Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents

Introduction Motivational interviewing (MI) is a well-established evidence-based method of working with patients to promote health behavior change. Standardized patient (SP) simulation allows trainees to practice and receive feedback on clinical and communication skills and may be useful in applying...

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Autores principales:	Rachel Boykan, Robyn Blair, Perrilynn Baldelli, Susan Owens
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Motivational Interviewing Tobacco Use Pediatrics Tobacco Smoke Exposure Secondhand Smoke Exposure Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/17f51bf75ad94bf6b59e2cfc8e8921b9
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spelling	oai:doaj.org-article:17f51bf75ad94bf6b59e2cfc8e8921b92021-11-22T13:41:21ZUsing Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents10.15766/mep_2374-8265.108072374-8265https://doaj.org/article/17f51bf75ad94bf6b59e2cfc8e8921b92019-02-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10807https://doaj.org/toc/2374-8265Introduction Motivational interviewing (MI) is a well-established evidence-based method of working with patients to promote health behavior change. Standardized patient (SP) simulation allows trainees to practice and receive feedback on clinical and communication skills and may be useful in applying MI techniques to address tobacco use and exposure. Methods We developed two SP cases for pediatric residents to practice addressing tobacco use with parents of their patients. Results Thirty-six residents participated, 26 of whom had prior MI training. Resident postencounter self-reflection identified MI-specific skills, including eliciting the SP's view on positive/negative aspects of smoking, identifying stressors/triggers associated with smoking, eliciting reasons for smoking, asking about motivation/willingness to quit, eliciting benefits of quitting smoking, letting the SP do the talking, and guiding the SP in making a quit plan. On paired-samples t tests, resident self-evaluation checklist scores averaged 6.79 out of 8.00 (SD = 1.018, SEM = 0.165), compared with SP checklist scores, which averaged 7.08 out of 8.00 (SD = 1.217, SEM = 0.197). Discussion These two SP cases were useful in many ways, allowing residents with prior MI training the opportunity for practice/feedback on skills learned and introducing residents with no prior MI training to MI concepts through experience/feedback. Residents consistently identified using MI concepts on postencounter self-reflection; resident self-evaluation and SP evaluation of residents showed agreement. These sessions could be utilized within a communication/MI curriculum or as stand-alone sessions to introduce MI concepts/techniques for addressing tobacco cessation in the pediatric setting.Rachel BoykanRobyn BlairPerrilynn BaldelliSusan OwensAssociation of American Medical CollegesarticleMotivational InterviewingTobacco UsePediatricsTobacco Smoke ExposureSecondhand Smoke ExposureMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Motivational Interviewing Tobacco Use Pediatrics Tobacco Smoke Exposure Secondhand Smoke Exposure Medicine (General) R5-920 Education L
spellingShingle	Motivational Interviewing Tobacco Use Pediatrics Tobacco Smoke Exposure Secondhand Smoke Exposure Medicine (General) R5-920 Education L Rachel Boykan Robyn Blair Perrilynn Baldelli Susan Owens Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents
description	Introduction Motivational interviewing (MI) is a well-established evidence-based method of working with patients to promote health behavior change. Standardized patient (SP) simulation allows trainees to practice and receive feedback on clinical and communication skills and may be useful in applying MI techniques to address tobacco use and exposure. Methods We developed two SP cases for pediatric residents to practice addressing tobacco use with parents of their patients. Results Thirty-six residents participated, 26 of whom had prior MI training. Resident postencounter self-reflection identified MI-specific skills, including eliciting the SP's view on positive/negative aspects of smoking, identifying stressors/triggers associated with smoking, eliciting reasons for smoking, asking about motivation/willingness to quit, eliciting benefits of quitting smoking, letting the SP do the talking, and guiding the SP in making a quit plan. On paired-samples t tests, resident self-evaluation checklist scores averaged 6.79 out of 8.00 (SD = 1.018, SEM = 0.165), compared with SP checklist scores, which averaged 7.08 out of 8.00 (SD = 1.217, SEM = 0.197). Discussion These two SP cases were useful in many ways, allowing residents with prior MI training the opportunity for practice/feedback on skills learned and introducing residents with no prior MI training to MI concepts through experience/feedback. Residents consistently identified using MI concepts on postencounter self-reflection; resident self-evaluation and SP evaluation of residents showed agreement. These sessions could be utilized within a communication/MI curriculum or as stand-alone sessions to introduce MI concepts/techniques for addressing tobacco cessation in the pediatric setting.
format	article
author	Rachel Boykan Robyn Blair Perrilynn Baldelli Susan Owens
author_facet	Rachel Boykan Robyn Blair Perrilynn Baldelli Susan Owens
author_sort	Rachel Boykan
title	Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents
title_short	Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents
title_full	Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents
title_fullStr	Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents
title_full_unstemmed	Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents
title_sort	using motivational interviewing to address tobacco cessation: two standardized patient cases for pediatric residents
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/17f51bf75ad94bf6b59e2cfc8e8921b9
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Using Motivational Interviewing to Address Tobacco Cessation: Two Standardized Patient Cases for Pediatric Residents

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