AuthorsAs an ACCME accredited provider of continuing medical education, Clinical Tools, Inc.requires everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest to the provider. The ACCME defines 'relevant' financial relationships as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. Any conflicts of interest are resolved prior to the delivery of the educational activity to the learner. CTI does not permit individuals with financial conflicts of interest to participate in any stage of activity development.
Audience and Accreditation
Health care professionals
|AMA PRA Category 1 Credit(s)™||1hr(s)||12/3/15||12/3/18|
|NYS OASAS||1 hr(s)||4/6/17||4/5/19|
Goal: To train health care providers and students in primary care and other clinical settings in the basic motivational interviewing techniques to motivate people having substance use and other health problems to change behaviors in order to improve health.
Professional practice gaps exist when there is a disparity between educational needs and the ideal or desired level of knowledge, competence, and performance. Few primary care providers routinely provide substance use interventions with their patients or appropriate follow-up (Roche & Freeman, 2004; D'Amico et al., 2005). The structured counseling skills of motivational interviewing are an effective means of motivating patients to change addictive behavior (Miller & Rollnick, 2012). Motivational Interviewing has been used successfully in primary care as a brief intervention for addiction (Rahm et al., 2014) particularly for enhancing readiness to change, goal-oriented action, and treatment adherence (VanBuskirk & Wetherell, 2014). Training physicians in motivational interviewing skills will prepare them to provide effective substance use interventions for patients.
Providers vary a great deal with respect to their self-efficacy in counseling skills to address substance use problems (Midboe, et al., 2011). Providing instruction on the steps involved in motivational interviewing will adhere the foundation for building self-efficacy and fulfill the knowledge need. Also, primary care providers express uncertainty in their ability to perform brief counseling interventions (Saitz, 2013). Understanding how to apply the clinical steps will help address this competence need. Additionally, experience with interactive case scenarios will help providers transfer competency in motivational interviewing into practice to help address the performance need for greater self-efficacy with counseling skills for substance use problems.
Educational Objectives:After completing this activity participants will be able to:
Use a patient-centered, non-authoritarian, collaborative approach to establish a therapeutic alliance with a patient who needs to make a health behavior change.
Use communication skills from motivational interviewing to work collaboratively with patients to identify a specific health behavior change goal as the focus during the counseling session.
Identify a patient's current readiness to change a health behavior problem and select the appropriate steps and skills of motivational interviewing to use based on that level of readiness.
Evoke participation by patients in exploring their motivations, ambivalence, or resistance to making a health behavior change.
Apply motivational interviewing techniques in collaborative planning with patients to address substance use or other health problems.
Adapt motivational interviewing skills to medical settings.
Modules in this Training Activity
Motivational Interviewing for Primary Care
Practice Gap References:
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Activity Credit: Obtaining credit for participation in this activity requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the activity, you will be instructed on how to print out a certificate for your records.
Time Requirement: Keep track of the amount of time it takes you to complete this activity. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.
Technical Requirement: To participate in this activity, you will need a computer, an Internet connection, and a Web browser. This activity requires Chrome, Firefox, and IE7 or higher.