93659
document
Videotaped training in alcohol counseling for obstetric care practitioners : a randomized controlled trial . OBJECTIVE To determine the feasibility of videotaped training for obstetric care practitioners in motivational interviewing skills that could be used in brief patient consultations on problem drinking . METHODS Thirty health care practitioners participated in a clinical trial using a 20-minute videotape to instruct them in motivational interviewing . Participants engaged in a pretest roleplay with an actress playing a drinking pregnant woman . Those randomly assigned to the experimental condition watched the motivational interviewing videotape . Control condition participants watched a 20-minute docudrama of a pregnant problem drinker . Both groups then engaged in a post-test roleplay similar to the pretest . Behavioral ratings of the roleplays and participant evaluations of the motivational interviewing video constituted the outcome measures . RESULTS Participant evaluations indicated that the training video was clear in explaining and demonstrating the principles and skills of motivational interviewing . Change in behavioral ratings from pretest to post-test showed significant differences in motivational interviewing skills between the experimental and control groups . Obstetric care practitioners who viewed the training video were rated as showing greater empathy , minimizing patient defensiveness , and supporting women 's beliefs in their ability to change . CONCLUSION Obstetric care practitioners can improve their alcohol intervention skills through the use of a 20-minute videotaped instruction in motivational interviewing . Clinicians who improve their skills in motivational interviewing can intervene more effectively with their drinking pregnant patients . Using motivational interviewing with this population holds promise for helping prevent alcohol-related health problems .
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Intervention_Educational
Videotaped training in alcohol counseling
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Intervention_Educational
videotaped training for obstetric care practitioners in motivational interviewing skills
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Intervention_Educational
20-minute videotape
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Intervention_Educational
motivational interviewing videotape
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Intervention_Control
Control
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Intervention_Control
20-minute docudrama
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Intervention_Educational
training video
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Intervention_Educational
videotaped instruction in motivational interviewing .
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Intervention_Educational
motivational interviewing
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Outcome_Mental
Behavioral ratings of the roleplays
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Outcome_Mental
participant evaluations of the motivational interviewing video
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Outcome_Mental
empathy
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Outcome_Mental
patient defensiveness
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Outcome_Mental
supporting women 's beliefs in their ability to change
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Participant_Condition
obstetric care practitioners :
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Participant_Condition
obstetric care practitioners