Technology-assisted Blended Learning on Motivational Interviewing for Mental Health Nurses and Its Clinical Impact

Effectiveness of an Integrated Program Combining Technology-assisted Blended Learning in Enhancing Motivational Interviewing Knowledge, Skills, Self-efficacy, and Its Impact on Patient Medication Adherence

Medication adherence is the primary care to stabilize the symptoms of patients with schizophrenia, but more than half of community patients still do not adhere to medication. According to the latest research of our team, the motivational interviewing may be more effective in promoting medication adherence than the insight. In the past, there was a lack of theoretical and empirical motivational interviewing and integrated medication adherence program. Therefore, the first year of this plan has completed the construction of integrated medication adherence. Considering the current lack of training and promotion of the blended learning model assisted by convenient and effective mobile technology.

Aim: To develop and evaluate the effectiveness of an integrated program combining technology-assisted blended learning on motivational interviewing knowledge, skills, and self-efficacy for psychiatric mental health nurses, and its clinical impact.

Study Overview

• Status: Completed
• Conditions: Nurse's Role
• Intervention / Treatment: Behavioral: blended learning program

• Study Type: Interventional
• Enrollment (Actual): 274
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Taipei City, Taiwan, 112303
    • National Taipei University of Nursing and Health Sciences

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• mental health registered Nurse who take care of patients.

Exclusion Criteria:

• expected to leave the job within two months
• over 65 years old

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Placebo Comparator: blended learning program; 8 hours of workshops and four months of practical learning on technology platforms	Behavioral: blended learning program; blended learning program: 8 hours of workshops and four months of practical learning on technology platforms.; Other Names: Motivational Interviewing Care Competence Based on Blended Learning
No Intervention: conventional education

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
motivational interviewing skill	Motivational Interviewing skill is a 12-items assessment tool.Total scores is range between 0 and 12, with a higher score indicating better skill.	The time points of measurement are the baseline for nurses, the changes 8 hours after the workshop training, and the changes 4 months after the technology-assisted learning.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Motivational Interviewing Knowledge and Attitudes Test (MIKAT)	Motivational Interviewing Knowledge and Attitudes Test is a 29-items self-reporting scales.Total scores on the MIKAT range between 0 and 29, with a higher score indicating better knowledge.	The time points of measurement are the baseline for nurses, the changes 8 hours after the workshop training, and the changes 4 months after the technology-assisted learning.
Motivational Interviewing Confidence Survey (MICS)	MICS is a 24-items self-reporting with 10-point Likert scale.Total scores on the MICS range between 0 and 240, with a higher score indicating better self-efficacy.	The time points of measurement are the baseline for nurses, the changes 8 hours after the workshop training, and the changes 4 months after the technology-assisted learning.
Medication Adherence Rating Scale (MARS)	The Medication Adherence Rating Scale(MARS) is a 10-item self-reporting multidimensional instrument describing three dimensions: medication adherence behavior (items 1-4), attitude toward taking medication (items 5-8) and negative side effects and attitudes to psychotropic medication (items 9-10). sponse consistent with non-adherence is coded as 0, whereas a response consistent with adherence is coded as 1. For questions 1-6 and 9-10, a no response is indicative of adherence and is coded as 1, while for questions 7 and 8, a yes response is indicative of adherence and is coded as 1. Total scores on the MARS may range between 0 and 10, with a higher score indicating better medication adherence.	The time points of measurement are the baseline for patients, the changes 6 months after motivational interviewing care based on blended learning, and the changes at 9 months in clinical effects.
Drug Attitude Inventory (DAI-10)	The Drug Attitude Inventory(DAI-10) contains six items that a patient who is fully adherent to prescribed medication would answer as 'True', and four they would rate as 'False'. Scores are allocated to each answer and the total score is calculated in the same way as for the DAI-30. The range is -4 to 6 points. The higher the score, the more positive the attitude of taking the medicine, with 0 points as the cut-off point, above 0 means the attitude of taking the medicine is positive; below 0 means the attitude of taking the medicine is negative	The time points of measurement are the baseline for patients, the changes 6 months after motivational interviewing care based on blended learning, and the changes at 9 months in clinical effects.
University of Rhode Island Changed Assessment (URICA)	The University of Rhode Island Change Assessment Scale (URICA) is a 32 item self-report measure that includes 4 subscales measuring the stages of change: Precontemplation, Contemplation, Action, and Maintenance (there is also a 24 item version). Responses are given on a 5 point Likert scale ranging from (1=strong disagreement to 5=strong agreement),Calculate the score with its calculation formula, and get a score ranging from -2 to 14. The higher the score, the stronger the motivation to change.	The time points of measurement are the baseline for patients, the changes 6 months after motivational interviewing care based on blended learning, and the changes at 9 months in clinical effects.
Brief Psychiatric Rating scale (BPRS)	The Brief Psychiatric Rating scale(BPRS) assesses the level of 18 symptom constructs such as hostility, suspiciousness, hallucination, and grandiosity. It is particularly useful in gauging the efficacy of treatment in patients who have moderate to severe psychoses.Total scores on the MARS may range between 0 and 10, with a higher score indicating better medication adherence.This scale is scored from 0-6, with a total of 16 items, and the total score ranges from 0 to 96. The higher the score, the more obvious the psychiatric symptoms	The time points of measurement are the baseline for patients, the changes 6 months after motivational interviewing care based on blended learning, and the changes at 9 months in clinical effects.

Collaborators and Investigators

• Sponsor: National Taipei University of Nursing and Health Sciences

Study record dates

Study Major Dates

• Study Start (Actual): September 8, 2022
• Primary Completion (Actual): August 31, 2023
• Study Completion (Actual): August 31, 2024

Study Registration Dates

• First Submitted: August 16, 2023
• First Submitted That Met QC Criteria: August 16, 2023
• First Posted (Actual): August 22, 2023

Study Record Updates

• Last Update Posted (Estimated): December 12, 2024
• Last Update Submitted That Met QC Criteria: December 11, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Keywords: motivational interviewing; blend learning; technology-assisted practice learning; mentaj health nurse
• Other Study ID Numbers: blended learning

Drug and device information, study documents

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