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This article describes the effectiveness of using a mixed method approach incorporating simulation-based training (SBT) to improve awareness of and skills in motivational interviewing (MI) to promote conversations with patients about health behaviours. The course was delivered to apprentice clinical support workers (CSWs) working in mental health settings across South London.
MI is an evidenced-based psychosocial intervention used to enhance intrinsic motivation to facilitate behaviour change in a non-coercive manner by exploring and resolving ambivalence (Miller and Rollnick as cited by Martins and McNeil).1 First ‘developed’ in 1983 by William Miller, it was initially used to help those with substance misuse.
At its core, MI combines a non-judgemental person-centred approach, with listening and communication skills, to help build self-efficacy and strengthen the person’s own ideas, reasons and need for change. It works on the principle that behavioural change is most successful when driven from within, rather than imposing external beliefs.
There is increasing evidence for its application in a wide variety of health areas, including weight-loss, blood pressure, smoking cessation, gambling, treatment compliance, diabetes management and oral health (further references).1 2
Training methods in MI vary in modality, degree of passivity and length. There is little conclusive evidence to …
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