Category: Dissemination / Implementation

Symposium

An Integrated Curriculum for Practice and Dissemination of a Motivational Interviewing-Based Intervention in an Academic Medical Center

Sunday, November 19
10:15 AM - 11:45 AM
Location: Aqua Salon C & D, Level 3, Aqua Level

Keywords: Motivational Interviewing | Substance Abuse | Dissemination
Presentation Type: Symposium

Background: Screening Brief Intervention and Referral to Treatment (SBIRT) is an evidence-based approach that integrates MI principles to prevent and intervene in substance use (Substance Abuse and Mental Health Services Administration, 2013).  General medical practitioners are an important audience for SBIRT training because they are often the only healthcare providers individuals routinely see (McCance-Katz & Satterfield, 2012).  However, given large class sizes, providing quality training in an MI-based intervention like SBIRT is a challenge in medical schools.  In particular, providing individualized, performance-based feedback, which is an important element in quality MI training (Madson et al., 2009), is cost-prohibitive in many settings. Thus, needed are lower cost MI training strategies in medical schools. Methods:  A cohort of 9 psychology interns are currently completing a newly developed practice and dissemination curriculum.  They first receive classroom SBIRT and MI training, then implement SBIRT with psychiatry inpatients and receive structured feedback, and finally assist in providing structured feedback to medical students who are implementing SBIRT as part of their psychiatry clerkship. The following curriculum evaluation measures are used: pre and post measures of intern SBIRT knowledge and attitudes about addressing alcohol problems as assessed with the Short Alcohol and Alcohol Problems Perception Questionnaire, post measures of SBIRT proficiency and intern satisfaction. Results: Data collection is ongoing.  Baseline data indicates intern scores on the SBIRT knowledge questionnaire ranged from 54% correct to 100% correct.   Intern scores on the SAAPQ role security subscale ranged from 12-22 (out of 28) and their scores on the therapeutic commitment to substance use treatment ranged from 29-41 (out of 42).  These scores indicate interns began the program with a broad range of knowledge and attitudes.  Available post-evaluation data from two interns who have completed the curriculum indicate the interns can gain proficiency in SBIRT using this practical and cost-effective curriculum. Full data will be collected by 6/30/17. 

Julie Schumacher

Associate Professor
University of Mississippi Medical Center

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An Integrated Curriculum for Practice and Dissemination of a Motivational Interviewing-Based Intervention in an Academic Medical Center



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