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Integration of motivational interviewing into practice in the National Exercise Referral Scheme in Wales: a mixed methods study

Moore, Graham, Moore, Laurence Anthony Russell and Murphy, Simon 2012. Integration of motivational interviewing into practice in the National Exercise Referral Scheme in Wales: a mixed methods study. Behavioural and Cognitive Psychotherapy 40 (3) , pp. 313-330. 10.1017/S1352465811000531

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Background: Though motivational interviewing (MI) has demonstrated efficacy in a range of behaviour change settings, effectiveness will require successful integration into everyday practice. This study examines implementers’ views on delivering MI within an exercise referral scheme and consistency of consultations with MI before and after a 2-day workshop. Method: Semi-structured interviews were conducted with 27 exercise professionals and 10 area coordinators delivering the Welsh National Exercise Referral Scheme (NERS), and the MI trainer. Eleven professionals provided consultation recordings before and 6-months after training, coded for fidelity using the Behaviour Change Counselling Index. Results: The workshop was well received by most, triggering increased recognition of potential motivational roles of consultations. However, some cited difficulties combining MI with structured data gathering activities, whilst a minority rejected MI, seeing current practice as effective, or MI as unnecessary because patients were ready to change. Although limited aggregate improvement in practice was observed, substantial improvements were observed in some individuals. Comments on the need for further practice or training were widespread. Conclusions: Efforts to implement MI should ensure that training and structures to provide monitoring and feedback are in place and that activities incorporated within consultations are compatible with MI delivery.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Cardiff Institute of Society and Health (CISHE)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > H Social Sciences (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Uncontrolled Keywords: Motivational interviewing; Process evaluation; Implementation; Exercise referral
Additional Information: Pdf uploaded in accordance with publisher's policy at (accessed 21/02/2014).
Publisher: Cambridge University Press
ISSN: 1352-4658
Funders: ESRC, Welsh Government
Date of First Compliant Deposit: 30 March 2016
Last Modified: 07 Sep 2020 14:14

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