Implementing motivational interviewing in primary care: the role of provider characteristics

Abstract

Primary care is an optimal place to target modifiable health behavior problems that are linked to increased risk for mortality. The Veterans Administration (VA) has recognized the importance of coordinated, patient-centered care that increases access to health care services and has recently initiated efforts to implement Patient Aligned Care Teams within the primary care setting. To help support this initiative, administrative leaders at a large VA Health Care organization implemented a training program to teach all primary care staff motivational interviewing (MI) across its local facilities. Guided by the Consolidated Framework for Implementation Research, we examined the characteristics of providers working within this setting in an attempt to better understand the specific training needs of this group with the goal of optimizing the adoption of MI-related skills. Our findings show that providers vary on perspectives of lifestyle counseling, time commitment pressure, job-related burnout, and self-efficacy, which have important implication for the design and implementation of future trainings in MI and other evidence-based therapies.

Keywords: Implementation science; Motivational interviewing; Patient-Aligned Care Team (PACT); Patient-Centered Medical Home Model (PCMH); Primary care.