TY - JOUR
KW - Clinical Competence
KW - Colonoscopy/psychology
KW - Colorectal Neoplasms/diagnosis
KW - Communication
KW - Cooperative Behavior
KW - Directive Counseling/methods
KW - Health Promotion/methods
KW - Humans
KW - Interviews as Topic/methods
KW - Longitudinal Studies
KW - Mass Screening/nursing/psychology/utilization
KW - Motivation
KW - Patient Acceptance of Health Care/psychology/statistics & numerical data
KW - Patient Education as Topic/methods
KW - Primary Health Care
KW - Professional Role/psychology
KW - Professional-Patient Relations
KW - Program Development
KW - Research Design
KW - Self Efficacy
KW - Social Support
KW - Telephone
AU - S. Wahab
AU - U. Menon
AU - L. Szalacha
A1 - 
AB - OBJECTIVE: This article focuses on design, training, and delivery of motivational interview (MI) in a longitudinal randomized controlled trial intended to assess the efficacy of two separate interventions designed to increase colorectal screening when compared to a usual care, control group. One intervention was a single-session, telephone-based MI, created to increase colorectal cancer screening within primary care populations. The other was tailored health counseling. We present the rationale, design, and process discussions of the one-time motivational interviewing telephone intervention. We discuss in this paper the training and supervision of study interventionists, in order to enhance practice and research knowledge concerned with fidelity issues in motivational interview interventions. METHODS: To improve motivational interviewing proficiency and effectiveness, we developed a prescribed training program adapting MI to a telephone counseling session. RESULTS: The three interventionists trained in MI demonstrate some MI proficiency assessed by the motivational interviewing treatment integrity scale. In the post-intervention interview, 20.5% of the MI participants reported having had a CRC screening test, and another 19.75% (n=16) had scheduled a screening test. Almost half of the participants (43%) indicated that the phone conversation helped them to overcome the reasons why they had not had a screening test. CONCLUSIONS: Ongoing supervision and training (post-MI workshop) are crucial to supporting MI fidelity. The trajectory of learning MI demonstrated by the interventionists is consistent with the eight stages of learning MI. The MI road map created for the interventionists has shown to be more of a distraction than a facilitator in the delivery of the telephone intervention. MI can, however, be considered a useful tool for health education and warrants further study. PRACTICE IMPLICATIONS: MI training should include consistent training and process evaluation. MI can, however, be considered a useful tool for health education and warrants further study. MI can also be adapted to diverse health promotion scenarios.
BT - Patient education and counseling
C5 - HIT & Telehealth
CP - 2
CY - Ireland
DO - 10.1016/j.pec.2008.03.023
IS - 2
JF - Patient education and counseling
N2 - OBJECTIVE: This article focuses on design, training, and delivery of motivational interview (MI) in a longitudinal randomized controlled trial intended to assess the efficacy of two separate interventions designed to increase colorectal screening when compared to a usual care, control group. One intervention was a single-session, telephone-based MI, created to increase colorectal cancer screening within primary care populations. The other was tailored health counseling. We present the rationale, design, and process discussions of the one-time motivational interviewing telephone intervention. We discuss in this paper the training and supervision of study interventionists, in order to enhance practice and research knowledge concerned with fidelity issues in motivational interview interventions. METHODS: To improve motivational interviewing proficiency and effectiveness, we developed a prescribed training program adapting MI to a telephone counseling session. RESULTS: The three interventionists trained in MI demonstrate some MI proficiency assessed by the motivational interviewing treatment integrity scale. In the post-intervention interview, 20.5% of the MI participants reported having had a CRC screening test, and another 19.75% (n=16) had scheduled a screening test. Almost half of the participants (43%) indicated that the phone conversation helped them to overcome the reasons why they had not had a screening test. CONCLUSIONS: Ongoing supervision and training (post-MI workshop) are crucial to supporting MI fidelity. The trajectory of learning MI demonstrated by the interventionists is consistent with the eight stages of learning MI. The MI road map created for the interventionists has shown to be more of a distraction than a facilitator in the delivery of the telephone intervention. MI can, however, be considered a useful tool for health education and warrants further study. PRACTICE IMPLICATIONS: MI training should include consistent training and process evaluation. MI can, however, be considered a useful tool for health education and warrants further study. MI can also be adapted to diverse health promotion scenarios.
PP - Ireland
PY - 2008
SN - 0738-3991; 0738-3991
SP - 210
EP - 217
EP - 
T1 - Motivational interviewing and colorectal cancer screening: a peek from the inside out
T2 - Patient education and counseling
TI - Motivational interviewing and colorectal cancer screening: a peek from the inside out
U1 - HIT & Telehealth
U3 - 10.1016/j.pec.2008.03.023
VL - 72
VO - 0738-3991; 0738-3991
Y1 - 2008
ER -