Teaching Motivational Interviewing to First-Year Medical Students to Improve Counseling Skills in Health Behavior Change

Maria K. Poirier, Matthew M Clark, Jane H Cerhan, Sandhya Pruthi, Yonas Endale Geda, Lowell C. Dale

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Objective: To examine the effectiveness of motivational interviewing training on improving medical students' knowledge of and confidence in their ability to counsel patients regarding health behavior change. Subjects and Methods: In the spring of 2002, 42 first-year medical students participated in a counseling course on health behavior change. Three small groups focused on learning and practicing motivational interviewing techniques using brief lectures, interactive class activities, student role-plays, and stimulated patients. Students completed an identical precourse and postcourse questionnaire that measured their confidence and knowledge regarding counseling skills in health behavior change. Results: The medical students reported improved confidence in their understanding of motivational interviewing after participation in the course (very confident, 77%) compared with before the course (very confident, 2%). Each of the 8 confidence items were compared before and after the course using a signed rank test. All comparisons indicated a significant improvement (P<.001) in confidence. Regarding knowledge-based questions, students showed significant improvement; 31% of students answered all the questions correctly before the course, and 56% answered all the questions correctly after the course (P=.004). Conclusion: These results show that teaching motivational interviewing techniques to first-year medical students can enhance student confidence in and knowledge of providing counseling to patients regarding health behavior change.

Original languageEnglish (US)
Pages (from-to)327-331
Number of pages5
JournalMayo Clinic Proceedings
Volume79
Issue number3
StatePublished - 2004

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Motivational Interviewing
Health Behavior
Medical Students
Counseling
Teaching
Students
Aptitude
Learning

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Teaching Motivational Interviewing to First-Year Medical Students to Improve Counseling Skills in Health Behavior Change",
abstract = "Objective: To examine the effectiveness of motivational interviewing training on improving medical students' knowledge of and confidence in their ability to counsel patients regarding health behavior change. Subjects and Methods: In the spring of 2002, 42 first-year medical students participated in a counseling course on health behavior change. Three small groups focused on learning and practicing motivational interviewing techniques using brief lectures, interactive class activities, student role-plays, and stimulated patients. Students completed an identical precourse and postcourse questionnaire that measured their confidence and knowledge regarding counseling skills in health behavior change. Results: The medical students reported improved confidence in their understanding of motivational interviewing after participation in the course (very confident, 77{\%}) compared with before the course (very confident, 2{\%}). Each of the 8 confidence items were compared before and after the course using a signed rank test. All comparisons indicated a significant improvement (P<.001) in confidence. Regarding knowledge-based questions, students showed significant improvement; 31{\%} of students answered all the questions correctly before the course, and 56{\%} answered all the questions correctly after the course (P=.004). Conclusion: These results show that teaching motivational interviewing techniques to first-year medical students can enhance student confidence in and knowledge of providing counseling to patients regarding health behavior change.",
author = "Poirier, {Maria K.} and Clark, {Matthew M} and Cerhan, {Jane H} and Sandhya Pruthi and Geda, {Yonas Endale} and Dale, {Lowell C.}",
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AU - Clark, Matthew M

AU - Cerhan, Jane H

AU - Pruthi, Sandhya

AU - Geda, Yonas Endale

AU - Dale, Lowell C.

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N2 - Objective: To examine the effectiveness of motivational interviewing training on improving medical students' knowledge of and confidence in their ability to counsel patients regarding health behavior change. Subjects and Methods: In the spring of 2002, 42 first-year medical students participated in a counseling course on health behavior change. Three small groups focused on learning and practicing motivational interviewing techniques using brief lectures, interactive class activities, student role-plays, and stimulated patients. Students completed an identical precourse and postcourse questionnaire that measured their confidence and knowledge regarding counseling skills in health behavior change. Results: The medical students reported improved confidence in their understanding of motivational interviewing after participation in the course (very confident, 77%) compared with before the course (very confident, 2%). Each of the 8 confidence items were compared before and after the course using a signed rank test. All comparisons indicated a significant improvement (P<.001) in confidence. Regarding knowledge-based questions, students showed significant improvement; 31% of students answered all the questions correctly before the course, and 56% answered all the questions correctly after the course (P=.004). Conclusion: These results show that teaching motivational interviewing techniques to first-year medical students can enhance student confidence in and knowledge of providing counseling to patients regarding health behavior change.

AB - Objective: To examine the effectiveness of motivational interviewing training on improving medical students' knowledge of and confidence in their ability to counsel patients regarding health behavior change. Subjects and Methods: In the spring of 2002, 42 first-year medical students participated in a counseling course on health behavior change. Three small groups focused on learning and practicing motivational interviewing techniques using brief lectures, interactive class activities, student role-plays, and stimulated patients. Students completed an identical precourse and postcourse questionnaire that measured their confidence and knowledge regarding counseling skills in health behavior change. Results: The medical students reported improved confidence in their understanding of motivational interviewing after participation in the course (very confident, 77%) compared with before the course (very confident, 2%). Each of the 8 confidence items were compared before and after the course using a signed rank test. All comparisons indicated a significant improvement (P<.001) in confidence. Regarding knowledge-based questions, students showed significant improvement; 31% of students answered all the questions correctly before the course, and 56% answered all the questions correctly after the course (P=.004). Conclusion: These results show that teaching motivational interviewing techniques to first-year medical students can enhance student confidence in and knowledge of providing counseling to patients regarding health behavior change.

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