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Arch Pediatr Adolesc Med. 2010 Jun;164(6):561-6. doi: 10.1001/archpediatrics.2010.86.

Randomized trial of teaching brief motivational interviewing to pediatric trainees to promote healthy behaviors in families.

Author information

  • 1Center for Child Health Behavior and Development, Seattle Childrens Research Institute, 1100 Olive Way, Seattle, WA 98101, USA. plozano@uw.edu

Abstract

HYPOTHESIS:

That pediatric resident trainees would demonstrate increased counseling skill following training in brief motivational interviewing (MI).

DESIGN:

Randomized controlled trial.

SETTING:

University of Washington Pediatric Residency.

PARTICIPANTS:

Pediatric residents (N = 18), including residents in postgraduate years 1, 2, 3, and 4.

INTERVENTIONS:

Collaborative Management in Pediatrics, a 9-hour behavior change curriculum based on brief MI plus written feedback on communication skills (based on a 3-month Objective Standardized Clinical Evaluation [OSCE]).

MAIN OUTCOME MEASURE:

The percentage of MI-consistent behavior (%MICO), a summary score for MI skill, was assessed via OSCEs in which standardized patients portray parents of children with asthma in 3 clinical scenarios (stations). The OSCEs were conducted at baseline and 3 and 7 months. Blinded coders rated videotaped OSCEs using a validated tool to tally communication behaviors. Training effects were assessed using linear regression controlling for baseline %MICO. Global ratings of counseling style served as secondary outcome measures.

RESULTS:

Trained residents demonstrated a trend toward increased skill (%MICO score) at 3 months compared with control residents. At 7 months, %MICO scores increased 16% to 20% (P < .02) across all OSCE stations after the combined intervention of Collaborative Management in Pediatrics training plus written feedback. The effect of training on global ratings supported the main findings.

CONCLUSIONS:

Pediatric trainees' skills in behavior change counseling improved following the combination of training in brief MI plus personalized feedback.

PMID:
20530307
[PubMed - indexed for MEDLINE]
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