Scores for the Brief Intervention Scenario Skills
| SIMmersion Items | Control | Experimental | t Statistic | P | ||
|---|---|---|---|---|---|---|
| Pretest (mean [SD]) | Posttest (mean [SD]) | Pretest (mean [SD]) | Posttest (mean [SD]) | |||
| Advise | ||||||
| Clinician is concerned about drinking | 4.02 (2.00) | 4.69 (1.22) | 4.41 (1.63) | 4.65 (1.29) | 0.140 | .891 |
| Clinician offered rationale for concern | 4.61 (1.36) | 4.27 (1.78) | 4.41 (1.63) | 4.53 (1.47) | 0.770 | .446 |
| Clinician advised to reduce drinking | 4.71 (1.19) | 4.79 (1.01) | 4.90 (0.70) | 4.77 (1.07) | 0.110 | .912 |
| Assessment skills | ||||||
| Clinician asked about drinking pros | 1.76 (2.41) | 1.88 (2.45) | 1.47 (2.30) | 2.79 (2.51) | 1.760 | .082 |
| Clinician asked about drinking cons | 0.20 (0.98) | 0.63 (1.67) | 0.49 (1.50) | 2.79 (2.51) | 4.890 | <.001 |
| Clinician asked about readiness to change | 4.31 (1.74) | 3.65 (2.25) | 4.22 (1.84) | 4.88 (0.76) | 3.440 | <.001 |
| Clinician asked about alcohol harms | 0.10 (0.70) | 0.42 (1.40) | 0.29 (1.19) | 0.81 (1.87) | 1.160 | .251 |
| Clinician asked about stress and drinking | 1.67 (2.38) | 0.42 (1.40) | 1.08 (2.08) | 0.58 (1.62) | 0.520 | .604 |
| Negotiation skils | ||||||
| Clinician asked to cut down to specific amount of alcohol | 3.63 (2.25) | 1.88 (2.45) | 2.84 (2.50) | 2.09 (2.50) | 0.420 | .675 |
| Clinician asked about follow-up visit | 3.53 (2.30) | 2.71 (2.52) | 3.63 (2.25) | 3.60 (2.27) | 1.780 | .079 |
| Clinician asked about social support | 0.98 (2.00) | 1.04 (2.05) | 0.98 (2.00) | 1.28 (2.21) | 0.530 | .596 |
| Clinician offered continued support | 3.43 (2.34) | 2.60 (2.52) | 3.73 (2.20) | 2.56 (2.53) | 0.090 | .931 |
| Clinician offered education material | 1.47 (2.30) | 0.94 (1.97) | 0.98 (2.00) | 0.58 (1.62) | 0.930 | .353 |
| Communication skills | ||||||
| Clinician used open-ended questions | 3.24 (2.41) | 3.65 (2.25) | 3.33 (2.38) | 3.95 (2.06) | 0.680 | .499 |
| Clinician was nonjudgmental | 4.12 (1.93) | 4.27 (1.78) | 3.82 (2.14) | 4.53 (1.47) | 0.770 | .446 |
| Clinician was empathic | 4.31 (1.74) | 4.17 (1.88) | 4.02 (2.00) | 4.42 (1.62) | 0.680 | .498 |
| Clinician dealt with resistance | 3.43 (2.34) | 3.75 (2.19) | 3.43 (2.34) | 3.26 (2.41) | 1.030 | .308 |
| Overall clinician performance | 4.22 (3.37) | 5.94 (3.95) | 4.51 (3.50) | 6.28 (3.79) | 0.420 | .676 |
The 17 clinical skills listed above received a score of 5 points if the learner successfully demonstrated skill. The remaining 15 points were based on the learners “overall clinical performance.”