Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit
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...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2019-08-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10831 |
| _version_ | 1818755154534465536 |
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| author | Rachel Boykan Julie Gorzkowski Jyothi Marbin Jonathan Winickoff |
| author_facet | Rachel Boykan Julie Gorzkowski Jyothi Marbin Jonathan Winickoff |
| author_sort | Rachel Boykan |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-18T05:34:38Z |
| format | Article |
| id | doaj.art-b7b0660034474a91b5670ffee73507fe |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-18T05:34:38Z |
| publishDate | 2019-08-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-b7b0660034474a91b5670ffee73507fe2022-12-21T21:19:21ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652019-08-011510.15766/mep_2374-8265.10831Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users QuitRachel Boykan0Julie Gorzkowski1Jyothi Marbin2Jonathan Winickoff31 Associate Professor, Department of Pediatrics, Renaissance School of Medicine at Stony Brook University2 Director, Adolescent Health Promotion, American Academy of Pediatrics3 Associate Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine4 Professor, Pediatrics, Harvard Medical School; Professor, Pediatrics, MassGeneral Hospital for Children; Director of Translational Research, American Academy of Pediatrics Julius B. Richmond Center of Excellence; Director of Pediatric Research, Tobacco Research and Treatment Center, Massachusetts General HospitalIntroduction 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.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10831Motivational InterviewingTobacco Smoke ExposureTobaccoPediatricsPreventive Medicine |
| spellingShingle | Rachel Boykan Julie Gorzkowski Jyothi Marbin Jonathan Winickoff Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit MedEdPORTAL Motivational Interviewing Tobacco Smoke Exposure Tobacco Pediatrics Preventive Medicine |
| title | Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit |
| title_full | Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit |
| title_fullStr | Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit |
| title_full_unstemmed | Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit |
| title_short | Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit |
| title_sort | motivational interviewing a high yield interactive session for medical trainees and professionals to help tobacco users quit |
| topic | Motivational Interviewing Tobacco Smoke Exposure Tobacco Pediatrics Preventive Medicine |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10831 |
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