Motivational interviewing

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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[5]
    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

  1. Anonymous (2024), Motivational interviewing (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. 2.0 2.1 Cucciare MA, Ketroser N, Wilbourne P, Midboe AM, Cronkite R, Berg-Smith SM et al. (2012). "Teaching motivational interviewing to primary care staff in the Veterans Health Administration.". J Gen Intern Med 27 (8): 953-61. DOI:10.1007/s11606-012-2016-6. PMID 22370769. PMC PMC3403134. Research Blogging.
  3. 3.0 3.1 Childers JW, Bost JE, Kraemer KL, Cluss PA, Spagnoletti CL, Gonzaga AM et al. (2012). "Giving residents tools to talk about behavior change: a motivational interviewing curriculum description and evaluation.". Patient Educ Couns 89 (2): 281-7. DOI:10.1016/j.pec.2012.08.001. PMID 22910139. Research Blogging.
  4. 4.0 4.1 Bell K, Cole BA (2008). "Improving medical students' success in promoting health behavior change: a curriculum evaluation.". J Gen Intern Med 23 (9): 1503-6. DOI:10.1007/s11606-008-0678-x. PMID 18592322. PMC PMC2518029. Research Blogging.
  5. Green ML, Gross CP, Kernan WN, Wong JG, Holmboe ES (2003). "Integrating teaching skills and clinical content in a faculty development workshop.". J Gen Intern Med 18 (6): 468-74. PMID 12823654. PMC PMC1494873[e]