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Supervision in Motivational Interviewing: An Exploratory Study

Published online by Cambridge University Press:  20 March 2017

Maria Beckman*
Affiliation:
Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
Benjamin Bohman
Affiliation:
Centre for Psychiatric Research, Karolinska Institutet and Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden
Lars Forsberg
Affiliation:
MIC Lab AB, Fleminggatan 23, 112 26 Stockholm, Sweden
Finn Rasmussen
Affiliation:
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
Ata Ghaderi
Affiliation:
Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
*
Correspondence to Maria Beckman, Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 171 77 Stockholm, Sweden. E-mail: maria.beckman@ki.se

Abstract

Background: Although supervision is believed to be an important strategy for training practitioners in evidence-based practice, little is known about how it should be organized and conducted to promote implementation fidelity. Aims: To explore supervisor behaviours that might facilitate supervisees’ proficiency in motivational interviewing. Method: In this exploratory study, ten supervisors from a primary prevention intervention of childhood obesity responded to semi-structured interviews about their supervision behaviours. A mixed method approach was used; both qualitative and quantitative data were collected and analysed. Results: The supervisors reported using several sources of information for evaluating and providing systematic feedback on supervisees’ performance. However, the majority did not use the available objective measures of proficiency as the primary source. Moreover, half of the supervisors argued that objective feedback might have a punishing effect on the supervisees. Conclusions: Variation in the use of supervision components that previous research has proposed to be potentially influential to the process and outcome may lead to less efficient supervision. Findings suggest that appropriate supervision activities conducted in each supervision session require clear supervision principles that specify the content and procedure of the supervision, as well as regular adherence monitoring of the supervision sessions.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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