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Saturday, July 30, 2011

Learner centered MI training?

            Many people have learned Motivational Interviewing (MI) in the classroom setting in 2-3 day seminars. Miller and Moyers (2006) note that a study in 2001 showed that MI clinical workshops did not impact proficiency post training in MI. The style of communication was unchanged post training. Out of these outcomes training was revised and the approach became addressing the spirit of MI and focusing on how to learn while you work with clients. In essence the approach became teaching them how fish rather than having them fish for two days and return home to buying frozen fish. Over a year this approach did show a change in the communication style.
            Miller and Moyers (2006) define eight steps to learning MI; the spirit of MI, OARS-client-centered counseling skills, recognizing and reinforcing change talk, eliciting and strengthening change talk, rolling with resistance, developing a change plan, consolidating client commitment, and switching between MI and other counseling methods. I would love to hear from those who have worked under different training modes and see how you think they worked for you. Has anyone participated in an MI class with the above approach? 

Theresa Williams RN, MBA, MSN, MEd

Miller, B. & Moyers, T. (2006). Eight stages in learning motivational interviewing. Journal of Teaching in the Addictions, 5(1), 3-17.

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