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MGH Basic Skills & Clinical Applications of Motivational Interviewing: A Program for Primary Care Practices Seeking Patient-Centered Medical Home Certification
Description:
Research has shown that training physicians in communication skills results in significant improvements in patient adherence to treatment recommendations. Motivational interviewing (MI) has been found to be an important and effective way for healthcare providers such as physicians, nurses, social workers and counselors to speak with their patients about behavioral change. It has been shown to be effective with patients who aim to engage in smoking cessation, weight loss, exercise, and comply with prescribed medication regimens. This online activity consists of two 30-minute modules including an overview presentation and instructional videos designed to teach healthcare practitioners how to employ motivational interviewing techniques to help their patients change health behaviors. Specifically, the program will address four different problems which negatively affect health: Non-adherence to treatment guidelines, poor eating habits, lack of exercise, and smoking. The activity will also provide scenarios that demonstrate how MI is used in the clinical setting.
Target Audience
This activity is intended for physicians, nurse practitioners, and social workers.
Learning Objectives
At the end of this educational activity, participants should be able to:
- Identify key differences between motivational interviewing and traditional techniques used to facilitate behavioral change with patients.
- Summarize the role of ambivalence as it relates to changing health behaviors and list the stages of behavioral change.
- Assess communication strategies currently used when interacting with patients who are contemplating behavioral change and determine whether or not the provider is employing motivational interviewing techniques.
- Employ motivational interviewing effectively with patients who are in need of or considering smoking cessation, weight loss, or have medication adherence issues.
Additional Information
Massachusetts General Hospital & Mass General Brigham
Module 1: INTRODUCTION TO MOTIVATIONAL INTERVIEWING
Description:
In this presentation, Dr. Bierer gives an overview of Motivational Interviewing, explaining its origins and how it can be implemented to successfully help patients change behavior. The presentation covers different stages of change and different attitudes towards change that patients can adopt.
Learning Objectives:
At the end of this module 1, participants should be able to:
- Recognize the basic principles of Motivational Interviewing methodology with patients.
- Explain the role of ambivalence in Motivational Interviewing techniques.
- List the stages of change in their relation to Motivational Interviewing.
Module 2: TOBACCO CESSATION & MEDICAL ADHERENCE
SMOKING CESSATION
This segment contains two scenarios. First, a provider confronts a patient who is a smoker. The physician speaks to the patient about why he smokes and ways that he might quit.
The second scenario, featuring a patient and physician interaction, demonstrates how motivational interviewing can be employed with a patient who is considering smoking cessation. The physician reviews his patient’s reasons for wanting to quit, as well as both positive and negative effects of smoking. He also talks to his patient about his life, his schedule, and what methods might work best for him to quit.
MEDICAL ADHERENCE
This segment also contains two scenarios. In the first, a primary care physician confronts a patient who has failed to regularly take the blood glucose medication that he has prescribed.
In the second scenario, the physician speaks to the patient about her medical adherence using motivational interviewing techniques, including asking her about her habits, responsibilities and other aspects of her life that might be interfering with her taking her medication regularly.
Learning Objectives:
At the end of this module 2, participants should be able to:
- Apply specific clinical scenarios of Motivational Interviewing methodology for Smoking Cessation.
- Apply specific clinical scenarios of Motivational Interviewing methodology for Medical Adherence.
- Assess communication techniques for interacting with patients contemplating behavioral change.
Robert J. Birnbaum, MD, PhD - Course Director
Vice President, Continuing Professional Development & Implementation Science,
Director, Healthcare Knowledge Engineering & Translation Laboratory (KT-Lab),
Mass General Brigham;
Assistant Professor Psychiatry,
Harvard Medical School
Michael Bierer, MD, MPH
Physician,
Massachusetts General Hospital;
Assistant Professor of Medicine,
Harvard Medical School
ACCREDITATION
In support of improving patient care, Mass General Brigham is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
AMA PRA Category 1 CreditTM
Mass General Brigham designates this live activity for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Professions
This course allows other providers to claim a Participation Certificate upon successful completion of the course. The Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 CreditsTM associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 CreditsTM may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
Disclosure Summary of Relevant Financial Relationships
INELIGIBLE COMPANIES
Companies that are ineligible to be accredited in the ACCME System (ineligible companies) are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Examples of such organizations include:
- Advertising, marketing, or communication firms whose clients are ineligible companies
- Bio-medical startups that have begun a governmental regulatory approval process
- Compounding pharmacies that manufacture proprietary compounds
- Device manufacturers or distributors
- Diagnostic labs that sell proprietary products
- Growers, distributors, manufacturers or sellers of medical foods and dietary supplements
- Manufacturers of health-related wearable products
- Pharmaceutical companies or distributors
- Pharmacy benefit managers
- Reagent manufacturers or sellers
For more information: https://accme.org/faq/what-accmes-definition-ineligible-company
MITIGATION STRATEGIES
Mass General Brigham has implemented a process to mitigate relevant financial relationships for this continuing education (CE) activity to help ensure content objectivity, independence, fair balance and ensure that the content is aligned with the interest of the public.
The content of this activity is non-clinical. Therefore, no disclosures were collected.
Original Release Date: February 12, 2013
Expiration Date: August 22, 2024
Review Date: August 22, 2023 by Robert J. Birnbaum, MD, PhD
Available Credit
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Participation
Price
This activity is free of charge.
For questions, contact Mass General Brigham Office of Continuing Professional Development at [email protected].