Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit

Introduction Motivational interviewing (MI) is a collaborative patient-focused counseling technique that is effective in promoting smoking cessation but is not consistently taught/practiced in training. Methods This training session was implemented in a pediatric residency training program and also...

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Autores principales: Rachel Boykan, Julie Gorzkowski, Jyothi Marbin, Jonathan Winickoff
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Publicado: Association of American Medical Colleges 2019
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Acceso en línea:https://doaj.org/article/b7b0660034474a91b5670ffee73507fe
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spelling oai:doaj.org-article:b7b0660034474a91b5670ffee73507fe2021-11-22T13:57:36ZMotivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit10.15766/mep_2374-8265.108312374-8265https://doaj.org/article/b7b0660034474a91b5670ffee73507fe2019-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10831https://doaj.org/toc/2374-8265Introduction Motivational interviewing (MI) is a collaborative patient-focused counseling technique that is effective in promoting smoking cessation but is not consistently taught/practiced in training. Methods This training session was implemented in a pediatric residency training program and also given four times to pediatric practitioners as part of a 2-day tobacco training sponsored by the American Academy of Pediatrics (AAP). Pediatric residents (N = 33) participated in a 1-hour interactive session focused on addressing tobacco. Knowledge was assessed with pre- and 6-month postsurveys. Retention of skills was evaluated between 6 and 9 months posttraining by resident performance on two scenarios with standardized patients, which was scored utilizing the Behavior Change Counseling Index (BECCI), by two MI-trained physicians. AAP trainees (N = 115) participated in tobacco trainings with a session dedicated to MI; sessions were evaluated by pre- and posttests. Results Residents who completed the session (n = 12) performed significantly better on eight of 10 items of the BECCI and on the overall BECCI score (p < .001) compared with those who had not completed the session (n = 12). Feedback on AAP training sessions (N = 115) indicated that practitioners felt able to perform MI and incorporate MI into practice. The percentage of trainees who felt comfortable counseling about tobacco doubled from pre- to posttraining. Discussion A hands-on MI training session provided pediatric residents and practicing clinicians with knowledge and skills to address tobacco use with patients/families. The session is easily incorporated into different training environments.Rachel BoykanJulie GorzkowskiJyothi MarbinJonathan WinickoffAssociation of American Medical CollegesarticleMotivational InterviewingTobacco Smoke ExposureTobaccoPediatricsPreventive MedicineMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution DOAJ
collection DOAJ
language EN
topic Motivational Interviewing
Tobacco Smoke Exposure
Tobacco
Pediatrics
Preventive Medicine
Medicine (General)
R5-920
Education
L
spellingShingle Motivational Interviewing
Tobacco Smoke Exposure
Tobacco
Pediatrics
Preventive Medicine
Medicine (General)
R5-920
Education
L
Rachel Boykan
Julie Gorzkowski
Jyothi Marbin
Jonathan Winickoff
Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit
description Introduction Motivational interviewing (MI) is a collaborative patient-focused counseling technique that is effective in promoting smoking cessation but is not consistently taught/practiced in training. Methods This training session was implemented in a pediatric residency training program and also given four times to pediatric practitioners as part of a 2-day tobacco training sponsored by the American Academy of Pediatrics (AAP). Pediatric residents (N = 33) participated in a 1-hour interactive session focused on addressing tobacco. Knowledge was assessed with pre- and 6-month postsurveys. Retention of skills was evaluated between 6 and 9 months posttraining by resident performance on two scenarios with standardized patients, which was scored utilizing the Behavior Change Counseling Index (BECCI), by two MI-trained physicians. AAP trainees (N = 115) participated in tobacco trainings with a session dedicated to MI; sessions were evaluated by pre- and posttests. Results Residents who completed the session (n = 12) performed significantly better on eight of 10 items of the BECCI and on the overall BECCI score (p < .001) compared with those who had not completed the session (n = 12). Feedback on AAP training sessions (N = 115) indicated that practitioners felt able to perform MI and incorporate MI into practice. The percentage of trainees who felt comfortable counseling about tobacco doubled from pre- to posttraining. Discussion A hands-on MI training session provided pediatric residents and practicing clinicians with knowledge and skills to address tobacco use with patients/families. The session is easily incorporated into different training environments.
format article
author Rachel Boykan
Julie Gorzkowski
Jyothi Marbin
Jonathan Winickoff
author_facet Rachel Boykan
Julie Gorzkowski
Jyothi Marbin
Jonathan Winickoff
author_sort Rachel Boykan
title Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit
title_short Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit
title_full Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit
title_fullStr Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit
title_full_unstemmed Motivational Interviewing: A High-Yield Interactive Session for Medical Trainees and Professionals to Help Tobacco Users Quit
title_sort motivational interviewing: a high-yield interactive session for medical trainees and professionals to help tobacco users quit
publisher Association of American Medical Colleges
publishDate 2019
url https://doaj.org/article/b7b0660034474a91b5670ffee73507fe
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