TY - JOUR
T1 - Improving client-provider communication
T2 - Evaluation of a training program for women, infants and children (WIC) professionals in New York state
AU - Newes-Adeyi, Gabriella
AU - Helitzer, Deborah L.
AU - Roter, Debra
AU - Caulfield, Laura E.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2004/11
Y1 - 2004/11
N2 - Results are presented from evaluation of an intensive 1 day training program to improve the growth monitoring counseling skills of Special Supplemental Nutrition Program for Women, Infants and Children (WIC) providers. The training was framed by the patient-centered approach, and focused on a seven-step technique that emphasized eliciting client perspective on the child's health and negotiating follow-up strategies. Changes in skill were assessed during audiotaped mock counseling sessions with simulated clients. Observed intervention effects were moderate but encouraging for future training programs. After the training, more providers elicited client perspective, and provider level of engagement in negotiating with the client increased. At post-test providers asked more open-ended questions than at pre-test, and provider-to-client talk ratio decreased. Increases in provider total and competence-related satisfaction paralleled improvements in counseling proficiency. Study results suggest that counseling skills of non-physician health providers can change after a 1 day focused training: providers were more client-centered in their discussions. Limitations and implications of the study are discussed.
AB - Results are presented from evaluation of an intensive 1 day training program to improve the growth monitoring counseling skills of Special Supplemental Nutrition Program for Women, Infants and Children (WIC) providers. The training was framed by the patient-centered approach, and focused on a seven-step technique that emphasized eliciting client perspective on the child's health and negotiating follow-up strategies. Changes in skill were assessed during audiotaped mock counseling sessions with simulated clients. Observed intervention effects were moderate but encouraging for future training programs. After the training, more providers elicited client perspective, and provider level of engagement in negotiating with the client increased. At post-test providers asked more open-ended questions than at pre-test, and provider-to-client talk ratio decreased. Increases in provider total and competence-related satisfaction paralleled improvements in counseling proficiency. Study results suggest that counseling skills of non-physician health providers can change after a 1 day focused training: providers were more client-centered in their discussions. Limitations and implications of the study are discussed.
KW - Client-centered communication
KW - Client-provider communication
KW - RIAS
KW - Training
KW - WIC
UR - http://www.scopus.com/inward/record.url?scp=7644236075&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=7644236075&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2003.05.001
DO - 10.1016/j.pec.2003.05.001
M3 - Article
C2 - 15530756
AN - SCOPUS:7644236075
SN - 0738-3991
VL - 55
SP - 210
EP - 217
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -