A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents

Azari, Soraya; Ratanawongsa, Neda; Hettema, Jennifer E.; Cangelosi, C; Tierney, Matt; Coffa, Diana; Shapiro, Brad; Jain, Sharad; Hersh, David; Manuel, Jennifer K.; Ciccarone, Daniel; Lum, Paula J.

doi:10.15766/mep_2374-8265.10080

Cited by 7 publications

(10 citation statements)

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“…In our study, the logistic model indicated that those who reported some difficulties to implement an SBI program on their CDCs feel lees motivated to perform SBI on their routine practices. Our data are similar to some authors in which the adhesion is closely linked with the levels of motivation (Azari, Ratanawongsa, Hettema, Cangelosi, Tierney, Coffa, et al, 2015;Darnell et al, 2015).…”

Section: Discussionsupporting

confidence: 92%

Evaluation of the Implementation of Brief Interventions to Substance Abuse in a Socieducative Context

Silva

Andrade

Micheli

2018

Psipesq

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Objetivo: Avaliar o conhecimento e dificuldades dos profissionais de centros socioeducativos na realização triagem e intervenção breve (TIB) em adolescentes em conflito com a Lei. Método: 102 profissionais que participaram ou não de capacitações responderam a um questionário específico referente a TIB. Resultados: A falta de tempo na aplicação da TIB e o perfil do adolescente da FCASA foram as principais crenças/dificuldades detectadas. Aqueles que realizaram um curso prévio de capacitação na área de álcool/drogas apresentaram menores chances de adesão e as dificuldades encontradas na aplicação da TIB reduziram a motivação dos profissionais para sua aplicação. Conclusão: Estes dados indicam necessidade na atualização da formação profissional a partir de um ambiente para o diálogo e supervisão dos procedimentos.

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Section: Discussionsupporting

confidence: 92%

Evaluation of the Implementation of Brief Interventions to Substance Abuse in a Socieducative Context

Silva

Andrade

Micheli

2018

Psipesq

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“…Our learners possessed a baseline skill level of MI, but if this is not typical of your learners we recommend reviewing these activities for instruction or a refresher on MI technique. [17][18][19] There is also instructional SBIRT material in MedEdPORTAL that incorporated MI that learners have access to review. 19 Prior to the session, facilitators for each learner group attended an education session that included reviewing the case vignettes and the rating scales along with debriefing instructions.…”

Section: Methodsmentioning

confidence: 99%

Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students

et al. 2020

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Introduction In light of the opioid overdose epidemic in the US and the necessity of developing training to conduct difficult conversations around opioid dependence, three case-based videos were created to demonstrate providers using motivational interviewing (MI) with patients who have opioid use disorder (OUD). These vignettes displayed a primary care provider interacting with a patient seeking opioids. Methods Learners—including third-year medical and physician assistant (PA) students, and family medicine residents—viewed three videos set in a family medicine clinic and assessed clinician use of MI when interacting with patients with OUD. The patients were at different levels of acknowledging their need to change their opioid use behaviors and/or pursue treatment. Learners rated each video with an MI rating scale, and a facilitator debriefed strengths, weaknesses, and omissions regarding MI. Results Medical and PA students, and resident family physicians provided 572 ratings. Analysis of variance of mean percent incorrect was lower in residents than in all groups combined, but failed to reach statistical significance (47% + 12.0 vs 53% + 15.0, p = .43). Discussion These case-based videos with MI ratings afforded students and residents the opportunity to assess clinician use of MI techniques with patients with OUD. The MI rating scale had clinical significance (residents scored +5 points and had more training) despite lacking statistical significance. These scenarios allowed learners to recognize how to use MI when having a difficult conversation with patients who misuse opioids. We envision individual use or use for group discussion.

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“…There are several curricula available in MedEdPORTAL to teach MI skills of varying intensity and focus. Brogan Hartlieb et al 16 and Azari et al 17 present longitudinal curricula intended for internal medicine residents, with 12 hours of curriculum to be completed in three to four sessions. Two curricula utilize standardized patients (SPs) for the education of MI.…”

Section: Introductionmentioning

confidence: 99%

Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit

et al. 2019

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Introduction: Motivational interviewing (MI) is a collaborative patient-focused counseling technique that is effective in promoting smoking cessation but is not consistently taught/practiced in training. Methods: This training session was implemented in a pediatric residency training program and also given four times to pediatric practitioners as part of a 2-day tobacco training sponsored by the American Academy of Pediatrics (AAP). Pediatric residents (N = 33) participated in a 1-hour interactive session focused on addressing tobacco. Knowledge was assessed with pre-and 6-month postsurveys. Retention of skills was evaluated between 6 and 9 months posttraining by resident performance on two scenarios with standardized patients, which was scored utilizing the Behavior Change Counseling Index (BECCI), by two MI-trained physicians. AAP trainees (N = 115) participated in tobacco trainings with a session dedicated to MI; sessions were evaluated by pre-and posttests. Results: Residents who completed the session (n = 12) performed significantly better on eight of 10 items of the BECCI and on the overall BECCI score (p < .001) compared with those who had not completed the session (n = 12). Feedback on AAP training sessions (N = 115) indicated that practitioners felt able to perform MI and incorporate MI into practice. The percentage of trainees who felt comfortable counseling about tobacco doubled from pre-to posttraining. Discussion: A hands-on MI training session provided pediatric residents and practicing clinicians with knowledge and skills to address tobacco use with patients/families. The session is easily incorporated into different training environments.

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A Skills-Based Curriculum for Teaching Motivational Interviewing-Enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Medical Residents

Cited by 7 publications

References 0 publications

Evaluation of the Implementation of Brief Interventions to Substance Abuse in a Socieducative Context

Evaluation of the Implementation of Brief Interventions to Substance Abuse in a Socieducative Context

Opioid Use Disorder and Assessment of Patient Interactions Among Family Medicine Residents, Medical Students, and Physician Assistant Students

Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit

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