Motivational Interviewing Skills in Health Care Encounters (MISHCE): Development and psychometric testing of an assessment tool

Petrova, Tatjana; Kavookjian, Jan; Madson, Michael B.; Dagley, John C.; Shannon, David; McDonough, Sharon K.

doi:10.1016/j.sapharm.2014.12.001

Cited by 12 publications

(5 citation statements)

References 14 publications

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“…The ability to express empathy has been reported as a positive indicator of patient-centered disposition among health care providers and sex-based differences have also been reported. [28][29][30][31][32] Bratek and colleagues assessed empathy among medical school candidates, students, trainees, residents and specialists using a self-report survey (The Interpersonal Reactivity Index). 33 Similar differences based on sex was reported, where female participants reported higher empathy compared to male participants.…”

Section: Discussionmentioning

confidence: 99%

“…Level of acquired skills was assessed by incorporating a standardized patient encounter into the Objective Structured Clinical Examination (OSCE) and were graded using an internally validated tool by MI experts. 30 Prior to being exposed to any course content about empathy or cultural competence, student predisposition for attitudes toward empathy and cultural sensitivity in health care encounters were measured via online surveys. After exposure to the MI content and skills development, their perceptions about importance and confidence for using MI, and intentions for current and future use of MI skills in patient encounters were assessed.…”

Section: Methodsmentioning

confidence: 99%

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Predisposition for Empathy, Intercultural Sensitivity, and Intentions for Using Motivational Interviewing in First Year Pharmacy Students

Ekong

Kavookjian

Hutchison

2017

American Journal of Pharmaceutical Education

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Objective. To assess first-year pharmacy (P1) students' predispositions (eg, perceptions for empathy, intercultural sensitivity, and motivational interviewing (MI) as a patient-centered communication skillset) and identify potential curricula content/communication skills training needs. Methods. A cross-sectional survey was used to collect students' self-reported perceptions for empathy, intercultural sensitivity, counseling contexts, and projected future MI use. Relationships between variables were explored and logistic regression was used to evaluate intention for using MI in future patient encounters.Results. There were 134 students who participated. Higher predisposition for empathy and for intercultural sensitivity were significantly correlated. Significant predictors for applying MI in future patient encounters were sex, confidence with counseling skills, and current use of MI. Conclusion. Results suggest the need to incorporate innovative training strategies in communication skills curricula. Potential areas include empathy, intercultural sensitivity and significant predictor variables for future MI use. Further investigation in other schools is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Predisposition for Empathy, Intercultural Sensitivity, and Intentions for Using Motivational Interviewing in First Year Pharmacy Students

Ekong

Kavookjian

Hutchison

2017

American Journal of Pharmaceutical Education

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“…All interviews were audio-recorded and coded for fidelity utilizing the measure, Motivational Interviewing Skills in Health Care Encounters (MISHCE), which was developed based on the MI training model used in this study. 34 The MISHCE was first used post-training to assess interventionist baseline MI proficiency in an 8-min simulated encounter with a trained standardized patient. The first use of the MISHCE within the study was to provide initial feedback during the first month of interviews; the first five participant encounters were coded, and feedback was then provided to the interventionist to promote self-awareness of strengths and areas for improvement.…”

Section: Methodsmentioning

confidence: 99%

Impact of motivational interviewing as a follow-up to an exercise intervention among women with or at risk for metabolic syndrome: A randomized controlled trial

et al. 2022

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Objectives: Women have a higher prevalence of metabolic syndrome than their male counterparts, and interventions should target women with or at risk for metabolic syndrome. The objective of this study was to compare two intervention strategies on long-term outcomes following the completion of an exercise intervention. Methods: Twenty-six women ( M age = 43.35 ± 9.03) with at least one risk factor for metabolic syndrome were randomized into either a motivational interviewing group ( n = 10) or self-regulation-based mobile messaging control group ( n = 16) as a 12-week follow-up to a 10-week, 30-session exercise intervention. Outcomes of interest were body fat percentage, bone mineral density, waist circumference, systolic blood pressure, diastolic blood pressure, triglycerides, high-density cholesterol, and fasting blood glucose. Results: Mixed ANOVAs revealed a significant effect for group × time for body fat percentage F(1, 24) = 8.30, p = 0.01, [Formula: see text] = 0.26, bone mineral density F(1, 24) = 6.68, p = 0.02, [Formula: see text] = 0.22, waist circumference F(1, 24) = 10.35, p = 0.01, [Formula: see text] = 0.30, triglycerides F(1, 24) = 5.06, p = 0.03, [Formula: see text] = 0.17, and systolic blood pressure F(1, 24) = 5.39, p = 0.03, [Formula: see text] = 0.18 all in favor of the motivational interviewing group after 12 weeks when compared to the self-regulation-based mobile messaging group. No significant effect for group × time was noted for diastolic blood pressure p = 0.36, [Formula: see text] = 0.04, high-density cholesterol p = 0.08, [Formula: see text] = 0.12, or fasting blood glucose p = 0.85, [Formula: see text] = 0.01 when comparing the motivational interviewing and self-regulation-based mobile messaging groups. Conclusions: Motivational interviewing may be a more impactful solution to extend the effects of exercise intervention studies compared to a self-regulation-based mobile messaging control group. Future interventions should focus on increasing sample size, utilizing more objective measures of body composition, utilizing booster sessions, and increasing the length of follow-up periods.

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“…Other MI measurement tools reported to have promising psychometric integrity but in the early stages of development are the Coding of MI Planning tool (Copeland et al, 2017), developed to code planning talk within MI, and the Motivational Interviewing Skills in Health Care Encounters (MISHCE) to assess MI skills competence in health care provider trainees (Petrova et al, 2015).…”

Section: Measuring Mi-consistent Behaviourmentioning

confidence: 99%

Can a training programme in motivational interviewing change musculoskeletal physiotherapists’ practice? The example of low back pain

Haig

2019

Physiotherapy

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BackgroundLow back pain (LBP) is a leading cause of disability nationally and globally, and forms between 40% and 65% of musculoskeletal physiotherapists' caseloads in the UK. Despite professional expectations to deliver person-centred practice, a biomedical and practitioner-centred perspective continues to dominate within physiotherapy. Many physiotherapists lack the knowledge and skills to deliver psychologically informed practice, which for persistent LBP requires consideration of the needs, preferences and values of the patient. Motivational interviewing (MI) has been recommended as a psychologically informed approach for physiotherapists working with persistent LBP patients, although little research has been carried out into its use. AimThis study aims to investigate the effects of MI training on physiotherapists' beliefs, attitudes and practice in relation to persistent LBP. MethodsA convergent parallel mixed methods study was undertaken. Volunteer musculoskeletal physiotherapists (n=16) were recruited from two musculoskeletal physiotherapy departments within a Community NHS Trust in greater London and allocated to either a MI training Group A (n=10) or a comparison Group B (n=6). The MI training group received an initial two-day MI course followed up by monthly supervision sessions delivered in the workplace. Outcomes were measured pretraining (baseline) then at three and six months later for both groups. Beliefs and attitudes and to persistent low back pain were measured using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) and the Health Care Providers Pain and Impairment Relationship Scale (HC-PAIRS). Self-reported proficiency, confidence and intention to use MI were measured using visual analogues scales (VAS). The Motivational Interviewing Training Integrity scale (MITI) generated global ratings and behaviour counts from audio-recordings of initial consultations with persistent LBP patients. The implementation and impact of MI in practice was explored through semi-structured interviews with Group A physiotherapists only at six months.

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Motivational Interviewing Skills in Health Care Encounters (MISHCE): Development and psychometric testing of an assessment tool

Cited by 12 publications

References 14 publications

Predisposition for Empathy, Intercultural Sensitivity, and Intentions for Using Motivational Interviewing in First Year Pharmacy Students

Predisposition for Empathy, Intercultural Sensitivity, and Intentions for Using Motivational Interviewing in First Year Pharmacy Students

Impact of motivational interviewing as a follow-up to an exercise intervention among women with or at risk for metabolic syndrome: A randomized controlled trial

Can a training programme in motivational interviewing change musculoskeletal physiotherapists’ practice? The example of low back pain

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