Motivational Interviewing for HCV Elimination

Study Overview
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Brief Summary
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This study addresses a difficult barrier to hepatitis C elimination, specifically development and maintenance of a productive relationship between the health care provider and patient to ensure both treatment success and engagement in harm reduction services. Improvements in these domains may be observed through the use of a technique called Motivational Interviewing (MI). The aim of this study is to determine whether a customized motivational interviewing curriculum by general primary care and addictions medicine primary care providers changes rates of curative hepatitis C therapy completion.

Official Title
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Assessing a Model for Hepatitis C Elimination: Measuring Patient and Health System Outcomes After Motivational Interviewing Interventions to Increase Treatment Engagement

Conditions
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Hepatitis C

Intervention / Treatment
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* Behavioral: Motivational Interviewing Training


Participation Criteria
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Eligibility Criteria
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Patient Inclusion Criteria: Willingness to participate and provide informed consent Positive HCV RNA Result ≥18 years of age Patient Exclusion Criteria: Unwilling or unable to provide consent Health Care Provider Inclusion Criteria: Willingness to participate and provide informed consent Has a hepatitis C care experience Health Care Provider Exclusion Criteria: Unwilling or unable to provide consent
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Motivational Interviewing Training<br>Health care providers will be trained in motivational interviewing for use in Hepatitis C patient encounters. | Behavioral: Motivational Interviewing Training<br>* Motivational Interviewing is a directive, client-centered counselling style intended to elicit behavior change by helping patients reach health goals through their own desires and actions. A certified and experienced Motivational Interviewing trainer will develop and deliver the curriculum to healthcare providers.<br>|
| No Intervention: Standard Clinical Encounter<br>Health care providers will not be trained in motivational interviewing for use in Hepatitis C patient encounters. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HCV Treatment Completion | To measure the number of patients who complete HCV therapy | Through study completion, an average of 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time from care engagement to treatment initiation |  | Through study completion, an average of 2 years | 
| Number of unique Hepatitis C related and unrelated health system visits |  | Through study completion, an average of 2 years | 
| Number of scheduled and attended medical care appointments |  | Through study completion, an average of 2 years | 
| Self-reported intent to initiate and maintain HCV treatment assessed by questionnaire |  | Through study completion, an average of 2 years | 
| Healthcare provider knowledge, attitudes, and behavior about motivational interviewing and training assessed by questionnaire |  | Through study completion, an average of 2 years | 
| Time to complete prescribed HCV treatment course |  | Through study completion, an average of 2 years | 
| Percentage of eligible individuals that initiate HCV therapy |  | Through study completion, an average of 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Motivational Interviewing, Healthcare delivery