Upload
lily-melton
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
The WONCA Anniversary Project 2015
WP3: Evaluation of the international
e-learning course about
Motivational Interviewing (MI)
Andree Rochfort, Tina Eriksson, Clair Colins, Mercedes Schelle, Ilkka Kunnamo, Ulrik Kirk
and Jochen Gensichen
Professor Jochen Gensichen
Motivational interviewing
• Motivational interviewing (MI) is defined as a means of communication in a way that the patient becomes motivated to carry out necessary changes in his/her lifestyle.
• The objective of MI is that the patient takes more responsibility of his/her wellbeing and health.
• The course is suitable for physicians, nurses, and other professionals that counsel patients.
The evaluation of the MI e-learning course
• An cross-sectional observational study• Online survey in July 2014 -Aug 2015• At the end of the course participants took
15 minutes to respond a 17 item (5 point Lickert-scale) questionnaire (modified 'Behaviour Change Counselling Index') English and German Version
• Open recruitment across Europe, using professional networks
Noordmana J, van der Leea I, Nielena M, Vlekb H, van der Weijden T, van Dulmena S. Do Trained Practice Nurses Apply Motivational Interviewing Techniques in Primary Care Consultations?J Med Res 2012, 2012;4(6):393-401
The results MI - e-learning course - sample
• N= 598• 24 European countries:
- English language N= 149- German language N= 449
• Profession- GP N=352- GP Trainee N= 152- Medical Student N=83- Other N=11
I took the course (N =573)
N=314… at home N=180… at school / university / office N=79 … during patient-time in the clinic
The results MI - e-learning course - process
I feel that the course helped to improve my skills and competence (N=576).
Fully agree Partly agree Do not agree0
50
100
150
200
250
300
350
400
450
64 62
6
338
106
EnglishGerman
The results MI - e-learning course – effects I
Applicability of the skills and knowledge I obtained from the course in my clinical practice. (N=575)
Excellent Good Fair Poor0
50
100
150
200
250
300
350
400
450
16
96
19 1
284 111
48
EnglishGerman
The results MI - e-learning course – effects II
The course motivated me to learn and reflect upon the topic. (N=575)
Yes Somewhat Only a little Not at all0
50
100
150
200
250
300
350
400
450
86
28 17 1
342
101
EnglishGerman
The results MI - e-learning course – effects III
The most essential yield for me was:
0
5
10
15
20
25
The results MI - e-learning course – effects IV
- Results are not representative, an exact descriptive population is not possible, since it relies in the evaluation of the non-audited self-reporting of participants.
- Use of a non-validated modified mesure.- Multiple assessments cannot be excluded.
The limitationsMI - e-learning course
The knowledge about motivational interviewing is deepened and clarified is the possibility of practical application. The shape of the E-learning seems to be well received by the participants.
The discussionMI - e-learning course
The results shows that the e-learning course on Motivational Interviewing is a valide possibility of transfer of knowledge and skills.
The conclusionMI - e-learning course
…. additional slides ! (R1-5)
Which teaching method was best?
0
50
100
150
200
250
300
350
400
450
500
59 4192
41 6311
276
164
339
221
337
175
German English
N=1819
The results MI - e-learning course – effects R1
W10: After taking the course I know better how to invite the patient to talk about behavior change.
W11: After taking the course I know better how to encourage the patient to talk about behavior change.
W12: After taking the course I know better how to actively convey respect for the patient’s choice about behavior change.
W13: After taking the course I and the patient exchange ideas about how the patient could change current behavior.
W14: In MI it is important to listen empathically to the problems, but not engaging in them, to really concentrate and act on change talk. After taking the course I know better how to get a good balance in my consultations between empathic listening to problems, and active engagement in change talk.
W15: In MI it is important to know that the tool is not useful for every consultation. After taking the course I know better how to select the right patients at the right time to use MI.
W16: After taking the course I think it is feasible for me to per-form MI (with some patients) in my daily general practice.
W17: After taking the course I plan to use MI in my daily practice.
Not at all Minimally To some extent A good deal A great extent0
50
100
150
200
250
300
350
W10 W11 W12 W13 W14 W15 W16 W17
Which competences improved after the course?
The results MI - e-learning course – effects R2
W10 W11 W12 W13 W14 W15 W16 W17
Mittelwert 3,29 3,10 3,11 3,16 3,17 2,80 3,29 3,42
N 566 566 566 564 565 561 563 558
Standardabweichung ,769 ,806 ,842 ,775 ,720 ,938 ,789 ,808
Median 3,00 3,00 3,00 3,00 3,00 3,00 3,00 4,00
W10: After taking the course I know better how to invite the patient to talk about behavior change.
W11: After taking the course I know better how to encourage the patient to talk about behavior change.
W12: After taking the course I know better how to actively convey respect for the patient’s choice about behavior change.
W13: After taking the course I and the patient exchange ideas about how the patient could change current behavior.
W14: In MI it is important to listen empathically to the problems, but not engaging in them, to really concentrate and act on change talk. After taking the course I know better how to get a good balance in my consultations between empathic listening to problems, and active engagement in change talk.
W15: In MI it is important to know that the tool is not useful for every consultation. After taking the course I know better how to select the right patients at the right time to use MI.
W16: After taking the course I think it is feasible for me to per-form MI (with some patients) in my daily general practice.
W17: After taking the course I plan to use MI in my daily practice.
The results MI - e-learning course – effects R3
Which competences improved after the course?
My suggestions to improve the course?
even
mor
e vid
eos
and
inter
activ
e ele
men
ts
tech
nical
impr
ovem
ent
cut t
he to
ol
noth
ing
langu
age
Exam
ples
of d
ifficu
lt co
mm
unica
tion
tool
for d
ownlo
adot
her
02468
101214
The results MI - e-learning course – effects R4
I would like to have e-Learning courses of the following topics in the future.
Communication
Difficu
lt pati
ent
Quality
Elderl
y care
Bad new
s
Empath
y
Lifest
yles r
elated
issues
Violence
Diabete
s care
Smokin
g cess
ation
Manag
ing a disp
ute
Business
Palliati
ve ca
re
Dealin
g with
grief
Relationsh
ip in th
e 1st
infancy
Dealin
g with
a pati
ent c
omplaint
Other0
10
20
30
40
50
60 57
49
44 43 42
34 34 3331
28 27 26 2623
21 20
52
The results MI - e-learning course – effects R5