TY  - JOUR
PY  - 2022//
TI  - Can outcomes of a chat-based suicide prevention helpline be improved by training counselors in motivational interviewing? A non-randomized controlled trial
JO  - Frontiers in digital health
A1  - Janssen, Wilco
A1  - Raak, Jeroen van
A1  - Lucht, Yannick van der
A1  - Ballegooijen, Wouter van
A1  - Mérelle, Saskia
SP  - e871841
EP  - e871841
VL  - 4
IS  - 
N2  - OBJECTIVETo examine whether the outcomes of a chat-based suicide-prevention helpline could be improved by training counselors in motivational interviewing (MI).<br><br>METHODSIn a pre- and post-test design, visitors of a chat-based suicide prevention helpline received either the Five-Phase Model (treatment as usual [TAU]) or MI. They completed a pre- and post-chat questionnaire on several suicide-related risk factors. Linear mixed modeling was used to estimate the effect of the condition. Furthermore, the treatment proficiency of newly trained counselors was assessed using MI-Scope.<br><br>RESULTSA total of 756 visitors and 55 counselors were included in this study. The visitors showed an improvement in suicidal ideation and psychological risk factors after a chat conversation. However, there were no significant differences between the MI and TAU conditions (β = 0.03, 95% CI [−0.23-0.30], p = 0.80). The treatment integrity indices showed that the counselors mostly used MI-consistent techniques but were unable to strategically employ these techniques to evoke enough change talk.<br><br>CONCLUSIONSMI and TAU led to comparable outcomes in a chat-based suicide prevention helpline. The effectiveness of MI might improve by intensifying or improving the training of counselors, keeping the process of engaging more concise or offering visitors multiple sessions of MI.<p />  <p>Language: en</p>
LA  - en
SN  - 2673-253X
UR  - http://dx.doi.org/10.3389/fdgth.2022.871841
ID  - ref1
ER  -