Training medical students to conduct motivational interviewing: a randomized controlled trial.

Détails

ID Serval
serval:BIB_06EB1828B05C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Training medical students to conduct motivational interviewing: a randomized controlled trial.
Périodique
Patient Education and Counseling
Auteur(s)
Daeppen J.B., Fortini C., Bertholet N., Bonvin R., Berney A., Michaud P.A., Layat C., Gaume J.
ISSN
1873-5134 (Electronic)
ISSN-L
0738-3991
Statut éditorial
Publié
Date de publication
2012
Volume
87
Numéro
3
Pages
313-318
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Résumé
OBJECTIVE: To examine the effectiveness of motivational interviewing (MI) training among medical students.
METHODS: All students (n=131) (year 5) at Lausanne Medical School, Switzerland were randomized into an experimental or a control group. After a training in basic communication skills (control condition), an 8-h MI training was completed by 84.8% students in the exprimental group. One week later, students in both groups were invited to meet with two standardized patients. MI skills were coded by blinded research assistants using the Motivational Interviewing Treatment Integrity 3.0.
RESULTS: Superior MI performance was shown for trained versus control students, as demonstrated by higher scores for "Empathy" [p<0.001] and "MI Spirit" [p<0.001]. Scores were similar between groups for "Direction", indicating that students in both groups invited the patient to talk about behavior change. Behavior counts assessment demonstrated better performance in MI in trained versus untrained students regarding occurences of MI-adherent behavior [p<0.001], MI non-adherent behavior [p<0.001], Closed questions [p<0.001], Open questions [p=0.001], simple reflections [p=0.03], and Complex reflections [p<0.001]. Occurrences were similar between groups regarding "Giving information".
CONCLUSION: An 8-h training workshop was associated with improved MI performance.
PRACTICE IMPLICATIONS: These findings lend support for the implementation of MI training in medical schools.
Mots-clé
Adult, Aged, Behavior Therapy/education, Clinical Competence, Counseling/education, Counseling/methods, Curriculum, Education, Medical, Undergraduate, Female, Humans, Interviews as Topic/methods, Male, Motivation, Patient Education as Topic/methods, Program Evaluation, Students, Medical/psychology, Switzerland, Young Adult
Pubmed
Web of science
Création de la notice
15/03/2012 14:11
Dernière modification de la notice
20/08/2019 12:29
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