Does MI Adherence Impact on Alcohol Outcomes?
A meta-analysis of studies found therapists who exhibited a higher proportion of MI-consistent skills (c.f. MI-inconsistent skill) elicited a higher proportion client change talk, larger reductions in alcohol use and other risk behaviours. A second study examining predictors of MI adherence found the largest variations (57-94%) occurs within providers. This highlights the importance of ensuring MI therapists have appropriate MI training, as well as access to ongoing supervision and fidelity monitoring to sustain MI skills and avoid therapist drift.
| Chapter |
Recommendation |
Grade of recommendation |
| 6.20 |
Comprehensive 1-2+ day training workshops, which incorporate face-to-face dyadic instruction and interactive exercises, as well as 3-4 post-workshop feedback/coaching sessions, are likely to be an effective means to train and sustain MI skills. Ongoing supervision is also recommended. |
B |