Introduction of a Motivational Interviewing Curriculum for Family Medicine Residents. 2016

Kim Lazare, and Azadeh Moaveni
Department of Family and Community Medicine, University of Toronto.

OBJECTIVE The literature has shown that Motivational Interviewing (MI) education can be successfully implemented within the residency education environment; however, little research has described how to implement such a curriculum. We propose that residents' MI skills and confidence will increase following participation in an MI curriculum. METHODS Thirty family medicine residents were invited to participate in an 8-hour MI curriculum. Residents completed pre- and post-course confidence questionnaires and the Helpful Responses Questionnaire (HRQ). Wilcoxin Rank Test was used to assess rank differences between pre- and post-course self-confidence ratings, and paired t tests were used to assess effect sizes of the curriculum on HRQ responses. Study outcomes included residents' self-perceived confidence in using MI skills and MI skill performance measured by HRQ scores. RESULTS Residents demonstrated an increase in confidence ratings after the course (n=21, mean before course: 4.19, 2.1 SD; mean after course: 6.71, SD 1.1). Both reviewers found an improvement in HRQ scores after course completion (Reviewer 1: Mean difference=6.05, 95% CI=2.83--8.26, Reviewer 2: Mean difference 4.19, 95% CI=2.19--6.19). CONCLUSIONS There was a statistically significant increase in residents' self-confidence ratings, as well as an improvement in MI skills post-intervention, as evidenced by a statistically significant improvement in MI-consistent HRQ scores.

UI MeSH Term Description Entries
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D008297 Male Males
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D003479 Curriculum A course of study offered by an educational institution. Curricula,Short-Term Courses,Course, Short-Term,Courses, Short-Term,Short Term Courses,Short-Term Course
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D062405 Motivational Interviewing It is a client-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. Interviewing, Motivational
D020377 Self Efficacy Cognitive mechanism based on expectations or beliefs about one's ability to perform actions necessary to produce a given effect. It is also a theoretical component of behavior change in various therapeutic treatments. (APA, Thesaurus of Psychological Index Terms, 1994) Efficacy, Self

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