Abstract
Motivational interviewing (MI) has proven a well-established psychotherapeutic intervention designed to enhance motivation for behavior change. While the benefits of MI have been established, little research has systematically evaluated dissemination of MI efforts to healthcare providers, especially among pediatric providers. The present pilot study evaluated whether healthcare providers gained valuable knowledge, confidence and desire to utilize MI, and skills in MI techniques and if these outcomes varied based on provider characteristics or duration and intensity of MI training. Twenty pediatric healthcare professionals in a large academic pediatric hospital completed an advanced 20-h MI training and 103 pediatric healthcare professionals completed a basic 4-h MI workshop. The study demonstrated no significant differences in post-workshop MI knowledge, confidence, or desire based on trainee demographics. We also found no significant change from post-basic workshop to post-advanced workshop for advanced MI trainees. However, the advanced training workshop participants evidenced significant growth in utilizing MI skills (via MITI coding) and self-reported confidence in using MI skills. We therefore conclude that while the basic workshop allows participants to gain valuable MI knowledge and confidence and desire to utilize MI, it is through the advanced training that providers have the opportunity to practice these skills, receive feedback, and ultimately gain the expertise necessary to be effective MI providers. Overall, results from this pilot study suggest MI training in pediatric hospitals represents an important area of opportunity for multidisciplinary training, dissemination, and practice.
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References
American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. Retrieved from https://www.aacnnursing.org/Portals/42/Publications/MastersEssentials11.pdf.
Burke, B. L., Arkowitz, H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, 843–861. https://doi.org/10.1037/0022-006X.71.5.843.
Cook, P. F., Manzouri, S., Aagaard, L., O’Connell, L., Corwin, M., & Gance-Cleveland, B. (2017). Results from 10 years of interprofessional training on motivational interviewing. Evaluation & The Health Professions, 40(2), 159–179.
de Roten, Y., Zimmermann, G., Ortega, D., & Despland, J. N. (2013). Meta-analysis of the effects of MI training on clinicians’ behavior. Journal of Substance Abuse Treatment, 45, 155–162. https://doi.org/10.1016/j.jsat.2013.02.006.
Folland, S., Goodman, A. C., & Stano, M. (2016). The economics of health and health care. Abingdon: Routledge.
Frintner, M. P., Liebhart, J. L., Lindros, J., Baker, A., & Hassink, S. G. (2016). Are graduating pediatric residents prepared to engage in obesity prevention and treatment? Academic Pediatrics, 16(4), 394–400.
Gayes, L. A., & Steele, R. G. (2014). A meta-analysis of motivational interviewing interventions for pediatric health behavior change. Journal of Consulting and Clinical Psychology, 82(3), 521–535. https://doi.org/10.1037/a0035917.
Gecht-Silver, M., Lee, D., Ehrlich-Jones, L., & Bristow, M. (2016). Evaluation of a motivational interviewing training for third-year medical students. Family Medicine, 48(2), 132–135.
Hollingsworth, B. (2008). The measurement of efficiency and productivity of health care delivery. Health Economics, 17(10), 1107–1128.
Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty-five years of empirical studies. Research on Social Work Practice, 20, 137–160. https://doi.org/10.1177/1049731509347850.
Lundahl, B., Moleni, T., Burke, B. L., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93(2), 157–168.
Madson, M. B., Loignon, A. C., & Lane, C. (2009). Training in motivational interviewing: A systematic review. Journal of Substance Abuse Treatment, 36, 101–109. https://doi.org/10.1016/j.jsat.2008.05.005.
Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change. New York: Guildford Press.
Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J., & Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology, 72, 1050–1062. https://doi.org/10.1037/0022-006X.72.6.1050.
Moyers, T. B., Manuel, J. K., & Ernst, D. (2014). Motivational interviewing treatment integrity coding manual 4.1. Unpublished manual.
Nightingale, B., Gopalan, P., Azzam, P., Douaihy, A., & Conti, T. (2016). Teaching brief motivational interventions for diabetes to family medicine residents. Family Medicine, 48(3), 187–193.
O’May, F., Gill, J., McWhirter, E., Kantartzis, S., Rees, C., & Murray, K. (2016). A teachable moment for the teachable moment? A prospective study to evaluate delivery of a workshop designed to increase knowledge and skills in relation to alcohol brief interventions (ABIs) amongst final year nursing and occupational therapy undergraduates. Nurse Education in Practice, 20, 5–53.
Sanci, L., Chondros, P., Sawyer, S., Pirkis, J., Ozer, E., Hegarty, K.,…, Patton, G. (2015). Responding to Young people’s Health risks in primary care: A cluster randomised trial of training clinicians in screening and motivational interviewing. PLoS ONE, 10(9), e0137581.
Soderlund, L. L., Madson, M. B., Rubak, S., & Nilsen, P. (2011). A systematic review of motivational interviewing training for general health care practitioners. Patient Education and Counseling, 84, 16–26. https://doi.org/10.1016/j.pec.2010.06.025.
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Elizabeth C. Victor, Ana F. El-Behadli, Wade C. McDonald, Chelsea D. Pratt, and Melissa A. Faith declare no conflicts of interest. No forms of payment were given to anyone to produce the manuscript.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
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This study complied with all ethical standards and human rights as required by the University of Texas Southwestern Medical Center Institutional Review Board.
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Victor, E.C., El-Behadli, A.F., McDonald, W.C. et al. Motivational Interviewing Training Outcomes Among Providers in a Children’s Hospital. J Clin Psychol Med Settings 26, 364–371 (2019). https://doi.org/10.1007/s10880-018-9589-0
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DOI: https://doi.org/10.1007/s10880-018-9589-0