Motivational Interviewing Training: A Case-Based Curriculum for Preclinical Medical Students.

N Nicole Jacobs, Lisa Calvo, Aaron Dieringer, Ali Hall, Reka Danko
Author Information
  1. N Nicole Jacobs: Associate Professor, Department of Psychiatry and Behavioral Sciences, and Associate Dean of Diversity and Inclusion, University of Nevada, Reno School of Medicine. ORCID
  2. Lisa Calvo: Associate Professor, Department of Internal Medicine, and Associate Dean of Medical Education, University of Nevada, Reno School of Medicine.
  3. Aaron Dieringer: Assistant Professor, Department of Family and Community Medicine, University of Nevada, Reno School of Medicine.
  4. Ali Hall: Trainer and Consultant, Motivational Interviewing Network of Trainers (MINT).
  5. Reka Danko: Clinical Assistant Professor, Department of Internal Medicine, University of Nevada, Reno School of Medicine.

Abstract

Introduction: With the rise of chronic medical problems involving lifestyle behaviors and the benefits of patient involvement in preventative care, medical students need to learn how to help patients change health risk behaviors and improve patient involvement in order to improve health outcomes. Motivational interviewing (MI) is a patient-centered therapeutic approach that is effective in the treatment of lifestyle behaviors and diseases.
Methods: This 2-hour didactic training session, along with a 3-hour case-based practice session involving role-plays and a 3-hour evaluated session utilizing standardized patients, was delivered to 68 preclinical medical students. Knowledge, attitudes, and self-efficacy were evaluated via pre- and posttraining surveys, and satisfaction with the training was assessed upon completion.
Results: Students who completed both pre- and postsurveys ( = 48) showed a statistically significant improvement in knowledge of MI ( = -29.73, = 47, < .001), attitudes regarding implementing MI in health care settings ( = -3.04, = 47, < .005), and self-efficacy ( = -10.699, = 47, < .001) in talking with patients about behavior change. Students were also highly satisfied with the MI training package ( of 4.4, = 0.6, out of 5.0).
Discussion: A training package to teach preclinical medical students about MI was effective in helping students learn the knowledge and skills necessary to deliver MI in a broad range of clinical cases.

Keywords

References

  1. Prev Med. 2001 Dec;33(6):595-9 [PMID: 11716655]
  2. Patient Educ Couns. 2011 Jul;84(1):16-26 [PMID: 20667432]
  3. Obstet Gynecol. 2009 Jan;113(1):243-246 [PMID: 19104391]
  4. MedEdPORTAL. 2019 Aug 23;15:10831 [PMID: 31773059]
  5. MedEdPORTAL. 2018 Feb 12;14:10679 [PMID: 30800879]
  6. MedEdPORTAL. 2018 Sep 18;14:10751 [PMID: 30800951]
  7. MedEdPORTAL. 2016 Sep 16;12:10455 [PMID: 31008233]
  8. MedEdPORTAL. 2019 Feb 27;15:10807 [PMID: 30931386]
  9. BMJ Open. 2015 Jul 03;5(7):e007920 [PMID: 26141304]
  10. Annu Rev Clin Psychol. 2005;1:91-111 [PMID: 17716083]
  11. J Behav Med. 2014 Aug;37(4):768-80 [PMID: 23934180]
  12. Br J Gen Pract. 2005 Apr;55(513):305-12 [PMID: 15826439]
  13. Patient Educ Couns. 2013 Nov;93(2):157-68 [PMID: 24001658]
  14. J Clin Psychol. 2009 Nov;65(11):1232-45 [PMID: 19739205]
  15. J Nurses Prof Dev. 2017 Jul/Aug;33(4):189-195 [PMID: 28683032]
  16. Med Care. 2009 Aug;47(8):826-34 [PMID: 19584762]
  17. JAMA. 2004 Mar 10;291(10):1238-45 [PMID: 15010446]

MeSH Term

Clinical Competence
Curriculum
Education, Medical, Undergraduate
Humans
Motivational Interviewing
Students, Medical

Word Cloud

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