Table 2.

Crude and adjusted changes in the use of individual skills

Skill cluster	Description and (# of skills in cluster)	Immediate uptake¶		Mean number used at baseline	Mean number used at follow up	Trained/control difference in uptake adjusted for baseline**
Time management	Manage rambling or long list of concerns, set priorities (4)	12/27	Trained Control	.48 .44	.78* .13	.54 (p=.002)
Problem solving	Techniques from solution-focused brief therapy (7)	21/27	Trained Control	0 0	0 0	−.04
Managing anger	Techniques from family therapy: black/white statements, restating concerns, anger at clinician (6)	18/27	Trained Control	.11 .13	.59* .17	.36 (p=.05)
Agenda setting	Elicit concerns, engage child and parent, promote turn-taking (5)	27/27	Trained Control	3.4 3.0	3.7* 3.0	.85 (p=.006)
Problem formulation	Exploring family ideas, seeking common language, prioritizing (7)	20/27	Trained Control	.42* .78	.85 .96	.22
Advice giving	Asking for permission, offering choices, exploring preferences (7)	22/27	Trained Control	.10 .22	.39 .48	.09
Managing resistance	Not pushing back, agreeing, asking permission to provide more information (9)	22/27	Trained Control	.55 .67	.78 1.3	−.43

^*crude difference significant (t-test) between trained and control

^**difference in mean change in usage per visit attributed to training, adjusted for participant’s baseline usage

^¶Number of trainees using at least one skill from the cluster in standardized patient practice visit immediately following training session