Motivational Interviewing Training for HIV Care Physicians in Argentina: Uptake and Sustainability of an Effective Behavior Change Intervention

Adolescent: provider connectedness and STI risk reduction following a brief alcohol intervention: findings from a randomized controlled trial

“…The importance of examining such syndemic outcomes simultaneously is that they can interactively, negatively influence young people’s developmental trajectory, placing youth at greater risk for sustained patterns of health risk and related problems as they transition into adulthood ( Castelpietra et al, 2022 ; Fu et al, 2022 ; Safiri et al, 2022 ). Extant meta-analyses of patient: provider relational factors indicate promise (small to medium effects) in broad-based mental health outcomes among older populations (e.g., adults) ( Martin et al, 2000 ; Rouleau et al, 2020 ; Del Re et al, 2021 ; Rodriguez et al, 2021 ; Lauckner et al, 2022 ) and children/adolescents ( Murphy and Hutton, 2018 ; Roest et al, 2023 ), but the youth HIV/STI prevention intervention field remains largely absent from empirical studies that examine the role of youth: provider relational factors. The present study is one step toward filling this gap.…”

A small cluster randomised clinical trial to improve health outcomes among Argentine patients disengaged from HIV care

“…In our previous work on this intervention, we have reported providers’ acceptability and feasibility ratings of MI training and implementation. 16 Providers generally found the intervention to be acceptable and feasible and believed that they had sufficient time to use MI with their patients. An additional benefit of the intervention was that it was not perceived as an added burden for an already challenging population.…”

“… 20 Physician-delivered MI in the clinical setting applies a non-judgmental and empathetic approach toward patient care, encouraging the patient to break down barriers to change, and supporting the patient to make positive changes. 16 …”

“…The process of provider training, acquisition of MI skills, and supervision has previously been described and was comprised of workshops, readings, and coaching. 16 Briefly, the structured training protocol was comprised of a manualized MI program of three 8-hour workshops over 12 months – introductory training at baseline, and advanced training providing additional opportunities for skill-building at 6-months and 12-months. Sessions were structured using The Provider Training Intervention Manual and slide presentations developed by the team, which consisted of both didactic and interactive training on basic MI skills and MI “spirit” including collaboration, patient autonomy, evoking patient motivation, recognizing change focused talk, and MI consistency.…”

“…This study team then launched a randomised clinical trial of MI and successfully trained physicians across Argentina to use MI in ongoing clinical practice. 16 Given the nature of the context and clinic settings, to prevent intervention contamination and to keep the ecological validity, the use of a cluster-randomised controlled trial design was selected, with clinics being defined as clusters. The trial examined the impact of physician-delivered MI compared to an enhanced standard of care on satisfaction with the patient-provider relationship, ART adherence, HIV viral load, CD 4 + count, retention in care, and self-efficacy.…”