A Glaucoma-Specific Brief Motivational Interviewing Training Program for Ophthalmology Para-professionals: Assessment of Feasibility and Initial Patient Impact

Abstract

Our objective was to test the feasibility of, fidelity to, and initial impact of a brief, glaucomaspecific motivational interviewing (MI) training program for ophthalmic para-professionals. This prospective, mixed-methods study had two components, one for staff and one for patients. Staff fidelity to MI principles was graded though audio-recorded encounters after initial and final training sessions. After training, patients graded staff for adherence to autonomy supportive care. Semi-structured interviews with para-professionals elicited feedback about the training and about their ability to implement MI in clinic. The impact on patient satisfaction with staff communication, eye drop instillation self-efficacy, and overall health activation was assessed using a survey pre-and post-training. Para-professionals met two of three program goals for MI skills and improved in their overall scores for MI fidelity. Para-professionals noted lack of time in clinic as a significant barrier to implementing counseling. Patient satisfaction with staff communication increased after the training (p=0.04) among patients who rated their staff above the mean for providing autonomy supportive care. The intervention did not improve patients' eye drop

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Glaucoma Screening Skills Among General Ophthalmologists-- How General Should it Be?

“…There is some positive news about the e cacy of such glaucoma training programs for health care providers. These include improved patients satisfaction in staffs' communication 23 , improvement in medication adherence 24 and better communication among doctors-and-patients 25 .…”

Glaucoma screening skills among general ophthalmologists - How general should it be?

“…[ 22 ] There is some positive news about the efficacy of such glaucoma training programs for health care providers. These include improved patient satisfaction in staff communication,[ 23 ] improvements in medication adherence,[ 24 ] and better communication among doctors and patients. [ 25 ]…”