Sustainability of motivational interviewing skills in new Small Steps for Big Changes coaches
department or school: Health and Social Development, Faculty of (Okanagan)
department or school: Health and Exercise Sciences, School of (Okanagan)
data provider: DSpace
degree campus: UBCO
creator: Cranston, Kaela
issued: 2019-08-09T15:26:55Z
issued: 2019
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Background: Motivational interviewing (MI) has been demonstrated to be an effective counselling style for changing lifestyle behaviours. Fidelity of delivering MI skills has received little attention in health behaviour change research. The objective of this thesis was to examine the MI skills of newly trained coaches delivering a diabetes prevention program for six months after training. Methods: MI skills were monitored monthly, starting immediately post-MI training to six months post-training. The Motivational Interviewing Competency Assessment (MICA) was used to code audio recordings of interactions between coaches and clients. The MICA breaks MI skills into seven categories, with MICA ≧ 3/5 for each category considered client-centered. Two independent coders coded one session for each client in a coaches’ first six months post-training. MI-competency scores were generated by averaging MICA scores for six months. Results: Coaches were 25±2 years of age, 71% female, and 43% had less than a bachelor’s degree. Mean MI-competency was 3.3±0.24 over six months. The majority (71%) of all coded sessions were classified as client-centered for all seven MICA categories. Conclusion: Inexperienced coaches attending a brief three-phase MI training were able to deliver MI-informed client-centered care in a community setting with high fidelity up to six months without the use of any booster training sessions. Results of this thesis will provide recommendations for training coaches in real-world settings.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/71262
note: SUSTAINABILITY OF MOTIVATIONAL INTERVIEWING SKILLS IN NEW SMALL STEPS FOR BIG CHANGES COACHES by Kaela Cranston B.Sc., Brandon University, 2016 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE COLLEGE OF GRADUATE STUDIES (Health and Exercise Sciences) THE UNIVERSITY OF BRITISH COLUMBIA (Okanagan) July 2019 © Kaela Cranston, 2019 ii The following individuals certify that they have read, and recommend to the College of Graduate Studies for acceptance, a thesis/dissertation entitled: Sustainability of Motivational Interviewing Skills in New Small Steps for Big Changes Coaches submitted by Kaela Cranston in partial fulfillment of the requirements of the degree of Master of Science . Dr. Mary Jung, School of Health and Exercise Sciences Supervisor Dr. Heather Gainforth, School of Health and Exercise Sciences Supervisory Committee Member Dr. Tanya Forneris, School of Health and Exercise Sciences Supervisory Committee Member Dr. Shelley Ben-David, School of Social Work University Examiner Dr. Eric Li, Faculty of Management External Examiner iii Abstract Background: Motivational interviewing (MI) has been demonstrated to be an effective counselling style for changing lifestyle behaviours. Fidelity of delivering MI skills has received little attention in health behaviour change research. The objective of this thesis was to examine the MI skills of newly trained coaches delivering a diabetes prevention program for six months after training. Methods: MI skills were monitored monthly, starting immediately post-MI training to six months post-training. The Motivational Interviewing Competency Assessment (MICA) was used to code audio recordings of interactions between coaches and clients. The MICA breaks MI skills into seven categories, with MICA  3/5 for each category considered client-centered. Two independent coders coded one session for each client in a coaches’ first six months post-training. MI-competency scores were g…
has type: Thesis/Dissertation
date issued: 2019-09
is shown at: 10.14288/1.0380358
language: eng
degree discipline: Health and Exercise Sciences
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/71262