Motivational Interviewing in Palliative Care

NCT03332615 | Completed

• 1 other identifier: 17-1196
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with advanced illness and their families confront a number of issues ranging from distressing symptoms to making complex decisions that affect quality of life and survival. Patients and family members struggle with these decisions even more when they feel ambivalence or reluctance. The investigator's overarching goal is to enhance provision of high quality, patient-centered care for patients with advance illness and their families and to reduce burnout among palliative care clinicians. The investigator will apply a well-established approach to achieving clinician/patient alignment in the primary care setting, Motivational Interviewing (MI) to a new population and setting, palliative care.

Conditions

Motivational Interviewing

Keywords

Palliative Care

Outcome Measures

Primary Outcomes (1)

• Aim 1: feasibility and acceptability of learning Motivational Interviewing techniques by palliative care clinicians

  To determine palliative care clinician-rated feasibility and acceptability of learning Motivational Interviewing techniques. Feasibility will be defined as the proportion of participating clinicians who successfully complete study participation (i.e. record 4 patient/caregiver encounters and provide post-test assessment).

  Through study completion, an average of 1 year.

Secondary Outcomes (1)

• Aim 2: measure effects of the application of Motivational Interviewing techniques

  Through study completion, an average of 1 year.

Study Arms (2)

Clinicians with MI coaching

ACTIVE COMPARATOR

Clinicians in the intervention arm will be taught Motivational Interviewing via a coaching model in which a didactic session is followed by feedback through review of clinicians' audio-recorded encounters.

Behavioral: Motivational Interviewing

Wait-list control

PLACEBO COMPARATOR

After consent, clinicians in the wait-list control arm will complete a survey to self-assess their motivational interviewing skills and burnout.

Behavioral: Wait-list control

Interventions

Motivational Interviewing BEHAVIORAL

Clinicians in the intervention arm will be taught Motivational Interviewing via a coaching model in which a didactic session is followed by feedback through review of clinicians' audio-recorded encounters.

Clinicians with MI coaching

Wait-list control BEHAVIORAL

After consent, clinicians in the wait-list control arm will complete a survey to self-assess their motivational interviewing skills and burnout.

Wait-list control

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinicians who are palliative care providers (physicians and Advanced Practice Providers).
• Patients/family caregivers must be 18 - 100 years of age.
• Patients must have an advanced illness and be receiving palliative care.
• Family caregivers must be caring for a patient who has an advanced illness who is receiving palliative care.

You may not qualify if:

• Patients/family caregivers who do not speak English or require interpreter services will be excluded.

Sponsors & Collaborators

• University of Colorado, Denver: lead
• Duke University: collaborator

Study Sites (1)

University of Colorado

Aurora, Colorado, 80045, United States

Location

Related Publications (1)

• Pollak KI, Gao X, Arnold RM, Arnett K, Felton S, Fairclough DL, Kutner JS. Feasibility of Using Communication Coaching to Teach Palliative Care Clinicians Motivational Interviewing. J Pain Symptom Manage. 2020 Apr;59(4):787-793. doi: 10.1016/j.jpainsymman.2019.11.010. Epub 2019 Nov 23.

  PMID: 31765759 DERIVED

MeSH Terms

Interventions

Motivational Interviewing

Intervention Hierarchy (Ancestors)

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

Study Officials

• Jean S Kutner, MD, MSPH

  University of Colorado, Denver

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 18, 2017
• First Posted: November 6, 2017
• Study Start: October 24, 2017
• Primary Completion: June 30, 2019
• Study Completion: June 30, 2019
• Last Updated: November 5, 2019

Record last verified: 2019-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)