Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-19T12:22:47.434Z Has data issue: false hasContentIssue false
  • English
  • Français

Supervision in Motivational Interviewing: An Exploratory Study

Published online by Cambridge University Press:  20 March 2017

Maria Beckman ,
Benjamin Bohman ,
Lars Forsberg ,
Finn Rasmussen  and
Ata Ghaderi
Maria Beckman*
Affiliation:
Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
Benjamin Bohman
Affiliation:
Centre for Psychiatric Research, Karolinska Institutet and Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden
Lars Forsberg
Affiliation:
MIC Lab AB, Fleminggatan 23, 112 26 Stockholm, Sweden
Finn Rasmussen
Affiliation:
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
Ata Ghaderi
Affiliation:
Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
*
Correspondence to Maria Beckman, Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 171 77 Stockholm, Sweden. E-mail: maria.beckman@ki.se
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Although supervision is believed to be an important strategy for training practitioners in evidence-based practice, little is known about how it should be organized and conducted to promote implementation fidelity. Aims: To explore supervisor behaviours that might facilitate supervisees’ proficiency in motivational interviewing. Method: In this exploratory study, ten supervisors from a primary prevention intervention of childhood obesity responded to semi-structured interviews about their supervision behaviours. A mixed method approach was used; both qualitative and quantitative data were collected and analysed. Results: The supervisors reported using several sources of information for evaluating and providing systematic feedback on supervisees’ performance. However, the majority did not use the available objective measures of proficiency as the primary source. Moreover, half of the supervisors argued that objective feedback might have a punishing effect on the supervisees. Conclusions: Variation in the use of supervision components that previous research has proposed to be potentially influential to the process and outcome may lead to less efficient supervision. Findings suggest that appropriate supervision activities conducted in each supervision session require clear supervision principles that specify the content and procedure of the supervision, as well as regular adherence monitoring of the supervision sessions.

Keywords

Motivational interviewingclinical supervisiontrainingobjective feedbackMITI
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 45 , Issue 4 , July 2017 , pp. 351 - 365
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abernethy, C. and Cook, K. (2011). Resistance or disconnection? A relational-cultural approach to supervisee anxiety and nondisclosure. Journal of Creativity in Mental Health, 6, 2–14. doi:10.1080/15401383.2011.560067 Google Scholar
American Psychological Association (2014). Guidelines for Clinical Supervision in Health Service Psychology. Retrieved from: http://apa.org/about/policy/guidelines-supervision.pdf Google Scholar
American Psychological Association (2015). Guidelines for clinical supervision in health service psychology. American Psychologist, 70, 33–46. doi:10.1037/a0038112 Google Scholar
Barwick, M. A., Bennett, L. M., Johnson, S. N., McGowan, J. and Moore, J. E. (2012). Training health and mental health professionals in motivational interviewing: a systematic review. Children and Youth Services Review, 34, 1786–1795. doi:10.1016/j.childyouth.2012.05.012 Google Scholar
Beidas, R. S. and Kendall, P. C. (2010). Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clinical Psychology, 17, 1–30. doi:10.1111/j.1468-2850.2009.01187.x Google ScholarPubMed
Bernard, J. M. and Goodyear, R. K. (2014). Fundamentals of Clinical Supervision, 5th edition. Boston, MA, USA: Pearson.Google Scholar
Bohman, B., Forsberg, L., Ghaderi, A. and Rasmussen, F. (2013). An evaluation of training in motivational interviewing for nurses in child health services. Behavioural and Cognitive Psychotherapy, 41, 329–343. doi:10.1017/S1352465812000331 Google Scholar
Borders, L. D., DeKruyf, L., Fernando, D. M., Glosoff, H. L., Hays, D. G., Page, B. and Welfare, L. E. (2011). Best practices in clinical supervision. Retrieved from: http://www.acesonline.net/resources/best-practices-clinical-supervision Google Scholar
Cicchetti, D. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6, 284–290.CrossRefGoogle Scholar
Clarke, P. B. and Giordano, A. L. (2013). The motivational supervisor: motivational interviewing as a clinical supervision approach. The Clinical Supervisor, 32, 244–259. doi: 10.1080/07325223.2013.851633 Google Scholar
de Roten, Y., Zimmermann, G., Ortega, D. and Despland, J. N. (2013). Meta-analysis of the effects of MI training on clinicians’ behavior. Journal of Substance Abuse Treatment, 45, 155–162. doi: 10.1016/j.jsat.2013.02.006 Google Scholar
Doring, N., Ghaderi, A., Bohman, B., Heitmann, B. L., Larsson, C., Berglind, D. et al. (2016). Motivational interviewing to prevent childhood obesity: a cluster RCT. Pediatrics, 137. doi: 10.1542/peds.2015-3104 CrossRefGoogle ScholarPubMed
Doring, N., Hansson, L. M., Andersson, E. S., Bohman, B., Westin, M., Magnusson, M. et al. (2014). Primary prevention of childhood obesity through counselling sessions at Swedish child health centres: design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial. BMC Public Health, 14, 335. doi: 10.1186/1471-2458-14-335 Google Scholar
Ellis, M. V. (2010). Bridging the science and practice of clinical supervision: some discoveries, some misconceptions. The Clinical Supervisor, 29, 95–116. doi: 10.1080/07325221003741910 Google Scholar
Eno Persson, J., Bohman, B., Forsberg, L., Beckman, M., Tynelius, P., Rasmussen, F. and Ghaderi, A. (2016). Proficiency in motivational interviewing among nurses in child health services following workshop and supervision with systematic feedback. PloS One, 11, e0163624. doi: 10.1371/journal.pone.0163624 CrossRefGoogle ScholarPubMed
Falender, C. A. and Shafranske, E. P. (2007). Competence in competency-based supervision practice: construct and application. Professional Psychology: Research and Practice, 38, 232–240. doi:10.1037/0735-7028.38.3.232 Google Scholar
Falender, C. A. and Shafranske, E. P. (2012). The importance of competency-based clinical supervision and training in the twenty-first century: why bother? Journal of Contemporary Psychotherapy, 42, 129–137. doi: 10.1007/s10879-011-9198-9 CrossRefGoogle Scholar
Forsberg, L., Kallmen, H., Hermansson, U., Berman, A. H. and Helgason, A. R. (2007). Coding counsellor behaviour in motivational interviewing sessions: inter-rater reliability for the Swedish Motivational Interviewing Treatment Integrity Code (MITI). Cognitive Behaviour Therapy, 36, 162–169. doi: 10.1080/16506070701339887 Google Scholar
Friedberg, R., Gorman, A. and Beidel, D. (2009). Training psychologists for cognitive-behavioral therapy in the raw world ‒ a rubric for supervisors. Behavior Modification, 33, 104–123. doi: 10.1177/0145445508322609 Google Scholar
Hettema, J., Steele, J. and Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111. doi: 10.1146/annurev.clinpsy.1.102803.143833 CrossRefGoogle ScholarPubMed
Hsieh, H. F. and Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288. doi: 10.1177/1049732305276687 Google Scholar
Ladany, N., Mori, Y. and Mehr, K. E. (2012). Effective and ineffective supervision. The Counseling Psychologist, 41, 28–47. doi: 10.1177/0011000012442648 Google Scholar
Lombardo, C., Milne, D. and Procter, R. (2009). Getting to the heart of clinical supervision: a theoretical review of the role of emotions in professional development. Behavioural and Cognitive Psychotherapy, 37, 207–219. doi: 10.1017/S135246580900513X Google Scholar
Lundahl, B., Moleni, T., Burke, B. L., Butters, R., Tollefson, D., Butler, C. and Rollnick, S. (2013). Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93, 157–168. doi: 10.1016/j.pec.2013.07.012 Google Scholar
Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D. and Burke, B. L. (2010). A meta-analysis of motivational interviewing: twenty-five years of empirical studies. Research on Social Work Practice, 20, 137–160. doi: 10.1177/1049731509347850 CrossRefGoogle Scholar
Madson, M. B., Loignon, A. C. and Lane, C. (2009). Training in motivational interviewing: a systematic review. Journal of Substance Abuse Treatment, 36, 101–109. doi: 10.1016/j.jsat.2008.05.005 Google Scholar
Martino, S., Ball, S., Gallon, S., Hall, D., Garcia, M., Ceperich, S. et al. (2006). Motivational interviewing assessment: supervisory tools for enhancing proficiency. Retrieved from: https://www.unodc.org/ddt-training/treatment/VOLUME%20D/Topic%202/6.Motivational_Interviewing_Assessment.pdf Google Scholar
Martino, S., Gallon, S., Ball, S. A. and Carroll, K. M. (2008). A step forward in teaching addiction counselors how to supervise motivational interviewing using a clinical trials training approach. Journal of Teaching in the Addictions, 6, 39–67. doi: 10.1080/15332700802127946 Google Scholar
Martino, S., Paris, M., Jr., Anez, L., Nich, C., Canning-Ball, M., Hunkele, K. et al. (2016). The effectiveness and cost of clinical supervision for motivational interviewing: a randomized controlled trial. Journal of Substance Abuse Treatment, 68, 11–23. doi: 10.1016/j.jsat.2016.04.005 Google Scholar
Miller, W. and Rollnick, S. (2013). Motivational Interviewing: Helping People Change, 3rd edition. New York: Guilford Press.Google Scholar
Olmstead, T. A., Abraham, A. J., Martino, S. and Roman, P. M. (2012). Counselor training in several evidence-based psychosocial addiction treatments in private US substance abuse treatment centers. Drug and Alcohol Dependence, 120, 149–154. doi: 10.1016/j.drugalcdep.2011.07.017 Google Scholar
Reiser, R. P. and Milne, D. (2011). Supervising cognitive-behavioral psychotherapy: pressing needs, impressing possibilities. Journal of Contemporary Psychotherapy, 42, 161–171. doi: 10.1007/s10879-011-9200-6 CrossRefGoogle Scholar
Roth, A. D., Pilling, S. and Turner, J. (2010). Therapist training and supervision in clinical trials: implications for clinical practice. Behavioural and Cognitive Psychotherapy, 38, 291–302. doi: 10.1017/S1352465810000068 Google Scholar
Schwalbe, C. S., Oh, H. Y. and Zweben, A. (2014). Sustaining motivational interviewing: a meta-analysis of training studies. Addiction, 109, 1287–1294. doi: 10.1111/add.12558 Google Scholar
Stein, L. A., Clair, M., Soenksen, S., Martin, R. A. and Clarke, J. G. (2015). Studying process and proximal outcomes of supervision for motivational interviewing. Training and Education in Professional Psychology, 9, 175–182. doi: 10.1037/tep0000073 Google Scholar
Waller, G. (2009). Evidence-based treatment and therapist drift. Behaviour Research and Therapy, 47, 119–127. doi: 10.1016/j.brat.2008.10.018 CrossRefGoogle ScholarPubMed
Watkins, C. E. (2011). Does psychotherapy supervision contribute to patient outcomes? Considering thirty years of research. The Clinical Supervisor, 30, 235–256. doi: 10.1080/07325223.2011.619417 CrossRefGoogle Scholar
Wheeler, S. and Richards, K. (2007). The impact of clinical supervision on counsellors and therapists, their practice and their clients. A systematic review of the literature. Counselling and Psychotherapy Research, 7, 54–65. doi: 10.1080/14733140601185274 Google Scholar
Submit a response

Comments

No Comments have been published for this article.