Motivational Interviewing for Enhancing Return to Work

2016 ◽  
pp. 365-379 ◽  
Author(s):  
Mark P. Jensen
Keyword(s):  
Return To Work ◽  
Motivational Interviewing

Use of Motivational Interviewing to Improve Return-to-work and Work-related Outcomes: A Review

2014 ◽  
Vol 20 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Kathryn M. Page ◽  
Irina Tchernitskaia
Keyword(s):  
Literature Review ◽  
Return To Work ◽  
Motivational Interviewing ◽  
Work Disability ◽  
Clinical Settings ◽  
Negative Effects ◽  
Work Related ◽  
Health Behaviour Change ◽  
Behavioural Factors

Work-based return-to-work (RTW) interventions can help to reduce the duration and cost of work disability, and in turn, prevent the negative effects of long-term sickness absence. However, there are a number of complex cognitive, affective and behavioural factors that can impact an individual's confidence, motivation and willingness to RTW that need to be addressed to facilitate effective outcomes. This literature review investigates evidence for the use of motivational interviewing (MI) for improving return-to-work (RTW) and employment outcomes. Whilst evidence for the efficacy of MI in clinical settings to motivate health behaviour change is strong, more research is needed to determine whether MI can be usefully applied to improve RTW and other work-related outcomes.

scholarly journals Fidelity of a Motivational Interviewing Intervention for Improving Return to Work for People with Musculoskeletal Disorders

2021 ◽  
Vol 18 (19) ◽  
pp. 10324
Author(s):  
Ida Løchting ◽  
Roger Hagen ◽  
Christine Monsen ◽  
Margreth Grotle ◽  
Kjersti Storheim ◽  
...  
Keyword(s):  
Return To Work ◽  
Motivational Interviewing ◽  
Musculoskeletal Disorders ◽  
Social Insurance ◽  
Controlled Trial ◽  
Proficiency Levels ◽  
Adherence Score ◽  
Trial Onset ◽  
Analysis Center ◽  
Complex Question

The objective of this study was to conduct a fidelity evaluation of a motivational interviewing (MI) intervention delivered by social insurance caseworkers, in a three-arm randomized controlled trial (RCT) for improving return to work for people on sick leave with musculoskeletal disorders. The caseworkers received six days of MI training, including an intervention manual prior to the trial onset, as well as supervision throughout the trial. The caseworkers recorded 21 MI sessions at regular intervals during the trial. An independent MI analysis center scored the recordings using the MI treatment integrity code (MITI 4). In addition, three experienced MI trainers assessed the adherence to the MI intervention manual on a 1–4 Likert scale and MI competence. Total MITI 4 mean scores were at beginning proficiency levels for two components (global technical, mean 3.0; SD 0.6 and the reflections/questions ratio, mean 1.1; SD 0.2) and under beginning proficiency for two components (global relational, mean 3.2; SD 0.7 and complex question, mean 34.0; SD 21.2). The MI trainers’ assessment showed similar results. The mean adherence score for the MI sessions was 2.96 (SD 0.9). Despite delivering a thorough course and supervision package, most of the caseworkers did not reach proficiency levels of good MI competence during the study. The fidelity evaluation showed that a large amount of training, supervision and practice is needed for caseworkers to become competent MI providers. When planning to implement MI, it is important that thorough consideration is given regarding the resources and the time needed to train caseworkers to provide MI in a social insurance setting.

scholarly journals Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Vegard Stolsmo Foldal ◽  
Martin Inge Standal ◽  
Lene Aasdahl ◽  
Roger Hagen ◽  
Gunnhild Bagøien ◽  
...  
Keyword(s):  
Return To Work ◽  
Motivational Interviewing ◽  
Qualitative Interview ◽  
Interview Study ◽  
Work Process ◽  
Qualitative Interview Study

scholarly journals Barriers and Facilitators for Implementing Motivational Interviewing as a Return to Work Intervention in a Norwegian Social Insurance Setting: A Mixed Methods Process Evaluation

2021 ◽  
Author(s):  
Vegard Stolsmo Foldal ◽  
Marit Solbjør ◽  
Martin Inge Standal ◽  
Egil Andreas Fors ◽  
Roger Hagen ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Return To Work ◽  
Motivational Interviewing ◽  
Process Evaluation ◽  
Social Insurance ◽  
Controlled Trial ◽  
Barriers And Facilitators ◽  
Managerial Support ◽  
Motivation For Learning ◽  
High Workload

AbstractPurpose The aim of this study was to evaluate potential barriers and facilitators for implementing motivational interviewing (MI) as a return to work (RTW) intervention in a Norwegian social insurance setting. Methods A mixed-methods process evaluation was conducted alongside a randomized controlled trial involving MI sessions delivered by social insurance caseworkers. The study was guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework using focus groups with the caseworkers. MI fidelity was evaluated through audio-recordings of MI sessions and questionnaires to sick-listed participants. Results Lack of co-worker and managerial support, time and place for practicing to further develop MI skills, and a high workload made the MI intervention challenging for the caseworkers. The MI method was experienced as useful, but difficult to master. MI fidelity results showed technical global scores over the threshold for “beginning proficiency” whereas the relational global score was under the threshold. The sick-listed workers reported being satisfied with the MI sessions. Conclusions Despite caseworker motivation for learning and using MI in early follow-up sessions, MI was hard to master and use in practice. Several barriers and facilitators were identified; these should be addressed before implementing MI in a social insurance setting.Trial registration ClinicalTrials.gov: NCT03212118 (registered July 11, 2017).

Book Review: AMA Guides to the Evaluation of Work Ability and Return to Work, Second Edition

2011 ◽  
Vol 16 (4) ◽  
pp. 12-12
Author(s):  
James Talmage ◽  
J. Mark Melhorn ◽  
Mark H. Hyman
Keyword(s):  
Return To Work ◽  
Work Ability

Behandlung alkoholbezogener Störungen bei Kindern und Jugendlichen: Altersspezifische Empfehlungen der neuen interdisziplinären S3-Leitlinie

2016 ◽  
Vol 44 (4) ◽  
pp. 295-305 ◽  
Author(s):  
Rainer Thomasius ◽  
Peter-Michael Sack ◽  
Nicolas Arnaud ◽  
Eva Hoch
Keyword(s):  
Motivational Interviewing ◽  
Kinder Und Jugendliche ◽  
Kognitive Verhaltenstherapie ◽  
Alkoholbezogene Störungen ◽  
Diagnostik Und Therapie

Zusammenfassung. Hintergrund: Alkoholbezogene Störungen kennzeichnen sich meist durch einen frühen Störungsbeginn. Jedoch werden entwicklungsrelevante Behandlungsbedürfnisse in der Versorgung oft nicht adäquat berücksichtigt. Zu Screening, Diagnostik und Therapie von alkoholbezogenen Störungen ist nun eine neue, interdisziplinäre S3-Leitlinie vorgelegt worden, in der erstmals spezifische Behandlungsempfehlungen für Kinder und Jugendliche formuliert werden. Methodik: Für die S3-Leitlinie wurden insgesamt 23 Quellleitlinien, 28 systematische Reviews und 2213 Originalarbeiten ausgewertet. Eine interdisziplinäre Konsensuskonferenz formulierte 174 Empfehlungen, von denen 14 speziell für Kinder- und Jugendliche gelten. Je nach Evidenzniveau vergab sie „Soll-“, „Sollte-“ und „Kann“-Empfehlungen oder einen „Klinischen Konsenspunkt“ (KKP). Ergebnisse: Für die Behandlung von Kindern und Jugendlichen gab es jeweils eine „Soll“-Empfehlung innerhalb von Psychotherapien für das Motivational Interviewing (MI), die Kognitive Verhaltenstherapie (KVT) und den Einbezug von Familienangehörigen. Empfehlungen zur Familientherapie sind heterogen. Zu psychosozialen Therapien (z. B. Psychoedukation, Erziehungshilfe, Ergotherapie) wurde ein KKP vergeben. Die Studienlage zu medikamentösen Therapien war unzureichend; nur für die Behandlung psychisch komorbider Störungen ließ sich ein KKP ableiten. Im Rahmen differenzieller Indikationen sollen die Risiken für Suizide, Behandlungsabbruch und die über Mitpatienten vermittelte Delinquenz berücksichtigt werden (KKP). Schlussfolgerungen: Für die Behandlung von alkoholbezogenen Störungen bei Jugendlichen können zahlreiche evidenz- und konsensbasierte Empfehlungen abgegeben werden. Drängender Forschungsbedarf wurde v. a. im Bereich der medikamentösen Therapien festgestellt.

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