Journal scan

Family nurse use of motivational interviewing limited

Compiled by Vari Drennan, professor of healthcare and policy research, Kingston University and St. George’s, University of London.
Family nursing home visits

Family Nurse Partnership (FNP) in England is a preventative programme offered to first-time mothers under the age of 20, from early pregnancy until the child is two years old. The family nurses (FN) – often already health visitors – have additional training to deliver the intensive-structured home visits to families.

Part of the core training is in motivational interviewing (MI). MI is person-centred counselling to engage clients to think about changing behaviours while fully accepting the client’s autonomy. As part of a randomised control trial of the FNP, this nested study investigated the extent the taught MI skills were used by FNs in the home visits.

Audio recordings of FN-client consultations were analysed using a pre-determined Motivational Interviewing Treatment Integrity (MITI) coding system. 42 volunteer FNs from the 18 trial sites provided


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