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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Change; Personality, Due to General Medical Condition

Intervention / Treatment
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* Behavioral: motivationnal interviewing training


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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
Interventional Model Description: A pilot pre-post study investigating the effects of a training programme, by comparing performance before and after its implementation
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: First group<br>Students received three four-hour sessions of a basic motivationnal interviewing 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. | Behavioral: motivationnal interviewing training<br>* 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.<br>|
| Other: Second group<br>Students received three four-hour sessions of a basic motivationnal interviewing 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. | Behavioral: motivationnal interviewing training<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| perception of student's empathy by the caregivers | CARE questionnaire (CARE = The Consultation And Relational Empathy questionnaire) | 15 mn | 
| self-efficacy of students to engage in a patient-centred relationship | SEPCQ score (SEPCQ = The self-efficacy in patient-centeredness score) | 15 mn | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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medical education, motivational interviewing, medical empathy