Advanced Patient-Centered Communication for Health Behavior Change: Motivational Interviewing Workshops for Medical Learners.

Autor:	Brogan Hartlieb K; Assistant Professor, Department of Humanities, Health and Society, Herbert Wertheim College of Medicine, Florida International University., Engle B; Assistant Professor, Department of Humanities, Health and Society, Herbert Wertheim College of Medicine, Florida International University., Obeso V; Associate Professor of Medicine, Herbert Wertheim College of Medicine, Florida International University.; Assistant Dean for Curriculum and Medical Education, Herbert Wertheim College of Medicine, Florida International University.; Medical Director, Albert and Debbie Tano Simulation Center, Herbert Wertheim College of Medicine, Florida International University., Pedoussaut MA; Assistant Professor, Department of Humanities, Health and Society, Herbert Wertheim College of Medicine, Florida International University., Merlo LJ; Associate Professor, Department of Psychiatry, University of Florida College of Medicine., Brown DR; Associate Professor, Department of Humanities, Health and Society, Herbert Wertheim College of Medicine, Florida International University.; Chief of the Division of Family Medicine, Department of Humanities, Health and Society, Herbert Wertheim College of Medicine, Florida International University.
Jazyk:	angličtina
Zdroj:	MedEdPORTAL : the journal of teaching and learning resources [MedEdPORTAL] 2016 Sep 16; Vol. 12, pp. 10455. Date of Electronic Publication: 2016 Sep 16.
DOI:	10.15766/mep_2374-8265.10455
Abstrakt:	Introduction: Medical settings are critical access points for behavior change counseling, and lifestyle behavior change is considered a key component of chronic disease management. The Association of American Medical Colleges recommends that future physicians be competent in shared decision making and patient-centered behavioral guidance to prevent illness and improve patient self-management of chronic disease. Motivational interviewing (MI) is a patient-centered, directive method of communication to enhance behavior change. Specific teachable strategies underlie the collaborative MI communication style that aims to reduce discord and build motivation for change. Methods: We present our three-session 12-hour MI curriculum as an advanced form of patient-centered communication. Each session includes presession assignment, large-group interactive lecture, and small-group activities for practice. An interdisciplinary team consisting of medical educators and health behavior change research-educators who are also members of the Motivational Interviewing Network of Trainers created the submission. The purpose of this resource is to provide medical educators with a short curriculum that incorporates materials and learning activities to promote skill in MI. Results: In addition to positive feedback from student evaluations including the areas of relevance to training and self-rated skills improvement, preliminary pre- and posttraining scores from the medical students show significant improvement in expression of empathy and the ratio of reflections to questions. Discussion: Implementation of the curriculum allows learners the opportunity to practice evidence-based communication that promotes intrinsic motivation for health behavior change in patients, a key treatment focus in chronic disease management. Competing Interests: None to report.
Databáze:	MEDLINE
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