Behavior change counseling training programs for nurses and nursing students: A systematic descriptive review

• Published in: Nurse education today 2019-11, Vol.82, p.37-50
• Main Authors: Fontaine, Guillaume, Cossette, Sylvie, Maheu-Cadotte, Marc-André, Mailhot, Tanya, Heppell, Sonia, Roussy, Claudie, Côté, José, Gagnon, Marie-Pierre, Dubé, Véronique
• Format: Article
• Language: English
• Subjects: Behavior change; Behavior modification; Behavior Therapy - education; Behavior Therapy - methods; Clinical practice change; Content analysis; Counseling; Counseling - methods; Counseling - trends; Descriptive review; Health behavior; Humans; Interviews; Literature review; Literature reviews; Motivational interviewing; Nurses; Nurses - psychology; Nurses - statistics & numerical data; Nursing; Nursing education; Nursing Students; Physical activity; Professional practice; Professional training; Qualitative Research; Quality; Smoking; Students; Students, Nursing - psychology; Students, Nursing - statistics & numerical data; Surveys and Questionnaires; Systematic review; Teaching - psychology; Teaching - standards; Training
• ISSN: 0260-6917; 1532-2793
• DOI: 10.1016/j.nedt.2019.08.007

(1) To systematically review the literature on behavior change counseling (BCC) training programs targeting nurses and nursing students; (2) to characterize these training programs according to their content (i.e., targeted health behavior[s], BCC approaches taught, BCC techniques taught), structure, and modes of delivery. A systematic, descriptive literature review. PubMed, CINAHL and Embase were searched with no time limitation in August 2018. A systematic, descriptive literature review structured according to Paré et al.'s methodology and the PRISMA guidelines. Primary studies were included if they evaluated a BCC training program with nurses or nursing students. Review authors screened studies, extracted data, and assessed study quality using the MERSQI. Data was synthesized through narrative synthesis, descriptive statistics, and content analysis. From a pool of 267 articles, we included 25 articles published between 2003 and 2018. Two studies scored as low quality (8%), 18 as moderate quality (72%), and 5 as high quality (20%). Physical activity (n = 14; 56%) and smoking (n = 11; 44%) were the most frequently targeted health behaviors. Eleven BCC approaches were cited (e.g., motivational interviewing), and 48 BCC techniques were identified (e.g., eliciting and scaling change talk). The median number of training sessions was 3 (interquartile range [IQR] 5), the median training program duration was 3 h (IQR 6.25 h), and median training period was 24.5 days (IQR 110 days). Programs were most often delivered as seminars and workshops. High-quality studies reporting the assessment of BCC training programs with nurses and nursing students are scarce. There was significant heterogeneity in terms of the BCC approaches and techniques taught. Current evidence suggests nurses and nursing students learn BCC mainly through active, realistic practice. However, computer-based training programs are rapidly gaining ground. Further research emphasizing theory-based BCC training programs is warranted.