Improving Relationships Using Motivational Interviewing

NCT05696964 | Withdrawn

• 1 other identifier: IRB-2022-220
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 2

Brief Summary

This research aims to optimize patient-clinician relationships through motivational interviewing training in a Federally Qualified Health Center (FQHC) to improve health outcomes for African American patients with Type 2 diabetes.

Conditions

Physician-Patient Relations; Diabetes Mellitus, Type 2

Keywords

motivational interviewing; patient-clinician relationship; artificial intelligence

Outcome Measures

Primary Outcomes (1)

• Changes in perceptions of the patient-clinician relationship by patients of participating residents.

  The Patient-Doctor Relationship Questionnaire-9 (PDRQ-9) will be used to assess the patient's subjective perception of the quality of the patient-clinician relationship.The PDRQ-9 consists of 9 statements, for which there are response options ranging from 1 (not at all appropriate) to 5 (totally appropriate). Scores range from 9 to 45 with higher scores being more desirable.

  Measured every 3 months up to 4 years.

Secondary Outcomes (7)

• Perceptions of psychological safety by patients of participating residents.

  Measured every 3 months up to 4 years.

• Levels of self-reported patient activation by patients of participating residents.

  Measured every 3 months up to 4 years.

• HbA1c levels of patients of participating residents.

  Measured every 3 months up to 4 years.

• Changes in the percentage of time the resident speaks in role plays in motivational interviewing practice.

  Measured every 3 months up to 3 years.

• Changes in the ratio of open-ended to closed-ended questions used by the resident in role plays in motivational interviewing practice.

  Measured every 3 months up to 3 years.

Study Arms (1)

Enhanced Motivational Interviewing Training

EXPERIMENTAL

Participating medical residents will all receive two successive interventions, motivational interviewing (MI) booster training and the use of a dashboard that provides MI metrics. The booster training will make use of an artificial intelligence tool developed by our study team, Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI), that produces metrics on important conversational skills (e.g., talking time, use of open-ended questions). The dashboard will produce these metrics during clinical encounters as a way to provide cuing for the MI approach.

Behavioral: Motivational interviewing training enhanced with artificial intelligence

Interventions

Motivational interviewing training enhanced with artificial intelligence BEHAVIORAL

The training in motivational interviewing that medical residents will receive will make use of an artificial intelligence measurement tool, Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI), that produces a spectrum of relevant MI metrics.

Enhanced Motivational Interviewing Training

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Eligible participants are residents in Family Medicine and Internal Medicine residency programs at Wright State University who will be recruited to participate in the study.

You may not qualify if:

• None
• Note: Patients of these participating residents will be invited to participate in the study by providing survey and health data at specified intervals, but these patients will not be the direct recipients of any intervention in this study. Eligible patients will be self-identifying African American individuals ages 18 and over with a diagnosis of Type 2 diabetes, and are patients of either Family Medicine or Internal Medicine residents participating in this study. The target number of patients is 200.

Sponsors & Collaborators

• Wright State University: lead
• Five Rivers Health Centers: collaborator
• Kennesaw State University: collaborator

Study Sites (2)

Five Rivers Health Centers

Dayton, Ohio, 45417, United States

Location

Wright State University

Dayton, Ohio, 45435, United States

Location

Related Publications (2)

• Vasoya MM, Shivakumar A, Pappu S, Murphy CP, Pei Y, Bricker DA, Wilson JF, Castle A, Hershberger PJ. ReadMI: An Innovative App to Support Training in Motivational Interviewing. J Grad Med Educ. 2019 Jun;11(3):344-346. doi: 10.4300/JGME-D-18-00839.1. No abstract available.

  PMID: 31210875 BACKGROUND

• Hershberger PJ, Pei Y, Bricker DA, Crawford TN, Shivakumar A, Vasoya M, Medaramitta R, Rechtin M, Bositty A, Wilson JF. Advancing Motivational Interviewing Training with Artificial Intelligence: ReadMI. Adv Med Educ Pract. 2021 Jun 4;12:613-618. doi: 10.2147/AMEP.S312373. eCollection 2021.

  PMID: 34113205 BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

Artificial Intelligence

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Algorithms; Mathematical Concepts

Study Officials

• Paul J Hershberger, PhD

  Wright State University Boonshoft School of Medicine

  PRINCIPAL INVESTIGATOR

• Dean A Bricker, MD

  Wright State University Boonshoft School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: All participating medical residents in the study will receive the same motivational interviewing training. Patients of these medical residents will be recruited to provide data on their perceptions of their relationship with their physician, as well as health indicators, but there is no direct intervention for patients themselves. The target number of patients is 200.

Study Record Dates

• First Submitted: December 22, 2022
• First Posted: January 25, 2023
• Study Start: February 1, 2024
• Primary Completion: February 1, 2024
• Study Completion: February 1, 2024
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)