Helping Your Patient Change: A Patient-Centered Behavioral Counseling Presentation for Second-Year Medical Students

Kolasa, Kathryn M.; Craven, Kay; Byrd, James C.; Merricks, Patrick

doi:10.15766/mep_2374-8265.10166

Cited by 7 publications

(7 citation statements)

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“…Many health professions programs have successfully taught MI to health care professionals and learners. [14][15][16][17][18][19][20][21][22][23][24] Meta-analyses of MI training for health care practitioners 25 found generally positive outcomes for such programs. One meta-analysis 10 looking at the impact of physicians using MI showed an effect in 83% of studies, which was even higher than the rate of effectiveness of psychologists (79%).…”

Section: Introductionmentioning

confidence: 99%

Motivational Interviewing Training: A Case-Based Curriculum for Preclinical Medical Students

et al. 2021

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Introduction: With the rise of chronic medical problems involving lifestyle behaviors and the benefits of patient involvement in preventative care, medical students need to learn how to help patients change health risk behaviors and improve patient involvement in order to improve health outcomes. Motivational interviewing (MI) is a patient-centered therapeutic approach that is effective in the treatment of lifestyle behaviors and diseases. Methods: This 2-hour didactic training session, along with a 3-hour case-based practice session involving role-plays and a 3-hour evaluated session utilizing standardized patients, was delivered to 68 preclinical medical students. Knowledge, attitudes, and self-efficacy were evaluated via pre-and posttraining surveys, and satisfaction with the training was assessed upon completion. Results: Students who completed both pre-and postsurveys (n = 48) showed a statistically significant improvement in knowledge of MI (t = −29.73, df = 47, p < .001), attitudes regarding implementing MI in health care settings (t = −3.04, df = 47, p < .005), and self-efficacy (t = −10.699, df = 47, p < .001) in talking with patients about behavior change. Students were also highly satisfied with the MI training package (M of 4.4, SD = 0.6, out of 5.0). Discussion: A training package to teach preclinical medical students about MI was effective in helping students learn the knowledge and skills necessary to deliver MI in a broad range of clinical cases.

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Section: Introductionmentioning

confidence: 99%

Motivational Interviewing Training: A Case-Based Curriculum for Preclinical Medical Students

et al. 2021

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“…Several MedEdPORTAL publications deal with obesity counseling and behavioral change curricula, and one offers a wellness program for undergraduate medical students, but none specifically focus on the discipline of lifestyle medicine that simultaneously emphasizes patient and personal wellness. [13][14][15][16][17] Recognizing these curricular gaps at our own institution and appreciating the unique stressors and obstacles our students face in trying to make positive lifestyle choices, we developed and delivered a series of interactive workshops with the goal of teaching students about the lifestyle and behavioral factors that affect the health of both the patients they care for and themselves. We used the combined instructional modalities of didactic presentations, small-group discussions, and individual reflective practices to deliver curricular content and engage students.…”

Section: Introductionmentioning

confidence: 99%

An Interactive Lifestyle Medicine Curriculum for Third-Year Medical Students to Promote Student and Patient Wellness

et al. 2020

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Introduction: Although lifestyle intervention and behavior modification are effective in the prevention and treatment of chronic disease, few medical schools provide specific training in stress management, nutrition, or physical activity. While the prevalence of chronic disease rises, medical students and physicians lack sufficient knowledge and skills to promote their patients' as well as their own wellness across these domains. Methods: We developed three hour-long workshops delivered to third-year medical students. We employed interactive lectures, small-group discussions, and reflective activities to teach the pillars of lifestyle medicine. These sessions focused on knowledge and skills to advance lifestyle counseling and behavior modification interventions with patients and to promote student wellness. We assessed student satisfaction with each session as well as self-perceived knowledge, skills, and attitudes toward lifestyle medicine and behavior change before and after the curriculum. Results: Over 2 years, 183 students participated in the workshop series. The sessions received high ratings, with a mean of 4.2 on a 5-point Likert scale. Participating in the curriculum significantly enhanced students' understanding of the connection between lifestyle factors and the health of patients and improved their confidence about counseling for behavioral change. Discussion: Lifestyle medicine provides an evidence-based framework for teaching students about the impact of lifestyle modification on chronic disease. While receiving knowledge and skills to advance patient care in the domains of stress management, nutrition, and physical activity, students who completed this curriculum also had the opportunity to reflect on their own health promotion, which could mitigate professional burnout.

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“…7–9 There are a handful of MedEdPORTAL resources dealing with introducing psychotherapy to medical trainees. 10,11 However, to date, only one resource, created by Romito, Coan, and Christen, incorporates these techniques for smoking cessation. 12 Our workshop differs from the one created by Romito and colleagues in that ours focuses specifically on CBT, providing a broader view of the modality, and incorporates the use of CBT in conjunction with pharmacotherapies.…”

Section: Introductionmentioning

confidence: 99%

Cognitive Behavioral Therapy and Pharmacotherapy for the Treatment of Tobacco Use Disorder in Primary Care for Resident Physicians

et al. 2019

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Introduction Though the prevalence of smoking has decreased, it remains the second leading risk for early death and disability worldwide. At the primary care level, the combined use of behavioral interventions and pharmacotherapy has been shown to be more effective in reduction of smoking. Among behavioral interventions, cognitive behavioral therapy (CBT) provides a useful framework for helping patients quit smoking. Methods This 90-minute workshop was led by two facilitators, a general internist who practices as a primary care physician and a clinical psychologist with content expertise in CBT. This pairing provided complementary perspectives to allow for learner engagement. To evaluate the workshop, we used a pre-/postsurvey that was administered at the beginning and the end of the workshop. Participants were asked how often they incorporated (presurvey) and intended to incorporate (postsurvey) CBT as part of smoking cessation counseling in their clinical practices. Results There was a statistically significant change in learners' perceived usefulness of CBT for smoking cessation from pre- to postworkshop. Discussion Our workshop is a unique contribution to the literature. Limitations of our study include not knowing the long-term effect of knowledge acquisition or decay. Our future direction will be to produce training that applies CBT to other common chronic diseases that have a huge behavioral component in primary care, such as insomnia, chronic pain, and obesity.

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Helping Your Patient Change: A Patient-Centered Behavioral Counseling Presentation for Second-Year Medical Students

Cited by 7 publications

References 0 publications

Motivational Interviewing Training: A Case-Based Curriculum for Preclinical Medical Students

Motivational Interviewing Training: A Case-Based Curriculum for Preclinical Medical Students

An Interactive Lifestyle Medicine Curriculum for Third-Year Medical Students to Promote Student and Patient Wellness

Cognitive Behavioral Therapy and Pharmacotherapy for the Treatment of Tobacco Use Disorder in Primary Care for Resident Physicians

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