Teaching brief motivational interviewing to Year three medical students.

Full Abstract

OBJECTIVES:
In 2005, the authors developed and tested a curriculum to teach Year 3 Yale University medical students a behaviour change counselling approach called 'brief motivational interviewing' (BMI). Brief motivational interviewing is a patient-centred approach designed to promote changes in patient behaviour within the time constraints imposed by a busy medical practice.

METHODS:
Standardised patients/instructors delivered the curriculum within a single 2-hour training episode using a teaching acronym called 'CHANGE' to promote the students' learning. The authors used a pretest, post-test and 4-week follow-up design to assess students' BMI skills (as measured by the Helpful Response Questionnaire), knowledge and attitudes toward the approach.

RESULTS:
Students successfully increased their use of BMI-consistent behaviours, primarily by increasing the frequency and depth of their reflections and by reducing the frequency with which they incorporated communication roadblocks and closed questions into their responses (all P-values < or = 0.05). Students also showed increases in BMI knowledge, interest in the approach, confidence in their ability to use BMI, and commitment to incorporating BMI skills into their future medical practice (all P-values < or = 0.05).

CONCLUSIONS:
The findings suggest that Year 3 medical students can learn basic BMI skills and knowledge and develop positive attitudes toward the approach within a relatively short period of time. The authors discuss the study's limitations and future directions for teaching students BMI.

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Author information

Author/s: Martino, Steve (S); Haeseler, Frederick (F); Belitsky, Richard (R); Pantalon, Michael (M); Fortin, Auguste H (AH);

Affiliation: Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06516, USA. steve.martino(-atsign-)yale.edu

Grants: K23 DA15144 (Agency:NIDA NIH HHS) ; R01 DA1025273 (Agency:NIDA NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't

Journal: Medical education (Med Educ), published in England. (Language: eng)

Reference: 2007-Feb; vol 41 (issue 2) : pp 160-7

Dates: Created 2007/02/02; Completed 2007/05/10; Revised 2007/12/03;

PMID: 17269949, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Clinical Competence - standards
Communication
Curriculum
Education, Medical, Undergraduate - methods
Female
Humans

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