Motivational Interviewing among HIV Health Care Providers

Abstract

Providers’ response to Motivational Interviewing (MI) to improve engagement and retention in care among challenging patients with HIV in Argentina were evaluated. 12 HIV care physicians participated and video recordings pre- and post-MI training were obtained. One week post-training 11/12 participants were committed to using MI strategies during consult session. 9/12 participants demonstrated appropriate utilization of MI techniques and increased adherence focused discussion and care (t = 3.59, p = .006). MI appears to be a viable strategy to enhance engagement and retention in challenging HIV patients.

Implementation and uptake of the Conexiones y Opciones en la Argentina intervention: feasibility and acceptability

“…Due to the differing contexts of public and private healthcare settings (Bofill et al, 2015), implementation in the clinical setting required significant formative work to establish buy-in from providers and organization leadership. The patient intervention experienced the challenge of non-attendance.…”

“…It was anticipated that public and private settings would experience different financial and structural challenges, and one public and one private healthcare clinic were recruited. Both sites were comparable in patient census, staff and services, and in urban BA (Bofill et al, 2015). …”

“…Both interventions were tailored utilizing previous research (Valverde et al, 2009) and site visits conducted prior to intervention adaptation. The provider intervention was motivational interviewing training collaboratively developed by US and Argentine researchers (Jones et al, 2015); staff and provider training included manualized slides and “talking points” (Bofill et al, 2015). …”

“…The provider intervention consisted of two 3-hour training sessions conducted over one week (n=12 provider participants [private=6; public=6]), and focused on recognizing ambivalence towards change and evoking commitment in challenging patients (Bofill et al, 2015). Patient-provider interactions were video-recorded throughout the study—including training—for self-monitoring and supervision.…”

“…Provider satisfaction and acceptability surveys were conducted following provider training (n=12 providers) and have previously been described and reported (Bofill et al, 2015). …”