Motivational Interviewing Training for Medical Students: a Pilot Pre-post Study

Change; Personality, Due to General Medical Condition Clinical Trial

— FEMEM  

Official title:

Optimising the Relationship Between Medical Students and Patients Through a Motivational Interviewing Training Programme: a Pilot Pre-post Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03285828
• Other study ID #: FEMEM
• Status: Completed
• Phase: N/A
• First received: September 8, 2017
• Last updated: September 15, 2017
• Start date: April 4, 2016
• Est. completion date: June 30, 2016

Study information

• Verified date: September 2017
• Source: Bicetre Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: June 30, 2016
• Est. primary completion date: June 30, 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

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

Related Conditions & MeSH terms

• Change; Personality, Due to General Medical Condition

Intervention

Behavioral:
• motivationnal interviewing training
The students received three four-hour sessions of basic motivationnal interviewing training : Viewing and commenting on video clips illustrating motivational and non-motivational doctor-patient interactions. Lectures and the distribution of memory aids. Practical exercises: making "reflections", asking open questions; exploring ambivalence; dealing with resistance; expressing empathy, summarising. 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.

Locations

Country	Name	City	State
n/a

Sponsors (4)

Lead Sponsor	Collaborator
Bicetre Hospital	INSERM SC10-US19, Internal Medicine Unit Bicetre Hospital, AP-HP, University of Paris 5 - Rene Descartes

References & Publications (1)

Rollnick S, Butler CC, Kinnersley P, Gregory J, Mash B. Motivational interviewing. BMJ. 2010 Apr 27;340:c1900. doi: 10.1136/bmj.c1900. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	GLOBAL MITI scores (MITI = Motivational Interviewing Treatment Integrity version 3.1.1)	Global scores by two independent raters who used the Motivational Interviewing Treatment Integrity (MITI) 3.1.1 code	15 mn
Primary	perception of student's empathy by the caregivers	CARE questionnaire (CARE = The Consultation And Relational Empathy questionnaire)	15 mn
Primary	self-efficacy of students to engage in a patient-centred relationship	SEPCQ score (SEPCQ = The self-efficacy in patient-centeredness score)	15 mn
Primary	student's satisfaction with the odds of achieving the target goal.	specific questionnary (Analog scale of satisfaction from 1 (not satisfied) to 10 (very statisfied))	15 mn