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Sune Rubak - One of the best experts on this subject based on the ideXlab platform.

  • Training in Motivational interviewing in obstetrics: a quantitative analytical tool.
    Acta obstetricia et gynecologica Scandinavica, 2014
    Co-Authors: Christina Louise Lindhardt, Sune Rubak, Ole Mogensen, Helle Ploug Hansen, Ronald F. Lamont, Jan Stener Jørgensen
    Abstract:

    Objective To examine whether a 3-day training course in Motivational interviewing, which is an approach to helping people to change, could improve the communication skills of obstetric healthcare professionals in their interaction with obese pregnant women. Design Intervention study. Setting The Region of Southern Denmark. Methods Eleven obstetric healthcare professionals working with obese pregnant women underwent a 3-day course in Motivational interviewing techniques and were assessed before and after training to measure the impact on their overall performance as well as the effect on specific behavioral techniques observed during interviews. Findings With a few exceptions, the participants changed their behavior appropriate to the Motivational interviewing technique. The participants made more interventions towards the principles of Motivational interviewing (adherent and nonadherent interventions). Furthermore, the participants asked fewer closed and more open questions before training in Motivational interview. In the assessment of proficiency and competency, most of the participants scored higher after the training in Motivational interviewing. Conclusions Training in Motivational interviewing improves healthcare professionals' proficiency and competency when communicating with obese pregnant women, albeit that the effect was not universal.

  • an education and training course in Motivational interviewing influence gps professional behaviour addition denmark
    British Journal of General Practice, 2006
    Co-Authors: Sune Rubak, Annelli Sandbæk, Torsten Lauritzen, Knut Borchjohnsen, Bo Christensen
    Abstract:

    Background Motivational interviewing has been shown to be broadly usable in a scientific setting in the management of behavioural problems and diseases. However, data concerning implementation and aspects regarding the use of Motivational interviewing in general practice is missing. Aim To evaluate GPs9 conception of Motivational interviewing in terms of methods, adherence to and aspects of its use in general practice after a course. Study design In a randomised controlled trial concerning intensive treatment of newly diagnosed patients with type 2 diabetes detected by screening, the GPs were randomised to a course in Motivational interviewing or not. The study also included a third group of GPs outside the randomised controlled trial, who had 2 years previously received a similar course in Motivational interviewing. Setting General practice in Denmark. Method The intervention consisted of a 1.5-day residential course in Motivational interviewing with 0.5-day follow-ups, twice during the first year. Questionnaire data from GPs were obtained. Results We obtained a 100% response-rate from the GPs in all three groups. The GPs trained in Motivational interviewing adhered statistically significantly more to the methods than did the control group. More than 95 % of the GPs receiving the course stated that they had used the specific methods in general practice. Conclusion A course in Motivational interviewing seems to influence GPs professional behaviour. Based on self-reported questionnaires, this study shows that the GPs after a course in Motivational interviewing seemed to change their professional behaviour in daily practice using Motivational interviewing compared with the control group. GPs evaluated Motivational interviewing to be more effective than ‘traditional advice giving’. Furthermore, GPs stated that the method was not more time consuming than ‘traditional advice giving’.

  • An education and training course in Motivational interviewing influence
    2006
    Co-Authors: Sune Rubak, Annelli Sandbæk, Torsten Lauritzen, Knut Borch-johnsen, Bo Christensen
    Abstract:

    Background Motivational interviewing has been shown to be broadly usable in a scientific setting in the management of behavioural problems and diseases. However, data concerning implementation and aspects regarding the use of Motivational interviewing in general practice is missing. Aim To evaluate GPs’ conception of Motivational interviewing in terms of methods, adherence to and aspects of its use in general practice after a course. Study design In a randomised controlled trial concerning intensive treatment of newly diagnosed patients with type 2 diabetes detected by screening, the GPs were randomised to a course in Motivational interviewing or not. The study also included a third group of GPs outside the randomised controlled trial, who had 2 years previously received a similar course in Motivational interviewing. Setting General practice in Denmark. Method The intervention consisted of a 1.5-day residential course in Motivational interviewing with 0.5-day followups, twice during the first year. Questionnaire data from GPs were obtained. Results We obtained a 100% response-rate from the GPs in all three groups. The GPs trained in Motivational interviewing adhered statistically significantly more to the methods than did the control group. More than 95 % of the GPs receiving the course stated that they had used the specific methods in general practice. Conclusion A course in Motivational interviewing seems to influence GPs professional behaviour. Based on self-reported questionnaires, this study shows that the GPs after a course in Motivational interviewing seemed to change their professional behaviour in daily practice using Motivational interviewing compared with the control group. GPs evaluated Motivational interviewing to be more effective than ‘traditional advice giving’. Furthermore, GPs stated that the method was not more time consuming than ‘traditional advice giving’.

  • Motivational interviewing: a systematic review and meta-analysis
    The British journal of general practice : the journal of the Royal College of General Practitioners, 2005
    Co-Authors: Sune Rubak, Annelli Sandbæk, Torsten Lauritzen, Bo Christensen
    Abstract:

    Background Motivational Interviewing is a well-known, scientifically tested method of counselling clients developed by Miller and Rollnick and viewed as a useful intervention strategy in the treatment of lifestyle problems and disease. Aim To evaluate the effectiveness of Motivational interviewing in different areas of disease and to identify factors shaping outcomes. Design of study A systematic review and meta-analysis of randomised controlled trials using Motivational interviewing as the intervention. Method After selection criteria a systematic literature search in 16 databases produced 72 randomised controlled trials the first of which was published in 1991. A quality assessment was made with a validated scale. A meta-analysis was performed as a generic inverse variance meta-analysis. Results Meta-analysis showed a significant effect (95% confidence interval) for Motivational interviewing for combined effect estimates for body mass index, total blood cholesterol, systolic blood pressure, blood alcohol concentration and standard ethanol content, while combined effect estimates for cigarettes per day and for HbA1c were not significant. Motivational interviewing had a significant and clinically relevant effect in approximately three out of four studies, with an equal effect on physiological (72%) and psychological (75%) diseases. Psychologists and physicians obtained an effect in approximately 80% of the studies, while other healthcare providers obtained an effect in 46% of the studies. When using Motivational interviewing in brief encounters of 15 minutes, 64% of the studies showed an effect. More than one encounter with the patient ensures the effectiveness of Motivational interviewing. Conclusion Motivational interviewing in a scientific setting outperforms traditional advice giving in the treatment of a broad range of behavioural problems and diseases. Large-scale studies are now needed to prove that Motivational interviewing can be implemented into daily clinical work in primary and secondary health care.

Martin S Hagger - One of the best experts on this subject based on the ideXlab platform.

  • peer influence on young athletes need satisfaction intrinsic motivation and persistence in sport a 12 month prospective study
    Psychology of Sport and Exercise, 2011
    Co-Authors: Helen Joesaar, Vello Hein, Martin S Hagger
    Abstract:

    Objective: Previous studies have shown that peer-created Motivational climate greatly influences youth athletes’ motivation and other adaptive outcomes. The purpose of this study was to test a Motivational model of persistence in sport that incorporates perceived peer Motivational climate from achievement goal theory [Nicholls, J.G. (1989). The competitive ethos and democratic education. Cambridge, MA: Harvard University Press] and basic psychological needs and intrinsic motivation from self-determination theory [Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behaviour. New York: Plenum]. Design: This study used a prospective design assessing youth team-sport athletes’ persistence behaviour in sport over the course of one year. Method: A sample of 424 Estonian team-sport athletes (Mage ¼ 13.19; SD ¼ 1.56) completed the Peer Motivational Climate in Youth Sport Questionnaire, the Basic Psychological Needs in Exercise Scale, and the Sport Motivation Scale. Results: A structural equation model demonstrated that youth athletes’ task-involving peer Motivational climate indirectly influenced their intrinsic motivation and persistence in sport via their perceived need satisfaction of autonomy, competence, and relatedness. Task-oriented peer Motivational climate was the only significant distal predictor of intrinsic motivation and sport persistence among the athletes. Conclusion: The findings underline the importance of peer-created Motivational climate on youth sport persistence.

Bo Christensen - One of the best experts on this subject based on the ideXlab platform.

  • an education and training course in Motivational interviewing influence gps professional behaviour addition denmark
    British Journal of General Practice, 2006
    Co-Authors: Sune Rubak, Annelli Sandbæk, Torsten Lauritzen, Knut Borchjohnsen, Bo Christensen
    Abstract:

    Background Motivational interviewing has been shown to be broadly usable in a scientific setting in the management of behavioural problems and diseases. However, data concerning implementation and aspects regarding the use of Motivational interviewing in general practice is missing. Aim To evaluate GPs9 conception of Motivational interviewing in terms of methods, adherence to and aspects of its use in general practice after a course. Study design In a randomised controlled trial concerning intensive treatment of newly diagnosed patients with type 2 diabetes detected by screening, the GPs were randomised to a course in Motivational interviewing or not. The study also included a third group of GPs outside the randomised controlled trial, who had 2 years previously received a similar course in Motivational interviewing. Setting General practice in Denmark. Method The intervention consisted of a 1.5-day residential course in Motivational interviewing with 0.5-day follow-ups, twice during the first year. Questionnaire data from GPs were obtained. Results We obtained a 100% response-rate from the GPs in all three groups. The GPs trained in Motivational interviewing adhered statistically significantly more to the methods than did the control group. More than 95 % of the GPs receiving the course stated that they had used the specific methods in general practice. Conclusion A course in Motivational interviewing seems to influence GPs professional behaviour. Based on self-reported questionnaires, this study shows that the GPs after a course in Motivational interviewing seemed to change their professional behaviour in daily practice using Motivational interviewing compared with the control group. GPs evaluated Motivational interviewing to be more effective than ‘traditional advice giving’. Furthermore, GPs stated that the method was not more time consuming than ‘traditional advice giving’.

  • An education and training course in Motivational interviewing influence
    2006
    Co-Authors: Sune Rubak, Annelli Sandbæk, Torsten Lauritzen, Knut Borch-johnsen, Bo Christensen
    Abstract:

    Background Motivational interviewing has been shown to be broadly usable in a scientific setting in the management of behavioural problems and diseases. However, data concerning implementation and aspects regarding the use of Motivational interviewing in general practice is missing. Aim To evaluate GPs’ conception of Motivational interviewing in terms of methods, adherence to and aspects of its use in general practice after a course. Study design In a randomised controlled trial concerning intensive treatment of newly diagnosed patients with type 2 diabetes detected by screening, the GPs were randomised to a course in Motivational interviewing or not. The study also included a third group of GPs outside the randomised controlled trial, who had 2 years previously received a similar course in Motivational interviewing. Setting General practice in Denmark. Method The intervention consisted of a 1.5-day residential course in Motivational interviewing with 0.5-day followups, twice during the first year. Questionnaire data from GPs were obtained. Results We obtained a 100% response-rate from the GPs in all three groups. The GPs trained in Motivational interviewing adhered statistically significantly more to the methods than did the control group. More than 95 % of the GPs receiving the course stated that they had used the specific methods in general practice. Conclusion A course in Motivational interviewing seems to influence GPs professional behaviour. Based on self-reported questionnaires, this study shows that the GPs after a course in Motivational interviewing seemed to change their professional behaviour in daily practice using Motivational interviewing compared with the control group. GPs evaluated Motivational interviewing to be more effective than ‘traditional advice giving’. Furthermore, GPs stated that the method was not more time consuming than ‘traditional advice giving’.

  • Motivational interviewing: a systematic review and meta-analysis
    The British journal of general practice : the journal of the Royal College of General Practitioners, 2005
    Co-Authors: Sune Rubak, Annelli Sandbæk, Torsten Lauritzen, Bo Christensen
    Abstract:

    Background Motivational Interviewing is a well-known, scientifically tested method of counselling clients developed by Miller and Rollnick and viewed as a useful intervention strategy in the treatment of lifestyle problems and disease. Aim To evaluate the effectiveness of Motivational interviewing in different areas of disease and to identify factors shaping outcomes. Design of study A systematic review and meta-analysis of randomised controlled trials using Motivational interviewing as the intervention. Method After selection criteria a systematic literature search in 16 databases produced 72 randomised controlled trials the first of which was published in 1991. A quality assessment was made with a validated scale. A meta-analysis was performed as a generic inverse variance meta-analysis. Results Meta-analysis showed a significant effect (95% confidence interval) for Motivational interviewing for combined effect estimates for body mass index, total blood cholesterol, systolic blood pressure, blood alcohol concentration and standard ethanol content, while combined effect estimates for cigarettes per day and for HbA1c were not significant. Motivational interviewing had a significant and clinically relevant effect in approximately three out of four studies, with an equal effect on physiological (72%) and psychological (75%) diseases. Psychologists and physicians obtained an effect in approximately 80% of the studies, while other healthcare providers obtained an effect in 46% of the studies. When using Motivational interviewing in brief encounters of 15 minutes, 64% of the studies showed an effect. More than one encounter with the patient ensures the effectiveness of Motivational interviewing. Conclusion Motivational interviewing in a scientific setting outperforms traditional advice giving in the treatment of a broad range of behavioural problems and diseases. Large-scale studies are now needed to prove that Motivational interviewing can be implemented into daily clinical work in primary and secondary health care.

Janet Treasure - One of the best experts on this subject based on the ideXlab platform.

  • Motivational enhancement therapy with and without cognitive behavior therapy to treat type 1 diabetes: a randomized trial.
    Annals of internal medicine, 2008
    Co-Authors: Khalida Ismail, Stephen Thomas, Esther Maissi, Trudie Chalder, Ulrike Schmidt, Jonathan W. Bartlett, Anita Patel, Chris Dickens, Francis Creed, Janet Treasure
    Abstract:

    BACKGROUND: Although psychological issues can interfere with diabetes care, the effectiveness of psychological treatments in improving diabetes outcomes is uncertain. OBJECTIVE: To determine whether Motivational enhancement therapy with or without cognitive behavior therapy improves glycemic control in type 1 diabetes compared with usual care. DESIGN: Randomized, controlled trial. SETTING: 8 diabetes centers in London and Manchester, United Kingdom. PATIENTS: 344 adults with type 1 diabetes for longer than 2 years, with hemoglobin A(1c) levels of 8.2% to 15%, and without complications or severe comorbid disease. INTERVENTION: Nurse-delivered Motivational enhancement therapy (4 sessions over 2 months), Motivational enhancement therapy plus cognitive behavior therapy (12 sessions over 6 months), or usual care. MEASUREMENTS: 12-month change in hemoglobin A(1c) levels (primary outcome), hypoglycemic events, depression, quality of life, fear of hypoglycemia, diabetes self-care activities, and body mass index (secondary outcomes). RESULTS: In an analysis including all randomly assigned patients, the 12-month change in hemoglobin A(1c) levels compared with usual care was -0.46% (95% CI, -0.81% to -0.11%) in the Motivational enhancement therapy plus cognitive behavior therapy group and -0.19% (CI, -0.53% to 0.16%) in the Motivational enhancement therapy group alone. There was no evidence of treatment effects on secondary outcomes. LIMITATIONS: Of 1659 screened patients, only 507 were eligible and 344 participated. Data on the primary outcome were unavailable for 11.3% of the participants. Study design did not permit distinction of the additive effect of cognitive behavior therapy plus Motivational enhancement therapy from the effect of greater intensity and duration of the combined intervention compared with the Motivational enhancement therapy alone. CONCLUSION: Nurse-delivered Motivational enhancement therapy and cognitive behavior therapy is feasible for adults with poorly controlled type 1 diabetes. Combined therapy results in modest 12-month improvement in hemoglobin A(1c) levels compared with usual care, but Motivational enhancement therapy alone does not.

  • Motivational interviewing
    Advances in Psychiatric Treatment, 2004
    Co-Authors: Janet Treasure
    Abstract:

    Motivational interviewing is a style of patient-centred counselling developed to facilitate change in health-related behaviours. The core principle of the approach is negotiation rather than conflict. In this article I review the historical development of Motivational interviewing and give some of the theoretical underpinnings of the approach. I summarise the available evidence on its usefulness and discuss practical details of its implementation, using vignettes to illustrate particular techniques.

Nancy E Hill - One of the best experts on this subject based on the ideXlab platform.

  • multiple pathways to success an examination of integrative Motivational profiles among upper elementary and college students
    Journal of Educational Psychology, 2018
    Co-Authors: Lisa Linnenbrinkgarcia, Stephanie V Wormington, Kate E Snyder, Jan Riggsbee, Tony Perez, Adar Beneliyahu, Nancy E Hill
    Abstract:

    Two studies were conducted with distinct samples to investigate how Motivational beliefs cohere and function together (i.e., Motivational profiles) and predict academic adjustment. Integrating across Motivational theories, participants (NStudy 1 = 160 upper elementary students; NStudy 2 = 325 college students) reported on multiple types of motivation (achievement goals, task value, perceived competence) for schooling more generally (Study 1) and in science (Study 2). Three profiles characterized by Moderate-High All, Intrinsic and Confident, and Average All motivation were identified in both studies. Profiles characterized by Very High All motivation (Study 1) and Moderate Intrinsic and Confident (Study 2) were also present. Across studies, the Moderate-High All and Intrinsic and Confident profiles were associated with the highest academic engagement and achievement. Findings highlight the benefit of integrating across Motivational theories when creating Motivational profiles, provide initial evidence regarding similarities and differences in integrative Motivational profiles across distinct samples, and identify which Motivational combinations are associated with beneficial academic outcomes in two educational contexts. (PsycINFO Database Record (c) 2018 APA, all rights reserved)