The Tailored-Motivational Interviewing Project

NCT03181022 | Completed

• 1 other identifier: R34MH103049-01
• Study Type: interventional
• Target: 111
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of the Tailored Motivational Interviewing Project (TMI) is to develop an implementation intervention to increase evidence-based patient-provider communication strategies using a Motivational Interviewing (MI) framework.

Conditions

HIV

Keywords

Patient-Provider Communication; Motivational Interviewing; Medication Adherence

Outcome Measures

Primary Outcomes (1)

• MI Coach Rating Scale

  Fidelity to Motivational Interviewing by HIV care providers

  Change from pre- to post-training and implementation (12 months)

Study Arms (4)

Phase 1a

NO INTERVENTION

To develop a measure of MI fidelity to ensure methodological rigor, acceptability and feasibility of administration, and clinical usefulness (Phase 1a). Ratings of 200 recordings of full patient-provider interactions with ratings of thin slices (recording 1 minute every 5 minutes) will be compared.

Phase 1b

NO INTERVENTION

To conduct evidence-based tailoring of MI training for adolescent HIV care settings (Phase 1b). Coding via sequential analysis will be conducted of the 200 recordings to identify those specific provider communication behaviors that predict subsequent youth motivational statements.

Phase 2

NO INTERVENTION

To collaboratively develop the implementation intervention with 2 clinic teams associated with the ATN (Phase 2). A formative evaluation will be done to provide local diagnostic data regarding barriers and facilitators to adoption and create development panels - local development teams made up of clinicians and administrators from the site, and study staff to address barriers and facilitators from formative evaluation and draft locally-customized clinical care and multi-level implementation strategies with initial sustainability plans.

Phase 3

EXPERIMENTAL

To pilot test the implementation intervention and process/outcome evaluation protocols at two ATN sites in preparation for a full-scale trial.

Behavioral: Motivational Interviewing

Interventions

Motivational Interviewing BEHAVIORAL

HIV care providers will be asked to attend an MI training workshop lasting a total of 12 hours. The workshop will be conducted by members of the MI Network of Trainers. MI training relies on experiential activities and cooperative learning methods. After the training, study staff will monitor MI fidelity, or how providers are using the MI skills, using the MI Coach Rating Scale. This will occur 3 times prior to the training, 3 times during the practice period, and then quarterly. They will be asked to complete an audiotaped standardized patient interaction (approximately 30 minutes) with one of the study staff. These will be coded and providers will be informed of their competency level for all but the pre-training role plays. Coaching will be provided for all participants during the practice period. For the quarterly role plays, no coaching occurs unless their score indicates they need additional coaching (an additional 45 minute session with an MI trainer).

Phase 3

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients: HIV+, current patient in HIV adolescent care clinic
• Providers: Provider in HIV adolescent care clinic

You may not qualify if:

• Unable to consent to participate (lack of English fluency)

Sponsors & Collaborators

• Wayne State University: lead
• National Institutes of Health (NIH): collaborator
• National Institute of Mental Health (NIMH): collaborator

Study Sites (2)

University Health Center

Detroit, Michigan, 48201, United States

Location

Adolescent AIDS Program

The Bronx, New York, 10467, United States

Location

MeSH Terms

Conditions

Medication Adherence

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: May 25, 2017
• First Posted: June 8, 2017
• Study Start: December 8, 2015
• Primary Completion: November 17, 2020
• Study Completion: November 17, 2020
• Last Updated: April 9, 2021

Record last verified: 2021-04

Locations

US (2)