Teaching Motivational Interviewing to First-Year Medical Students to Improve Counseling Skills in Health Behavior Change

Poirier, Maria K.; Clark, Matthew M.; Cerhan, Jane H.; Pruthi, Sandhya; Geda, Yonas E.; Dale, Lowell C.

doi:10.4065/79.3.327

Cited by 107 publications

(93 citation statements)

References 10 publications

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“…Findings are similar to those from previous studies reporting shortterm gains in skills 17 and improved MI-consistent attitudes after medical student trainings. 16 Competency in MI is not merely the use of techniques, but rather largely depends on embodying the spirit of this approach and applying it to behavioral counseling. Thus, it is important that trainees understand and adhere to the spirit of MI.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14] However, providers and trainees have a limited amount of time available to learn a new clinical style, 15 and multiday training workshops may not be feasible. 16 Although there is currently no standardized curriculum for teaching MI, various approaches have been described [16][17][18][19] ; yet, few studies have examined MI training for specialists. 13 We developed and piloted the feasibility,…”

Section: Introductionmentioning

confidence: 99%

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Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

Bean¹,

Biskobing²,

Francis³

et al. 2012

Journal of Graduate Medical Education

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Background Despite the importance of lifestyle change in disease management and the growing evidence supporting motivational interviewing (MI) as an effective counseling method to promote behavioral change, to date there are few published reports about MI training in graduate medical education. Objective The study aimed to pilot the feasibility and effectiveness of a brief MI training intervention for endocrinology fellows and other providers. Methods We used a pretest/posttest design to evaluate a brief MI training for 5 endocrinology fellows and 9 other providers. All participants completed subjective assessments of perceived confidence and beliefs about behavioral counseling at pretest and posttest. Objective assessment of MI was conducted using fellows' audiotaped patient encounters, which were coded using a validated tool for adherence to MI before and after the training. Paired t tests examined changes in objective and subjective assessments. Results The training intervention was well received and feasible in the endocrinology setting. At posttest, participants reported increased endorsement of the MI spirit and improved confidence in MI skills. Objective assessment revealed relative improvements in MI skills across several domains. However, most domains, as assessed by a validated tool, did not reach competency level after the training intervention. Conclusions Although more intensive training may be needed to develop MI competence, the results of our pilot study suggest that brief, targeted MI training has short-term efficacy and is well received by endocrinology fellows and other providers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

Bean¹,

Biskobing²,

Francis³

et al. 2012

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

“…[13][14][15] Studies with these samples show that brief training protocols in MI can lead to learning basic MI concepts and increased confidence in applying MI-related skills to various patient problems. 9,10,13 One recent study showed primary care providers receiving a brief, initial one and one-half day course in MI plus two half-day follow-up courses during the year were more likely to report using learned strategies in practice when compared to a no-training control group. 13 Findings from the oneyear follow-up showed that those in the MI training condition improved type 2 diabetic patients' understanding of their illness and factors that may complicate and improve the disease process, and motivation to engage in diabetes management.…”

Section: Introductionmentioning

confidence: 99%

“…5 Research shows that MI is effective in supporting patients in changing various lifestyle behaviors including reducing substance use, increasing treatment engagement, and making improvements in dietary habits and chronic disease management. 6,7 Prior studies demonstrate the positive effects of teaching MI to medical students [8][9][10][11][12] and primary care staff. [13][14][15] Studies with these samples show that brief training protocols in MI can lead to learning basic MI concepts and increased confidence in applying MI-related skills to various patient problems.…”

Section: Introductionmentioning

confidence: 99%

Teaching Motivational Interviewing to Primary Care Staff in the Veterans Health Administration

et al. 2012

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“…' Several studies concerning medical student education in MI and behavioral change counseling strategies have been published (Brown & Oriel 1998;Poirier et al 2004;Mounsey et al 2006;Martino et al 2007;White et al 2007;Bell & Cole 2008). Poirier et al (2004) evaluated the effectiveness of a 10-h course for first-year medical students that included lectures, student role-plays, and simulated patient exercises. Results showed improvements in students' confidence and knowledge…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of behavior change counseling education for medical students

et al. 2010

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Background: Educating medical students about how to effectively counsel patients with negative health behaviors (i.e., lack of exercise, smoking) is vitally important. Behavior change counseling is a promising method that can be used by physicians to encourage positive changes in health behaviors. Purpose: To examine the effectiveness of a 2 h workshop in behavior change counseling for medical students. Methods: This study used a pre-post control group design with 35 second-year medical students who were randomly assigned to participate in a behavior change counseling intervention or wait-list control group. Student knowledge and attitudes were assessed using multiple choice items and open-ended question prompts. Student skills were assessed via performance in a standardized patient encounter rated using the Behavior Change Counseling Index (BECCI). Results: Student attitudes toward behavior change counseling were positive at both pre-and post-test assessment in both groups. Knowledge scores and BECCI total scores showed significantly greater improvement in the intervention group compared to the wait-list control group. Conclusions: This study found that a brief educational intervention had a positive impact on medical students' knowledge and skills in behavior change counseling, and that student attitudes about the counseling method were very positive.

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Teaching Motivational Interviewing to First-Year Medical Students to Improve Counseling Skills in Health Behavior Change

Cited by 107 publications

References 10 publications

Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology

Teaching Motivational Interviewing to Primary Care Staff in the Veterans Health Administration

A randomized controlled trial of behavior change counseling education for medical students

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