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

Competence Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02878356
• Other study ID #: R30024-2 AAMR
• Status: Completed
• Phase: N/A
• First received: February 13, 2014
• Last updated: August 21, 2016
• Start date: January 2013
• Est. completion date: October 2014

Study information

• Verified date: August 2016
• Source: Karolinska Institutet
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Regional Ethical Review Board
• Study type: Interventional

Clinical Trial Summary

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.

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 174
• Est. completion date: October 2014
• Est. primary completion date: October 2014
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

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 Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Competence

Intervention

Behavioral:
• Regular MI-training
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)
• 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)

Locations

Country	Name	City	State
Sweden	MIC Lab, Department of Clinical Neuroscience, Karolinska Institutet	Stockholm

Sponsors (2)

Lead Sponsor	Collaborator
Karolinska Institutet	Ministry of Health and Social Affairs, Sweden

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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).	No

External Links

•   The website of Motivational Interviewing Coding Laboratory (MIC Lab)