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AIDS Behav. 2019 Mar 7. doi: 10.1007/s10461-019-02445-4. [Epub ahead of print]

Adolescent HIV Healthcare Providers' Competencies in Motivational Interviewing Using a Standard Patient Model of Fidelity Monitoring.

Author information

1
Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Wayne State University, IBio 6135 Woodward Ave., Behavioral Health, H206, Detroit, MI, 48202, USA. karen.macdonell@wayne.edu.
2
Center for Translational Behavioral Medicine, Florida State University, Tallahassee, FL, USA.
3
Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Wayne State University, IBio 6135 Woodward Ave., Behavioral Health, H206, Detroit, MI, 48202, USA.

Abstract

The goal of this project is to describe adolescent HIV care providers' competence in Motivational Interviewing (MI) using a standard patient interaction model of fidelity assessment. Providers (Nā€‰=ā€‰151) at 11 clinics completed monthly MI role plays. The MI Coach Rating Scale was utilized to assess MI skill. Despite mean differences in baseline MI ability by provider type (medical providers, psychologists/social workers, other), when examined together, only clinic had a significant main effect. Aspects of the clinic environment may have a greater impact on providers' baseline MI ability than their job type. Future research should continue to explore these clinic factors.

KEYWORDS:

Adolescent HIV care; Fidelity assessment; HIV health outcomes; Implementation science; Motivational interviewing

PMID:
30847770
DOI:
10.1007/s10461-019-02445-4

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