Behavior Change Interventions, Evaluation, Healthcare Provider Training, Health Services Research, Patient-provider Communication, Training Effectiveness
Conditions
Keywords
Behavior change interventions, Evaluation, Training effectiveness, Health services research, Healthcare provider training, Patient-provider communication, Motivational interviewing
Brief summary
The goal of this study is to evaluate the impact of motivational interviewing (MI) training for Geisinger clinicians on their patients' health outcomes. Clinicians will be randomly assigned to attend or not attend mandated MI training, which will be provided at one of several sessions offered beginning in August 2026. Randomization will be stratified by department to ensure participant balance and that participating departments maintain necessary staffing levels during the training period. The study will assess whether there is a significant increase in patients' positive health behaviors and outcomes, as reflected in an index measure of multiple outcomes that may reasonably be facilitated by MI training: vaccinations and health screenings as reflected in electronic health record care gaps. Smoking cessation and other lifestyle modifications, preventive medication adherence, and behavioral health use may also be examined as part of an overall measure of MI impact. For each clinician assigned to the study, all patients they see in the 90-day period following the (would-be) date of that clinician's training will be identified and enrolled in the study. Outcome timeframes will then be relative to each unique patient's first encounter following (would-be) training.
Interventions
BEHAVIORALMI training
Clinicians will be instructed to register for one MI training session that will be conducted live and in person, with possible virtual training available for those unable to attend in person
Sponsors
Geisinger Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Masking description
Clinicians will be aware of whether or not they are receiving MI training. Patients will not be informed about whether their clinicians received MI training, but they will be able to observe clinician behaviors affected by the training.
Intervention model description
The design is intent-to-treat, such that clinicians randomized to training will be included in the treatment group, regardless of whether they attended the (in-person) training session.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Clinician Inclusion Criteria: * Employed by Geisinger throughout study period * Working in the Community Medical Service Line (CMSL) or 65 Forward * MD, DO, PA Patient Inclusion Criteria: * \>= 18 years of age * Attended a CMSL or 65 Forward encounter with an enrolled clinician at least once during the study period, following the MI training
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of care gaps addressed | Within 180 days following initial patient encounter, as of day following (would-be) assigned MI training session | Proportion of open care gaps closed |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAmir Goren, PhD
Geisinger Clinic
Outcome results
None listed