PMID- 22563640 OWN - NLM STAT- MEDLINE DCOM- 20130116 LR - 20211021 IS - 1939-2117 (Electronic) IS - 0022-006X (Print) IS - 0022-006X (Linking) VI - 80 IP - 4 DP - 2012 Aug TI - "Old dogs" and new skills: how clinician characteristics relate to motivational interviewing skills before, during, and after training. PG - 560-73 LID - 10.1037/a0028362 [doi] AB - OBJECTIVE: The relationships between the occupational, educational, and verbal-cognitive characteristics of health care professionals and their motivational interviewing (MI) skills before, during, and after training were investigated. METHOD: Fifty-eight community-based addiction clinicians (M = 42.1 years, SD = 10.0; 66% Female) were assessed prior to enrolling in a 2-day MI training workshop and being randomized to one of three post-workshop supervision programs: live supervision via tele-conferencing (TCS), standard tape-based supervision (Tape), or workshop training alone. Audiotaped sessions with clients were rated for MI skillfulness with the Motivational Interviewing Treatment Integrity (MITI) coding system v 2.0 at pre-workshop and 1, 8, and 20 weeks post-workshop. Correlation coefficients and generalized linear models were used to test the relationships between clinician characteristics and MI skill at each assessment point. RESULTS: Baseline MI skill levels were the most robust predictors of pre- and post-supervision performances. Clinician characteristics were associated with MI Spirit and reflective listening skill throughout training and moderated the effect of post-workshop supervision method on MI skill. TCS, which provided immediate feedback during practice sessions, was most effective for increasing MI Spirit and reflective listening among clinicians with no graduate degree and stronger vocabulary performances. Tape supervision was more effective for increasing these skills among clinicians with a graduate degree. Further, TCS and Tape were most likely to enhance MI Spirit among clinicians with low average to average verbal and abstract reasoning performances. CONCLUSIONS: Clinician attributes influence the effectiveness of methods used to promote the acquisition of evidence-based practices among community-based practitioners. CI - (c) 2012 American Psychological Association FAU - Carpenter, Kenneth M AU - Carpenter KM AD - Columbia University, College of Physicians and Surgeons, and New York State Psychiatric Institute, Division on Substance Abuse, New York, NY 10032, USA. carpent@nyspi.columbia.edu FAU - Cheng, Wendy Y AU - Cheng WY FAU - Smith, Jennifer L AU - Smith JL FAU - Brooks, Adam C AU - Brooks AC FAU - Amrhein, Paul C AU - Amrhein PC FAU - Wain, R Morgan AU - Wain RM FAU - Nunes, Edward V AU - Nunes EV LA - eng GR - K23 DA021850-01A1/DA/NIDA NIH HHS/United States GR - R01 DA016950-02/DA/NIDA NIH HHS/United States GR - K24 DA022412-01/DA/NIDA NIH HHS/United States GR - 2R01 DA016950/DA/NIDA NIH HHS/United States GR - K23 DA021850/DA/NIDA NIH HHS/United States GR - K24 DA022412/DA/NIDA NIH HHS/United States GR - R01 DA016950/DA/NIDA NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural DEP - 20120507 PL - United States TA - J Consult Clin Psychol JT - Journal of consulting and clinical psychology JID - 0136553 SB - IM MH - Adult MH - Clinical Competence MH - Education MH - *Education, Continuing MH - Female MH - Health Personnel/*education MH - Humans MH - Male MH - Middle Aged MH - *Motivational Interviewing MH - Substance-Related Disorders/psychology/*therapy PMC - PMC3928150 MID - NIHMS368986 EDAT- 2012/05/09 06:00 MHDA- 2013/01/17 06:00 PMCR- 2014/02/18 CRDT- 2012/05/09 06:00 PHST- 2012/05/09 06:00 [entrez] PHST- 2012/05/09 06:00 [pubmed] PHST- 2013/01/17 06:00 [medline] PHST- 2014/02/18 00:00 [pmc-release] AID - 2012-12073-001 [pii] AID - 10.1037/a0028362 [doi] PST - ppublish SO - J Consult Clin Psychol. 2012 Aug;80(4):560-73. doi: 10.1037/a0028362. Epub 2012 May 7.