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

Cucciare, Michael A.; Ketroser, Nicole; Wilbourne, Paula; Midboe, Amanda M.; Cronkite, Ruth C.; Berg-Smith, Steven; Chardos, John F.

doi:10.1007/s11606-012-2016-6

Cited by 27 publications

(12 citation statements)

References 18 publications

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“…A fundamental aim of PACT is enhanced coordination among staff and use of evidence-based tools to encourage healthy lifestyle choices among patients. [28][29][30] Second, SFVAMC has used implementation of PACT as an opportunity to increase motivational interviewing, a style of patient-centered health care dialogue that helps patients identify and resolve discrepancies between their actual and desired behavior. 31,32 The authors believe motivational interviewing may be particularly powerful for Veterans, as prior research has demonstrated the effectiveness of motivational interviewing in reducing substance use, improving dietary habits, and engaging patients in chronic disease management.…”

Section: Discussionmentioning

confidence: 99%

Transitional Care Challenges of Rehospitalized Veterans: Listening to Patients and Providers

Stephens

Sackett

Pierce

et al. 2013

Population Health Management

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Readmissions to the hospital are common and costly, often resulting from poor care coordination. Despite increased attention given to improving the quality and safety of care transitions, little is known about patient and provider perspectives of the transitional care needs of rehospitalized Veterans. As part of a larger quality improvement initiative to reduce hospital readmissions, the authors conducted semi-structured interviews with 25 patients and 14 of their interdisciplinary health care providers to better understand their perspectives of the transitional care needs and challenges faced by rehospitalized Veterans. Patients identified 3 common themes that led to rehospitalization: (1) knowledge gaps and deferred power; (2) difficulties navigating the health care system; and (3) complex psychiatric and social needs. Providers identified different themes that led to rehospitalization: (1) substance abuse and mental illness; (2) lack of social or financial support and homelessness; (3) premature discharge and poor communication; and (4) nonadherence with follow-up. Results underscore that rehospitalized Veterans have a complex overlapping profile of real and perceived physical, mental, and social needs. A paradigm of disempowerment and deferred responsibility appears to exist between patients and providers that contributes to ineffective care transitions, resulting in readmissions. These results highlight the cultural constraints on systems of care and suggest that process improvements should focus on increasing the sense of partnership between patients and providers, while simultaneously creating a culture of empowerment, ownership, and engagement, to achieve success in reducing hospital readmissions. (Population Health Management 2013;16:326-331)

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Section: Discussionmentioning

confidence: 99%

Transitional Care Challenges of Rehospitalized Veterans: Listening to Patients and Providers

Stephens

Sackett

Pierce

et al. 2013

Population Health Management

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show abstract

“…[6][7][8][9][10][11][12][13][14] As a result, the approaches are not widely employed in practice, where primary care providers must address multiple issues in office visits, seldom limited to behavioral change. [15][16][17] There is an urgent need for effective, focused, time-efficient interviewing approaches that busy practitioners can routinely employ to motivate healthy behaviors. 18 One promising approach is training primary care providers to enhance patient self-efficacy, or confidence in their ability to complete the tasks leading to a behavioral goal.…”

mentioning

confidence: 99%

Training Primary Care Physicians to Employ Self-Efficacy-Enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention

et al. 2016

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“…Comprehensive formal training in MI can be obtained online or in person from a variety of sources, including a framework and curriculum for training resident physicians in family medicine and psychiatry 8 as well as other prescribing providers (nurse practitioners and physician assistants). 9 …”

Section: Definitionmentioning

confidence: 99%

Behavioral Health in Prevention and Chronic Illness Management

Tuccero

Railey

Briggs

et al. 2016

Primary Care: Clinics in Office Practice

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

Cited by 27 publications

References 18 publications

Transitional Care Challenges of Rehospitalized Veterans: Listening to Patients and Providers

Transitional Care Challenges of Rehospitalized Veterans: Listening to Patients and Providers

Training Primary Care Physicians to Employ Self-Efficacy-Enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention

Behavioral Health in Prevention and Chronic Illness Management

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