Exploring the impact of motivational interviewing training for qualified health visitors

The requirement for health visitors to be familiar with, and trained in, motivational interviewing (MI) has been a predominant feature in many government policies and health visitor service specifications. This paper reports on a two-day MI course delivered to approximately 100 health visitors working in an NHS trust during 2014-15. The overall aim of the training was to introduce the concept of MI, provide opportunities for skills development and explore the relevance and applicability of MI to health visitors. Findings derived from 99 anonymous questionnaires were categorised using a thematic approach to data analysis. A significant theme was health visitors' intentions to apply the MI skills learned to their future clinical practice. An essential aspect of this implementation process was the use of reflection to support the development of their MI skills during consultations. Ongoing skills development and supervision in the practice of Ml were also factors deemed to influence its long-term efficacy. Overall evaluations suggested that the training was beneficial and MI is a relevant, evidence-based approach to use in supporting clients' behavioural change within the context of health visiting.