Effectiveness of training final-year undergraduate nutritionists in motivational interviewing

•Core changes to consultation style result from a 15h training course in MI in this novice cohort.•Subjects ask more open questions, make more reflections, affirmations and summaries at follow up.•Behaviour change skills in undergraduate nutritionist programmes are often absent. To assess the effica...

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Published in:	Patient education and counseling Vol. 100; no. 10; pp. 1898 - 1902
Main Authors:	Simper, Trevor N., Breckon, Jeff D., Kilner, Karen
Format:	Journal Article
Language:	English
Published:	Ireland Elsevier B.V 01.10.2017
Subjects:	Behavior Therapy - education Clinical Competence Communication Counseling - education Counseling - methods Empathy Female Humans Internal Medicine Interviews as Topic - methods Male MITI 3.1 Motivation Motivational Interviewing Nutritionists Nutritionists - education Patient Education as Topic - methods Program Evaluation Students Treatment fidelity United Kingdom Motivational interviewing Nutritionists MITI 3.1 Treatment fidelity motivational interviewing treatment fidelity nutritionists
ISSN:	0738-3991, 1873-5134, 1873-5134
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Abstract	•Core changes to consultation style result from a 15h training course in MI in this novice cohort.•Subjects ask more open questions, make more reflections, affirmations and summaries at follow up.•Behaviour change skills in undergraduate nutritionist programmes are often absent. To assess the efficacy of a motivational interviewing (MI) training programme on trainee nutritionists. A repeated measures design was applied to assess clinician behaviours in a ‘helping’ conversation. Participants were 32 nutrition students, assessed at baseline and one-month follow-up. The training significantly reduced the use of closed questions and MI non-adherent behaviours (MINA) (P for both=<0.001). Trainees significantly increased reflections, affirmations, summaries (P for all=<0.001) and the use of open questions (P=<0.013) which are all key indicators of MI beginner-competence. The talk-time ratio of the nutritionists also changed significantly, in favour of the client which serves as an indication of MI being used effectively. There were also significant increases in ‘global' scores for empathy, direction, autonomy/support, collaboration and evocation. Newly trained nutritionists 1 month post-training have a consultation style which suggested positive outcomes for clients. The trainees' scores at the one month post-training assessment were verifiable as ‘beginning proficiency'. Behaviour change counselling skills for nutritionists were enhanced, at one month post-training. MI training workshops with video feedback enhances communication skills which are likely to lead to positive consultation-behaviour changes in the trainee nutritionists.
AbstractList	To assess the efficacy of a motivational interviewing (MI) training programme on trainee nutritionists. A repeated measures design was applied to assess clinician behaviours in a 'helping' conversation. Participants were 32 nutrition students, assessed at baseline and one-month follow-up. The training significantly reduced the use of closed questions and MI non-adherent behaviours (MINA) (P for both=<0.001). Trainees significantly increased reflections, affirmations, summaries (P for all=<0.001) and the use of open questions (P=<0.013) which are all key indicators of MI beginner-competence. The talk-time ratio of the nutritionists also changed significantly, in favour of the client which serves as an indication of MI being used effectively. There were also significant increases in 'global' scores for empathy, direction, autonomy/support, collaboration and evocation. Newly trained nutritionists 1 month post-training have a consultation style which suggested positive outcomes for clients. The trainees' scores at the one month post-training assessment were verifiable as 'beginning proficiency'. Behaviour change counselling skills for nutritionists were enhanced, at one month post-training. MI training workshops with video feedback enhances communication skills which are likely to lead to positive consultation-behaviour changes in the trainee nutritionists. Highlights • Core changes to consultation style result from a 15 hour training course in MI in this novice cohort. • Subjects ask more open questions, make more reflections, affirmations and summaries at follow up. • Behaviour change skills in undergraduate nutritionist programmes are often absent. To assess the efficacy of a motivational interviewing (MI) training programme on trainee nutritionists.OBJECTIVESTo assess the efficacy of a motivational interviewing (MI) training programme on trainee nutritionists.A repeated measures design was applied to assess clinician behaviours in a 'helping' conversation. Participants were 32 nutrition students, assessed at baseline and one-month follow-up.METHODSA repeated measures design was applied to assess clinician behaviours in a 'helping' conversation. Participants were 32 nutrition students, assessed at baseline and one-month follow-up.The training significantly reduced the use of closed questions and MI non-adherent behaviours (MINA) (P for both=<0.001). Trainees significantly increased reflections, affirmations, summaries (P for all=<0.001) and the use of open questions (P=<0.013) which are all key indicators of MI beginner-competence. The talk-time ratio of the nutritionists also changed significantly, in favour of the client which serves as an indication of MI being used effectively. There were also significant increases in 'global' scores for empathy, direction, autonomy/support, collaboration and evocation.RESULTSThe training significantly reduced the use of closed questions and MI non-adherent behaviours (MINA) (P for both=<0.001). Trainees significantly increased reflections, affirmations, summaries (P for all=<0.001) and the use of open questions (P=<0.013) which are all key indicators of MI beginner-competence. The talk-time ratio of the nutritionists also changed significantly, in favour of the client which serves as an indication of MI being used effectively. There were also significant increases in 'global' scores for empathy, direction, autonomy/support, collaboration and evocation.Newly trained nutritionists 1 month post-training have a consultation style which suggested positive outcomes for clients. The trainees' scores at the one month post-training assessment were verifiable as 'beginning proficiency'.CONCLUSIONSNewly trained nutritionists 1 month post-training have a consultation style which suggested positive outcomes for clients. The trainees' scores at the one month post-training assessment were verifiable as 'beginning proficiency'.Behaviour change counselling skills for nutritionists were enhanced, at one month post-training. MI training workshops with video feedback enhances communication skills which are likely to lead to positive consultation-behaviour changes in the trainee nutritionists.PRACTICE IMPLICATIONSBehaviour change counselling skills for nutritionists were enhanced, at one month post-training. MI training workshops with video feedback enhances communication skills which are likely to lead to positive consultation-behaviour changes in the trainee nutritionists. •Core changes to consultation style result from a 15h training course in MI in this novice cohort.•Subjects ask more open questions, make more reflections, affirmations and summaries at follow up.•Behaviour change skills in undergraduate nutritionist programmes are often absent. To assess the efficacy of a motivational interviewing (MI) training programme on trainee nutritionists. A repeated measures design was applied to assess clinician behaviours in a ‘helping’ conversation. Participants were 32 nutrition students, assessed at baseline and one-month follow-up. The training significantly reduced the use of closed questions and MI non-adherent behaviours (MINA) (P for both=<0.001). Trainees significantly increased reflections, affirmations, summaries (P for all=<0.001) and the use of open questions (P=<0.013) which are all key indicators of MI beginner-competence. The talk-time ratio of the nutritionists also changed significantly, in favour of the client which serves as an indication of MI being used effectively. There were also significant increases in ‘global' scores for empathy, direction, autonomy/support, collaboration and evocation. Newly trained nutritionists 1 month post-training have a consultation style which suggested positive outcomes for clients. The trainees' scores at the one month post-training assessment were verifiable as ‘beginning proficiency'. Behaviour change counselling skills for nutritionists were enhanced, at one month post-training. MI training workshops with video feedback enhances communication skills which are likely to lead to positive consultation-behaviour changes in the trainee nutritionists.
Author	Simper, Trevor N. Breckon, Jeff D. Kilner, Karen
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Snippet	•Core changes to consultation style result from a 15h training course in MI in this novice cohort.•Subjects ask more open questions, make more reflections,... Highlights • Core changes to consultation style result from a 15 hour training course in MI in this novice cohort. • Subjects ask more open questions, make... To assess the efficacy of a motivational interviewing (MI) training programme on trainee nutritionists. A repeated measures design was applied to assess... To assess the efficacy of a motivational interviewing (MI) training programme on trainee nutritionists.OBJECTIVESTo assess the efficacy of a motivational...
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SubjectTerms	Behavior Therapy - education Clinical Competence Communication Counseling - education Counseling - methods Empathy Female Humans Internal Medicine Interviews as Topic - methods Male MITI 3.1 Motivation Motivational Interviewing Nutritionists Nutritionists - education Patient Education as Topic - methods Program Evaluation Students Treatment fidelity United Kingdom
Title	Effectiveness of training final-year undergraduate nutritionists in motivational interviewing
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