Motivational interviewing

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Revision as of 11:46, 22 February 2013 by imported>Robert Badgett (→‎Effectiveness: Added Bell)
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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