematic review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, examining training outcomes for MI in the SUD treatment sector, and for clinicians working in a SUD treatment role. We determined a training method to have resulted in sustained practice change when over 75% of participants met beginning proficiency in MI spirit at a follow-up time-point. RESULTS: Of the 20 studies identified, 15 measured training at a follow-up time-point using standard fidelity measures. The proportion of clinicians who reached beginning proficiency was either reported or calculated for 11 of these studies. Only two studies met our criterion of 75% of clinicians achieving beginning proficiency in MI spirit after training. Of the 20 studies identified, two measured client substance use outcomes with mixed results. CONCLUSIONS: A broad range of training studies failed to achieve sustained practice change in MI according to our criteria. It is unlikely that 75% of clinicians can achieve beginning proficiency in MI spirit after training unless competency is benchmarked and monitored and training is ongoing. The impact of training on client outcomes requires future examination.
Language eng
DOI 10.1111/add.13014
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920414 Substance Abuse
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Society for the Study of Addiction
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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