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

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

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.

Study Overview

• Status: Completed
• Conditions: Change; Personality, Due to General Medical Condition
• Intervention / Treatment: Behavioral: motivationnal interviewing training

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: First group; 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; 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.
Other: Second group; 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; 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.

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: Bicetre Hospital
• Collaborators: University of Paris 5 - Rene Descartes; INSERM SC10-US19
• Investigators: Principal Investigator: ANTOINE CHERET, Bicetre Hospital

Publications and helpful links

General Publications

• Rollnick S, Butler CC, Kinnersley P, Gregory J, Mash B. Motivational interviewing. BMJ. 2010 Apr 27;340:c1900. doi: 10.1136/bmj.c1900. No abstract available.

Study record dates

Study Major Dates

• Study Start (Actual): April 4, 2016
• Primary Completion (Actual): June 30, 2016
• Study Completion (Actual): June 30, 2016

Study Registration Dates

• First Submitted: September 8, 2017
• First Submitted That Met QC Criteria: September 15, 2017
• First Posted (Actual): September 18, 2017

Study Record Updates

• Last Update Posted (Actual): September 18, 2017
• Last Update Submitted That Met QC Criteria: September 15, 2017
• Last Verified: September 1, 2017

More Information

Terms related to this study

• Keywords: medical education, motivational interviewing, medical empathy
• Other Study ID Numbers: FEMEM

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No