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首页> 外文期刊>AIDS care. >An evaluation of a brief motivational interviewing training course for HIV/AIDS counsellors in Western Cape Province, South Africa.
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An evaluation of a brief motivational interviewing training course for HIV/AIDS counsellors in Western Cape Province, South Africa.

机译：对南非西开普省艾滋病毒/艾滋病顾问的简短动机访谈培训课程的评估。

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HIV/AIDS counselling in South Africa covers a range of areas of prevention and treatment with a commonly used model of lay counsellors trained by non-governmental organisations and working alongside professionals in public health settings. This study presents a single group evaluation of a six-session (12-hour) course of Motivational Interviewing (MI) delivered to 17 HIV/AIDS lay counsellors working in peri-urban settings in Western Cape Province, South Africa. Counsellors reported that they used MI techniques both at the start and at the end of the training. In addition, they reported confidence in their ability to influence their clients' motivation at both time points. The results from the ratings of role play performance showed that there was a marked change in emphasis over the group of counsellors from MI non-adherent practice before training (with advice giving, directiveness, control and confrontation) to more MI adherent practice (asking permission before giving advice, emphasising client autonomy, affirming the client and stressing the client's responsibility to change) at the end of the training. Only a small proportion of the counsellors reached the level of beginning proficiency (according to the Motivational Interviewing Treatment Integrity code) on the measure of the ratio of MI adherent to non-adherent responses. The ratio of reflections to questions and the percentage of open questions also showed improvements in performance across the group but generally to levels below that suggesting beginning proficiency in MI. There was no evidence of any change on global therapist ratings (of empathy and the spirit of MI, i.e. collaboration, evocation and autonomy support) or the percentage of complex reflections across the group of counsellors. Possible explanations for the results and public health implications are discussed.
机译：南非的艾滋病毒/艾滋病咨询涵盖了预防和治疗的一系列领域，这些非正规咨询师通常采用由非政府组织培训并与公共卫生专业人士一起工作的非专业咨询师模式。这项研究针对在南非西开普省郊区工作的17名艾滋病毒/艾滋病外行辅导员进行了为期六天（12小时）的动机访谈（MI）课程，进行了小组评估。辅导员报告说，他们在培训开始和结束时都使用了MI技术。此外，他们对在两个时间点影响客户动机的能力表示信心。角色扮演绩效的评分结果表明，从MI的非依从性练习（在提供指导，指导，控制和对抗之前）的MI的非依从性练习向更多MI的依从性的实践（寻求许可）的辅导员组有了显着变化在提供建议之前，在培训结束时强调客户的自主权，肯定客户并强调客户改变的责任。在衡量MI坚持者与非坚持回答者之比的方法上，只有一小部分咨询师达到了开始熟练的水平（根据动机面试治疗完整性守则）。反思与问题的比例以及未解决问题的比例也显示了整个组的绩效有所提高，但总体水平低于表明开始MI的水平。没有证据表明全球治疗师的评分（同理心和MI的精神，即合作，激发和自主支持）或辅导员群体中复杂反思的百分比有任何变化。讨论了结果的可能解释和对公共卫生的影响。

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