Training Dietitians in Motivational Interviewing: A Pilot Study of the Effects on Dietitian and Patient Behaviour

Objective: To evaluate the transfer of Motivational Interviewing (MI) skills to dietietic practice in a clinical setting, and the effect of this on patient behaviour.  This involved a replication of Britt and Balmpied (2010), except with dietitians providing the MI rather than nurses educators as in the earlier study.  The current study, therefore, is a both a test of replication and generalisation. Method: Two dietitians were trained in MI and effects of this training were evaluated on both practitioner and patient behaviour when MI was delivered in a clinical settting with patients experiencing diabetes self-management difficulties. Comparisons were made between the dietitians’ and participants’ behaviour during baseline (standard Patient Education, n=6 participants) and after the dieitians were trained in MI (n=5 participants). Data were collated from transcripts of all sessions independently coded using the therapist and client behaviour counts from the Motivational Interviewing Skills Code to derive therapist and client behaviour counts. Results: MI training was effective relative to baseline performance. Conclusions: When trained in MI, the practitioners behaved in ways consistent with MI, and this appears to have evoked in-session behaviour from the participants consistent with emergent MI theory

Being more idiographic in the nomothetic world

Since psychology emerged as an independent field of knowledge, there has been no consensus as to how it should develop, either, in the idiographic or nomothetic way. In the course of time, due to a commitment to what was seen as objectivity in science, the nomothetic approach came to dominate psychology. Thus, researchers used mostly quantitative psychometric methods to establish general rules of human behaviour. In doing so, the essence of nomothetic research is to be extremely careful when interpreting results not to make a reasoning mistake such as the ecological fallacy, as may happen when a researcher draws conclusions about nature of the individual in the group based on average results of the whole group. In the article, we presented two methods for longitudinal research designs which address this problem, and give more idiographic information about participants; via the Reliable Change Index and the Modified Brinley Plot. Finally, we provide a IBM SPSS Statistics syntax automatizing the whole process of computation for these new features

Study Protocol for a Randomized Double Blind, Treatment Control Trial Comparing the Efficacy of a Micronutrient Formula to a Single Vitamin Supplement in the Treatment of Premenstrual Syndrome

Background: The recent addition of Premenstrual Dysphoric Disorder (PMDD) to the Diagnostic and Statistical Manual (5th ed.) has highlighted the seriousness of this disorder. Many alternatives to psychoactive medication in the form of vitamins, minerals, and plant extracts have been trialled by women seeking a natural treatment approach. We plan to explore whether a well validated micronutrient formula, EMPowerplus Advanced, can outperform a recognized single nutrient treatment, vitamin B6, for the treatment of Premenstrual Syndrome (PMS). Methods: This will be a randomized treatment control study. Eighty women will be recruited and assigned to one of two treatment groups; EMPowerplus Advanced or vitamin B6. Baseline daily data will be collected for an initial two cycles, followed by three months of active treatment. A natural follow up will take place three cycles post treatment. Results: The primary outcome measure will be PMS change scores as based on results from the Daily Record of Severity of Problems (DRSP). The number of treatment responders for each of the two groups will yield a comparison score between the two treatments, with participants deemed as a responder if they show a total PMS score improvement of 50% from their baseline scores on the DRSP. Conclusion: If a micronutrient formula proves more effective for treating PMS, not only does it give women suffering from the condition a viable treatment option, but it may also suggest one cause of PMS; that is insufficient minerals and vitamins

Massacre, Earthquake, Flood

Abstract. Natural (e.g., earthquake, flood, wildfires) and human-made (e.g., terrorism, civil strife) disasters are inevitable, can cause extensive disruption, and produce chronic and disabling psychological injuries leading to formal diagnoses (e.g., post-traumatic stress disorder [PTSD]). Following natural disasters of earthquake (Christchurch, Aotearoa/New Zealand, 2010–11) and flood (Calgary, Canada, 2013), controlled research showed statistically and clinically significant reductions in psychological distress for survivors who consumed minerals and vitamins (micronutrients) in the following months. Following a mass shooting in Christchurch (March 15, 2019), where a gunman entered mosques during Friday prayers and killed and injured many people, micronutrients were offered to survivors as a clinical service based on translational science principles and adapted to be culturally appropriate. In this first translational science study in the area of nutrition and disasters, clinical results were reported for 24 clients who completed the Impact of Event Scale – Revised (IES-R), the Depression Anxiety Stress Scales (DASS), and the Modified-Clinical Global Impression (M-CGI-I). The findings clearly replicated prior controlled research. The IES-R Cohen’s d ESs were 1.1 (earthquake), 1.2 (flood), and 1.13 (massacre). Effect sizes (ESs) for the DASS subscales were also consistently positive across all three events. The M-CGI-I identified 58% of the survivors as “responders” (i.e., self-reported as “much” to “very much” improved), in line with those reported in the earthquake (42%) and flood (57%) randomized controlled trials, and PTSD risk reduced from 75% to 17%. Given ease of use and large ESs, this evidence supports the routine use of micronutrients by disaster survivors as part of governmental response