Motivational interviewing: Difference between revisions

From Citizendium
Jump to navigation Jump to search
imported>Robert Badgett
(→‎Effectiveness: Added Childers)
imported>Robert Badgett
(→‎Effectiveness: Added Bell)
Line 3: Line 3:
==Effectiveness==
==Effectiveness==
{| class="wikitable"
{| class="wikitable"
|+ Studies of the effectiveness of teaching motivational learning<ref name="pmid22370769">{{cite journal| author=Cucciare MA, Ketroser N, Wilbourne P, Midboe AM, Cronkite R, Berg-Smith SM et al.| title=Teaching motivational interviewing to primary care staff in the Veterans Health Administration. | journal=J Gen Intern Med | year= 2012 | volume= 27 | issue= 8 | pages= 953-61 | pmid=22370769 | doi=10.1007/s11606-012-2016-6 | pmc=PMC3403134 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22370769  }} </ref><ref name="pmid22910139">{{cite journal| author=Childers JW, Bost JE, Kraemer KL, Cluss PA, Spagnoletti CL, Gonzaga AM et al.| title=Giving residents tools to talk about behavior change: a motivational interviewing curriculum description and evaluation. | journal=Patient Educ Couns | year= 2012 | volume= 89 | issue= 2 | pages= 281-7 | pmid=22910139 | doi=10.1016/j.pec.2012.08.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22910139  }} </ref>
|+ Studies of the effectiveness of teaching motivational learning<ref name="pmid22370769">{{cite journal| author=Cucciare MA, Ketroser N, Wilbourne P, Midboe AM, Cronkite R, Berg-Smith SM et al.| title=Teaching motivational interviewing to primary care staff in the Veterans Health Administration. | journal=J Gen Intern Med | year= 2012 | volume= 27 | issue= 8 | pages= 953-61 | pmid=22370769 | doi=10.1007/s11606-012-2016-6 | pmc=PMC3403134 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22370769  }} </ref><ref name="pmid22910139">{{cite journal| author=Childers JW, Bost JE, Kraemer KL, Cluss PA, Spagnoletti CL, Gonzaga AM et al.| title=Giving residents tools to talk about behavior change: a motivational interviewing curriculum description and evaluation. | journal=Patient Educ Couns | year= 2012 | volume= 89 | issue= 2 | pages= 281-7 | pmid=22910139 | doi=10.1016/j.pec.2012.08.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22910139 }} </ref><ref name="pmid18592322">{{cite journal| author=Bell K, Cole BA| title=Improving medical students' success in promoting health behavior change: a curriculum evaluation. | journal=J Gen Intern Med | year= 2008 | volume= 23 | issue= 9 | pages= 1503-6 | pmid=18592322 | doi=10.1007/s11606-008-0678-x | pmc=PMC2518029 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18592322 }} </ref>
! rowspan="2"|Trial!!rowspan="2"| Patients!!rowspan="2"| Intervention!!rowspan="2"|Comparison !!rowspan="2"|Outcome!!colspan="2"|Results!!rowspan="2"|Comment
! rowspan="2"|Trial!!rowspan="2"| Patients!!rowspan="2"| Intervention!!rowspan="2"|Comparison !!rowspan="2"|Outcome!!colspan="2"|Results!!rowspan="2"|Comment
|-<br/>
|-<br/>
Line 13: Line 13:
| Childers<ref name="pmid22910139"/><br/>2012 || Medical residents (third year of training)|| "Groups of two to four residents met for a half-day session weekly for four weeks with a faculty internist trained in MI." 12 hours||Not applicable in this before-after study|| Helpful Responses Questionnaire|| &nbsp;|| &nbsp;|| Increased residents’ use of core MI communication skills
| Childers<ref name="pmid22910139"/><br/>2012 || Medical residents (third year of training)|| "Groups of two to four residents met for a half-day session weekly for four weeks with a faculty internist trained in MI." 12 hours||Not applicable in this before-after study|| Helpful Responses Questionnaire|| &nbsp;|| &nbsp;|| Increased residents’ use of core MI communication skills
|-
|-
| &nbsp; || Medical residents|| &nbsp;||Not applicable in this before-after study|| &nbsp;|| &nbsp;|| &nbsp;|| &nbsp;
| Bell<ref name="pmid18592322"/><br/>2008 || Medical students|| four 2-h sessions||Not applicable in this before-after study|| &bull;&nbsp;Video Assessment of Simulated Encounters-Revised (VASE-R)<br/>&bull;&nbsp;Commitment to Change (CTC) statements|| &nbsp;|| &nbsp;|| Improved knowledge, confidence, and skills
|-
|-
| &nbsp; || &nbsp;|| &nbsp;||Not applicable in this before-after study|| &nbsp;|| &nbsp;|| &nbsp;|| &nbsp;
| &nbsp; || &nbsp;|| &nbsp;||Not applicable in this before-after study|| &nbsp;|| &nbsp;|| &nbsp;|| &nbsp;

Revision as of 11:46, 22 February 2013

studyMotivational interviewing is a "lient-centered, directive method for eliciting intrinsic motivation to change using open-ended questions, reflective listening, and decisional balancing. This nonjudgmental, nonconfrontational interviewing style is designed to minimize a patient's resistance to change by creating an interaction that supports open discussion of risky or problem behavior."[1]

Effectiveness

Studies of the effectiveness of teaching motivational learning[2][3][4]
Trial Patients Intervention Comparison Outcome Results Comment
After Before
Cucciare[2]
2012
Staff in the United States Veterans Health Administration "Three sessions—a half-day, in-person workshop, followed by a 60-minute virtual training, followed by a second, half-day, in-person training workshop. Each session was spaced two weeks apart" Not applicable in this before-after study Questionnaire asking knowledge, confidence, attitudes, and responses to vignettes     Increases in knowledge, confidence, and written

responses to the vignettes

Childers[3]
2012
Medical residents (third year of training) "Groups of two to four residents met for a half-day session weekly for four weeks with a faculty internist trained in MI." 12 hours Not applicable in this before-after study Helpful Responses Questionnaire     Increased residents’ use of core MI communication skills
Bell[4]
2008
Medical students four 2-h sessions Not applicable in this before-after study • Video Assessment of Simulated Encounters-Revised (VASE-R)
• Commitment to Change (CTC) statements
    Improved knowledge, confidence, and skills
      Not applicable in this before-after study        
      Not applicable in this before-after study        
      Not applicable in this before-after study        

References