RESEARCH ARTICLE: The use of motivational interviewing skills for patient counselling in an interprofessional education learning simulation

Authors

  • Jonathon Pouliot Lipscomb University College of Pharmacy and Health Sciences, United States https://orcid.org/0000-0001-9596-2621
  • Gabrielle Givens Lipscomb University College of Pharmacy and Health Sciences, United States
  • Susan Morley Oregon State University College of Pharmacy, United States
  • Kali Worley MINT Member, United States
  • Jeff Lee Lipscomb University College of Pharmacy and Health Sciences, United States
  • Anne Lowery Lipscomb University College of Pharmacy and Health Sciences, United States
  • Autumn Marshall Lipscomb University College of Pharmacy and Health Sciences, United States
  • Katie Watson Lipscomb University College of Pharmacy and Health Sciences, United States
  • Thomas M. Campbell Lipscomb University College of Pharmacy, United States

DOI:

https://doi.org/10.46542/pe.2021.211.582590

Keywords:

Dietetics, Interprofessional education, Motivational interviewing, Nursing, Pharmacy, Student perceptions

Abstract

Objective: Healthcare training has increasingly focused on interprofessional education (IPE) to provide students opportunities to gain competencies and learn accountability. IPE was incorporated into the curriculum by creating a course for all health science. Motivational interviewing (MI) training was added to enhance the IPE process. The purpose of this study was to determine the effectiveness of MI training in patient counselling simulations.

Methods: A cohort of students enrolled in an IPE course were evaluated on MI skills before and after receiving training. MI performance was coded using the Motivational Interviewing Treatment Integrity (MITI) 4.2.1 scoring system. A student perception survey was also administered.

Results: A total of 210 students were included in the study. Results from the MITI indicate an improvement in the four global ratings after MI training in individual and group cohorts. For example, for the Cultivating global score, 0% reached at least a fair benchmark in the pre-training groups while 90% (individual) and 50% (group) reached the benchmark post-training. Student perceptions of IPE improved following MI training with more students strongly agreeing that working together was better for patients post-training (66.2% vs 75.5%).

Conclusion: The use of MI training in the setting of IPE setting appears to be beneficial. MI gives students a common language and approach to working with patients in an interprofessional setting.

Author Biographies

Jonathon Pouliot, Lipscomb University College of Pharmacy and Health Sciences, United States

Assistant Professor of Pharmacy Practice

Gabrielle Givens, Lipscomb University College of Pharmacy and Health Sciences, United States

  

Susan Morley, Oregon State University College of Pharmacy, United States

  

Jeff Lee, Lipscomb University College of Pharmacy and Health Sciences, United States

Associate Dean for Academic Affairs

Anne Lowery, Lipscomb University College of Pharmacy and Health Sciences, United States

Associate Professor and Dietetic Internship Director, Department of Nutrition and Kinesiology

Autumn Marshall, Lipscomb University College of Pharmacy and Health Sciences, United States

Professor and Chair

Katie Watson, Lipscomb University College of Pharmacy and Health Sciences, United States

Assistant Professor of Nursing

Thomas M. Campbell, Lipscomb University College of Pharmacy, United States

Dean

References

ACPE (Accreditation Council for Pharmacy Education). (2015) Accreditation standards and key elements for the professional program in pharmacy leading to the doctor of pharmacy degree (online). Available from: https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

Berger, B.A, & Villaume, W. (2013) Motivational interviewing for health care professionals: a sensible approach. 2nd ed. Washington, DC: American Pharmacists Association

Buring, S.M., Bhushan, A., Broeseker, A., Conway, S., Duncan-Hewitt, W., Hansen, L., & Westberg, S. (2009). Interprofessional education: definitions, student competencies, and guidelines for implementation. American journal of pharmaceutical education, 73(4), 59. https://doi.org/10.5688/aj730459

Christie, D., & Channon, S. (2014) The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in pediatric and adult populations: a clinical review. Diabetes, obesity & metabolism, 16(5), 381–387. https://doi.org/10.1111/dom.12195

El-Awaisi, A., Joseph, S., Hajj, M., & Diack, L. (2018). A comprehensive systematic review of pharmacy perspectives on interprofessional education and collaborative practice. Research in social & administrative pharmacy : RSAP, 14(10), 863–882. https://doi.org/10.1016/j.sapharm.2017.11.001

Eyler, R., Shvets, K., & Blakely, M. (2016) Motivational Interviewing to Increase Postdischarge Antibiotic Adherence in Older Adults with Pneumonia. The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists, 31(1), 38–43. https://doi.org/10.4140/TCP.n.2016.38

Gill, I., Oster, C, & Lawn, S. Assessing competence in health professionals use of motivational interviewing: A systematic review of training and supervision tools. Patient education and counseling, 103(3), 473–483. https://doi.org/10.1016/j.pec.2019.09.021

Interprofessional Education Collaborative. (2016). Core competencies for interprofessional collaborative practice: 2016 update. Washington, DC: Interprofessional Education Collaborative

Larson, E., & Martin, B.A. (2021) Measuring motivational interviewing self-efficacy of pre-service students completing a competency-based motivational interviewing course. Exploratory Research in Clinical and Social Pharmacy. 1, 100009. https://doi.org/10.1016/j.rcsop.2021.100009

Matsumoto, A.N., DeSena, D., Kuzma, E.K., Bostwick, J.R., Furgeson, D., Yorke, A., & Inglehart, M.R. (2020) The evolution of an interprofessional education motivational interviewing workshop: Finding the right balance. Journal of Interprofessional Education & Practice. 20, 100342. https://doi.org/10.1016/j.xjep.2020.100342

MINT Board of Directors. (2015) How to Become a MINT Member. v. 1.3 (online). Available at: https://motivationalinterviewing.org/sites/default/files/mint_pathways_1.3__1.pdf

Molander, R., Hodgkins, K., Johnson, C., White, A., Frazier, E., & Krahn, D. (2017). Interprofessional Education in Patient Aligned Care Team Primary Care-Mental Health Integration. Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 34(6), 40–48

Moyers, T.B., Rowell, L.N., Manuel, J.K., Ernst, D., Houck, J.M. (2016) The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, preliminary reliability and validity. Journal of Substance Abuse Treatment. 65, 36-42. https://doi.org/10.1016/j.jsat.2016.01.001

Moyers, T.B., Martin, T., Manuel, J.K., Hendrickson, S.M., & Miller, W.R. (2005). Assessing competence in the use of motivational interviewing. Journal of substance abuse treatment, 28(1), 19–26. https://doi.org/10.1016/j.jsat.2004.11.001

Nagelkerk, J., Benkert, R., Pawl, B., Myers, A., Baer, L.J., Rayford, A., Berlin, S.J., Ferbert, K., Moore, H., Armstrong, M., Murray, D., Boone, P.D., Masselink, S., & Jakstys, C. (2018). Test of an interprofessional collaborative practice model to improve obesity-related health outcomes in Michigan. Journal of Interprofessional Education & Practice. 11, 43-50. https://doi.org/10.1016/j.xjep.2018.02.001

Miller, W., Rollnick, S. (2009) Ten Things that Motivational Interviewing Is Not. Behavioural and cognitive psychotherapy. 37, 129-140. https://doi.org/10.1017/S1352465809005128

Salvo, M., & Cannon-Breland, M. (2015) Motivational interviewing for medication adherence. Journal of the American Pharmacists Association : JAPhA, 55(4), e354–e363. https://doi.org/10.1331/JAPhA.2015.15532

White, L.L., Gazewood, J.D., Mounsey, A.L. (2007) Teaching students behavior change skills: description and assessment of a new Motivational interviewing curriculum. Medical Teacher. 29(4), e67-e71. https://doi.org/10.1080/01421590601032443

Szczekala, K., Wiktor, K., Kanadys, K., Wiktor, H. (2018) Benefits of Motivational Interviewing Application for Patients and Healthcare Professionals. Polish Journal of Public Health. 128, 170-173. https://doi.org/10.2478/pjph-2018-0034

WHO (World Health Organization). (2010) WHO Framework for Action on Interprofessional Education and Collaborative Practice. Available at: https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice

Wilson, A.J., Palmer, L., Levett-Jones, T., Gilligan, C., & Outram, S. (2016) Interprofessional collaborative practice for medication safety: Nursing, pharmacy, and medical graduates’ experiences and perspectives. Journal of Interprofessional care, 30(5), 649-654, https://doi.org/10.1080/13561820.2016.1191450

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Published

11-10-2021

How to Cite

Pouliot, J. ., Givens, G. ., Morley, S. ., Worley, K. ., Lee, J. ., Lowery, A. ., Marshall, A. ., Watson, K. ., & Campbell, T. M. . (2021). RESEARCH ARTICLE: The use of motivational interviewing skills for patient counselling in an interprofessional education learning simulation. Pharmacy Education, 21, p. 582–590. https://doi.org/10.46542/pe.2021.211.582590

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Research Article