Clinical trial NCT05696964: Improving Relationships Using Motivational Interviewing
Official title: A Multilevel Approach to Improving Patient-Clinician Relationships and Outcomes in African American Patients With Diabetes Using Artificial Intelligence-Enhanced Motivational Interviewing Training
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Physician-Patient Relations
Diabetes Mellitus, Type 2
Keywords: motivational interviewing
patient-clinician relationship
artificial intelligence
Lead sponsor: Wright State University
Sponsor class: OTHER
Collaborators: name: Five Rivers Health Centers
name: Kennesaw State University
First posted: 2023-01-25
Enrollment: 0
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: All participating medical residents in the study will receive the same motivational interviewing training.

Patients of these medical residents will be recruited to provide data on their perceptions of their relationship with their physician, as well as health indicators, but there is no direct intervention for patients themselves. The target number of patients is 200.
Primary purpose: TREATMENT

Brief summary: This research aims to optimize patient-clinician relationships through motivational interviewing training in a Federally Qualified Health Center (FQHC) to improve health outcomes for African American patients with Type 2 diabetes.

Detailed description: Motivational Interviewing (MI) is an evidence-based approach that has been demonstrated to increase both the patient engagement and activation necessary for effective management of chronic conditions, but is underutilized due to the inadequate training of and implementation by health professionals. This research aims to optimize patient-clinician relationships through MI training in a Federally Qualified Health Center (FQHC) to improve health outcomes for African American patients with Type 2 diabetes. MI training and cuing in this study will make use of a human-artificial intelligence (AI) teaming solution, Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI), a tool that uses natural language processing to provide automatic and immediate metrics relevant for patient-clinician interaction.

Eligibility criteria: Inclusion Criteria:

* Eligible participants are residents in Family Medicine and Internal Medicine residency programs at Wright State University who will be recruited to participate in the study.

Exclusion Criteria:

* None

Note: Patients of these participating residents will be invited to participate in the study by providing survey and health data at specified intervals, but these patients will not be the direct recipients of any intervention in this study. Eligible patients will be self-identifying African American individuals ages 18 and over with a diagnosis of Type 2 diabetes, and are patients of either Family Medicine or Internal Medicine residents participating in this study. The target number of patients is 200.

Primary outcomes:
measure: Changes in perceptions of the patient-clinician relationship by patients of participating residents.
timeFrame: Measured every 3 months up to 4 years.
Secondary outcomes:
measure: Perceptions of psychological safety by patients of participating residents.
timeFrame: Measured every 3 months up to 4 years.
measure: Levels of self-reported patient activation by patients of participating residents.
timeFrame: Measured every 3 months up to 4 years.
measure: HbA1c levels of patients of participating residents.
timeFrame: Measured every 3 months up to 4 years.
measure: Changes in the percentage of time the resident speaks in role plays in motivational interviewing practice.
timeFrame: Measured every 3 months up to 3 years.
measure: Changes in the ratio of open-ended to closed-ended questions used by the resident in role plays in motivational interviewing practice.
timeFrame: Measured every 3 months up to 3 years.
measure: Changes in the ratio of reflections to questions used by the resident in role plays in motivational interviewing practice.
timeFrame: Measured every 3 months up to 3 years.
measure: Changes in the "spirit of motivational interviewing" rating given to the resident by the facilitator in role plays in motivational interviewing practice.
timeFrame: Measured every 3 months up to 3 years.
Other outcomes:
Locations:
city: Dayton
country: United States
facility: Five Rivers Health Centers
state: Ohio
city: Dayton
country: United States
facility: Wright State University
state: Ohio
Study officials:
affiliation: Wright State University Boonshoft School of Medicine
name: Paul J Hershberger, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Wright State University Boonshoft School of Medicine
name: Dean A Bricker, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Vasoya MM, Shivakumar A, Pappu S, Murphy CP, Pei Y, Bricker DA, Wilson JF, Castle A, Hershberger PJ. ReadMI: An Innovative App to Support Training in Motivational Interviewing. J Grad Med Educ. 2019 Jun;11(3):344-346. doi: 10.4300/JGME-D-18-00839.1. No abstract available.
citation: Hershberger PJ, Pei Y, Bricker DA, Crawford TN, Shivakumar A, Vasoya M, Medaramitta R, Rechtin M, Bositty A, Wilson JF. Advancing Motivational Interviewing Training with Artificial Intelligence: ReadMI. Adv Med Educ Pract. 2021 Jun 4;12:613-618. doi: 10.2147/AMEP.S312373. eCollection 2021.