Title | Teaching brief motivational interviewing to year three medical students |
Publication Type | Journal Article |
Year of Publication | 2007 |
Authors | Martino, S, Haeseler, F, Belitsky, R, Pantalon, M, th Fortin, AH |
Journal | Medical Education |
Volume | 41 |
Pagination | 160-167 |
Date Published | Feb |
Publication Language | eng |
ISBN Number | 0308-0110 (Print)0308-0110 (Linking) |
Accession Number | 17269949 |
Keywords | *Interview, Psychological, *Students, Medical, Adult, Clinical Competence/standards, Communication, Curriculum, Education, Medical, Undergraduate/*methods, Female, Humans, Male, Motivation, Program Development, Program Evaluation, Teaching/*methods |
Abstract | OBJECTIVES: In 2005, the authors developed and tested a curriculum to teach Year 3 Yale University medical students a behaviour change counselling approach called 'brief motivational interviewing' (BMI). Brief motivational interviewing is a patient-centred approach designed to promote changes in patient behaviour within the time constraints imposed by a busy medical practice. METHODS: Standardised patients/instructors delivered the curriculum within a single 2-hour training episode using a teaching acronym called 'CHANGE' to promote the students' learning. The authors used a pretest, post-test and 4-week follow-up design to assess students' BMI skills (as measured by the Helpful Response Questionnaire), knowledge and attitudes toward the approach. RESULTS: Students successfully increased their use of BMI-consistent behaviours, primarily by increasing the frequency and depth of their reflections and by reducing the frequency with which they incorporated communication roadblocks and closed questions into their responses (all P-values < or = 0.05). Students also showed increases in BMI knowledge, interest in the approach, confidence in their ability to use BMI, and commitment to incorporating BMI skills into their future medical practice (all P-values < or = 0.05). CONCLUSIONS: The findings suggest that Year 3 medical students can learn basic BMI skills and knowledge and develop positive attitudes toward the approach within a relatively short period of time. The authors discuss the study's limitations and future directions for teaching students BMI. |
URL | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17269949 |