Change; Personality, Due to General Medical Condition
Conditions
Keywords
medical education, motivational interviewing, medical empathy
Brief summary
Objective is to evaluate the impact of a basic training programme in motivational interviewing (MI) for medical students, by comparing the ability of students to promote behavioural changes through relationship skills and to conduct a motivational interview before and after training.
Detailed description
Design: A pilot pre-post study in 20 students by comparing students' performance before and after MI training session. Setting: Bicêtre Hospital, Assistance Publique Hôpitaux de Paris, France. Interventions: Students received three four-hour sessions of a basic MI training over a one week period. The students interviewed for 15 minutes a caregiver playing the role of a patient, six weeks before and three weeks after the training. Main outcome measures: Global scores by two independent raters who used the Motivational Interviewing Treatment Integrity (MITI) 3.1.1 code, perception of student's empathy by the caregivers (CARE questionnaire), self-efficacy of students to engage in a patient-centred relationship (SEPCQ score), and student's satisfaction with the odds of achieving the target goal.
Interventions
BEHAVIORALmotivationnal interviewing training
The students received three four-hour sessions of basic motivationnal interviewing training : 1. Viewing and commenting on video clips illustrating motivational and non-motivational doctor-patient interactions. 2. Lectures and the distribution of memory aids. 3. Practical exercises: making reflections, asking open questions; exploring ambivalence; dealing with resistance; expressing empathy, summarising. 4. Role-playing, based on several situations, each involving two students. The investigators deliberately chose a non-medical situation (conflict between a mother and a student asking her for pocket money to go out for fun, the day before a university examination) for the first situation. All the other situations concerned changes to healthier behaviour in a medical setting, but with a goal different from that used for the first or the second simulated interview before motivationnal interviewing training.
Sponsors
INSERM SC10-US19
University of Paris 5 - Rene Descartes
Bicetre Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Intervention model description
A pilot pre-post study investigating the effects of a training programme, by comparing performance before and after its implementation
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Students in clinical internships (fourth or fifth year of medical courses) in the Immunology-Infection-Inflammation-Endocrinology Division of Bicêtre Hospital, Assistance Publique Hôpitaux de Paris. * signed consent
Exclusion criteria
* participation refused * prior training in motivational interviewing
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| GLOBAL MITI scores (MITI = Motivational Interviewing Treatment Integrity version 3.1.1) | 15 mn | Global scores by two independent raters who used the Motivational Interviewing Treatment Integrity (MITI) 3.1.1 code |
| perception of student's empathy by the caregivers | 15 mn | CARE questionnaire (CARE = The Consultation And Relational Empathy questionnaire) |
| self-efficacy of students to engage in a patient-centred relationship | 15 mn | SEPCQ score (SEPCQ = The self-efficacy in patient-centeredness score) |
| student's satisfaction with the odds of achieving the target goal. | 15 mn | specific questionnary (Analog scale of satisfaction from 1 (not satisfied) to 10 (very statisfied)) |
Outcome results
None listed