Adolescent HIV Healthcare Providers’ Competencies in Motivational Interviewing Using a Standard Patient Model of Fidelity Monitoring

Springer Science and Business Media LLC - Tập 23 - Trang 2837-2839 - 2019
Karen Kolmodin MacDonell1, Amy L. Pennar2, Leah King1, Lisa Todd1, Sarah Martinez1, Sylvie Naar2
1Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Wayne State University, Detroit, USA
2Center for Translational Behavioral Medicine, Florida State University, Tallahassee, USA

Tóm tắt

The goal of this project is to describe adolescent HIV care providers’ competence in Motivational Interviewing (MI) using a standard patient interaction model of fidelity assessment. Providers (N = 151) at 11 clinics completed monthly MI role plays. The MI Coach Rating Scale was utilized to assess MI skill. Despite mean differences in baseline MI ability by provider type (medical providers, psychologists/social workers, other), when examined together, only clinic had a significant main effect. Aspects of the clinic environment may have a greater impact on providers’ baseline MI ability than their job type. Future research should continue to explore these clinic factors.

Tài liệu tham khảo

Tanney MR, Naar-King S, Murphy DA, Parsons JT, Janisse H. Multiple risk behaviors among youth living with human immunodeficiency virus in Five US Cities. J Adolesc Health. 2010;46(1):11–6. Cohen MSMD, Chen YQP, McCauley MMPH, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505. Schaefer MR, Kavookjian J. The impact of motivational interviewing on adherence and symptom severity in adolescents and young adults with chronic illness: a systematic review. Patient Educ Couns. 2017;100(12):2190–9. Naar-King S, Outlaw A, Green-Jones M, Wright K, Parsons JT. Motivational interviewing by peer outreach workers: a pilot randomized clinical trial to retain adolescents and young adults in HIV care. AIDS Care. 2009;21(7):868–73. Naar S, Suarez M. Motivational interviewing with adolescents and young adults. New York: Guilford Press; 2011. Carroll KM, Farentinos C, Ball SA, et al. MET meets the real world: design issues and clinical strategies in the Clinical Trials Network. J Subst Abuse Treat. 2002;23(2):73–80. Apodaca TR, Longabaugh R. Mechanisms of change in motivational interviewing: a review and preliminary evaluation of the evidence. Addiction. 2009;104(5):705–15. Walker DD, Stephens R, Roffman R, et al. Randomized controlled trial of motivational enhancement therapy with nontreatment-seeking adolescent cannabis users: a further test of the teen marijuana check-up. Psychol Addict Behav. 2011;25(3):474–84. Madson MB, Campbell TC. Measures of fidelity in motivational enhancement: a systematic review. J Subst Abuse Treat. 2006;31(1):67–73. Naar S, Flynn H. Motivational interviewing and the treatment of depression. In: Arkowitz H, Miller WR, Rollnick S, editors. Motivational interviewing in the treatment of psychological problems. New York: Guilford Publications; 2015. Ebbert DW, Connors H. Standardized patient experiences: evaluation of clinical performance and nurse practitioner student satisfaction. Nurs Educ Perspect. 2004;25(1):12–5. Naar S, MacDonell K, Chapman JE, et al. Tailored Motivational Interviewing implementation-effectiveness trial in multidisciplinary adolescent HIV care settings. JMIR Res Protoc. in press.