Motivational interviewing training with standardized patient simulation for prescription opioid abuse among older adults

Abstract

Purpose This study aimed to examine the effect of motivational interviewing (MI) education on the doctorate of nursing practice (DNP) students’ learning outcomes. Design and methods This study used a one‐group with preposttest design. The sample consisted of 31 DNP students who received an MI training, including a didactic lecture, role‐playing exercise, and standardized patient simulation. Findings Findings indicated a significant increase in students’ knowledge and confidence regarding MI at both posttests compared with baseline. Practice implications Findings suggested that MI training with standardized patient simulation demonstrated preliminary promising effects on DNP students’ knowledge and confidence in MI techniques to manage prescription opioid abuse among older adults. This study showed the potential to enhance the care of older adults who abuse opioids to address this problem in practice.

Prevention, Diagnosis, and Management of Opioids, Opioid Misuse, and Opioid Use Disorder in Older Adults

“…A summary of the identified intervention studies is presented in Table 15. [117][118][119][120][121][122][123][124][125][126][127][128][129][130][131][132][133] The descriptions are organized by topic (or purpose) of the interventions, by level of the intervention (screening, patient, clinician, and healthcare system), then by study. Appendix D Tables D-4 to D-6 include further details of each study.…”

“…The only study that pertained to management of older adults with opioid misuse, Chang 2019, 133 was an evaluation of motivational interviewing training for 31 doctorate of nursing practice students. The training used as an example a hypothetical older adult who took more prescription opioids than prescribed (thus, misuse), and then evaluated the students' motivational interviewing knowledge, confidence, attitude, skills, and their substance "abuse" knowledge.…”

Integration of Motivational Interviewing Within Prelicensure Nursing Programs

“…These results align with the literature on training of undergraduate and graduate nursing students with MI content focused on substance abuse. 17,18,20 Courses in mental health (31.8%) and health promotion (24.6%) make up the majority of where MI content is taught. This also aligns with the previously noted research priorities and educational competencies.…”

“…Research among undergraduate student populations, including dental hygiene medicine, pharmacy, and nursing, have identified the importance of students first learning the concepts of MI theory and then practicing skills using experiential learning, such as role play, standardized patients, or high-fidelity simulation activities. [17][18][19] Research in MI education using standardized patients among undergraduate and graduate nursing students exists for teaching content on opioid and substance abuse. 17,20 After the education, students had improved confidence and knowledge of MI use.…”

Use of a Team-Based Video Simulation to Complement a Lecture in Motivational Interviewing to Develop Students’ Initial Attitudes and Skills

“…Patient simulation videos may serve as an additional tool available for programs lacking in curriculum space and labor capital. 20 A simulation tool can be particularly useful in the didactic component of a curriculum featuring an accelerated block schedule.…”