AI-Augmented Motivational Interviewing Training for Primary Care

NCT06597123 | Not Yet Recruiting

• 1 other identifier: 25-0047-P0001
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 2

Brief Summary

This study will examine the impact of training primary care providers (PCPs) in motivational interviewing (MI) using artificial intelligence (AI) to augment the training process. MI is a patient-centered approach to engaging patients in their own care. There will be a control group and two intervention groups, with the intervention groups receiving a different amount of MI training. The hypothesis is that the AI-augmented MI training will result in improved patient outcomes, improved clinician wellbeing, and reduced behavioral manifestation of clinician biases. This mixed-methods project will also collect qualitative data from structured interviews and focus groups with participating PCPs to examine perceived facilitators and barriers to the use of the MI approach in primary care.

Conditions

Multiple Chronic Conditions; Patient Engagement; Burnout, Professional; Motivational Interviewing; Implicit Bias

Keywords

Motivational Interviewing; Artificial Intelligence; Multiple Chronic Conditions; Clinician Wellbeing; Biases; Patient Engagement

Outcome Measures

Primary Outcomes (2)

• MI Communication Metrics

  Motivational interviewing skills/metrics (percentage of time the clinician speaks, number of open-ended questions, number of close-ended questions, number of reflective statements, number of 0-10 scales). Each of the metrics is the total number of occurrences.

  Months 4-7, Months 16-20, Months 30-33

• MI Spirit

  Using a 0-10 scale, the spirit of motivational interviewing (MI) in a role play with a standardized patient will be measured by two artificial intelligence (AI) tools respectively: ReadMI and Dougall GPT.

  Months 4-7, Months 16-20, Months 30-33

Secondary Outcomes (9)

• Bias Manifestation

  Months 4-7, Months 16-20, Months 30-33

• Mini Z (Zero) Burnout Scale 2.0

  Months 4-5, Months 16-17, Months 25-26, Months 32-33

• Aggregated Patient Data for Each Participating PCP

  Months 4-5, Months 16-17, Months 25-26, Months 32-33

• Perceived Stress Scale (PSS)

  Months 4-5, Months 16-17, Months 25-26, Months 32-33

• Brief Resilience Scale (BRS)

  Months 4-5, Months 16-17, Months 25-26, Months 32-33

Study Arms (3)

Control Group

NO INTERVENTION

The control group (CG) will provide survey data and complete role plays with standardized patients for motivational interviewing (MI) assessment at designated project intervals. Premier Physician Network data for these primary care providers (PCPs) will also be obtained at these intervals.

BASIC AI-Augmented Motivational Interviewing Training

ACTIVE COMPARATOR

The Basic intervention group will provide survey data and complete role plays with standardized patients for motivational interviewing (MI) assessment at designated project intervals. Premier Physician Network data for these primary care providers (PCPs) will also be obtained at these intervals. Basic PCPs will participate in a didactics session on MI, and subsequently complete two AI (artificial intelligence)-augmented MI training sessions that involve role-play practice of MI.

Behavioral: Basic AI (artificial intelligence)-Augmented Motivational Interviewing Training

PLUS AI-Augmented Motivational Interviewing Training

ACTIVE COMPARATOR

The Plus intervention group will provide survey data and complete role plays with standardized patients for motivational interviewing (MI) assessment at designated project intervals. Premier Physician Network data for these primary care providers (PCPs) will also be obtained at these intervals. Plus intervention group PCPs will participate in a didactics session on MI, and subsequently complete four AI (artificial intelligence)-augmented MI training sessions that involve role-play practice of MI.

Behavioral: Plus AI (artificial intelligence)-Augmented Motivational Interviewing Training

Interventions

Basic AI (artificial intelligence)-Augmented Motivational Interviewing Training BEHAVIORAL

Basic participants will participate in two motivational interviewing (MI) training sessions that involve role-play practice of MI. Artificial intelligence (AI) will be used to provide metrics on MI-skills (percentage of the time the clinician talks, use of open-ended questions, use of closed-ended questions, use of reflective statements, use of 0-10 scales) as measured by the ReadMI™ tool (Real-time Evaluation of Dialogue in Motivational Interviewing), and both the spirit of MI and presence of bias as measured by Dougall GPT.

BASIC AI-Augmented Motivational Interviewing Training

Plus AI (artificial intelligence)-Augmented Motivational Interviewing Training BEHAVIORAL

Plus participants will participate in four motivational interviewing (MI) training sessions that involve role-play practice of MI. Artificial intelligence (AI) will be used to provide metrics on MI-skills (percentage of the time the clinician talks, use of open-ended questions, use of closed-ended questions, use of reflective statements, use of 0-10 scales) as measured by the ReadMI™ tool, and both the spirit of MI and presence of bias as measured by Dougall GPT.

PLUS AI-Augmented Motivational Interviewing Training

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary care providers (physicians, physician assistants, and nurse practitioners) employed in primary care practices of the Premier Physician Network of Premier Health (southwest Ohio) are eligible to participate.

You may not qualify if:

• Eligible PCPs who opt to not provide informed consent for participation will be excluded from the study.

Sponsors & Collaborators

• Wright State University: lead
• Premier Health: collaborator

Study Sites (2)

Premier Health

Dayton, Ohio, 45409, United States

Location

Wright State University

Dayton, Ohio, 45435, United States

Location

Related Publications (5)

• Lundahl B, Moleni T, Burke BL, Butters R, Tollefson D, Butler C, Rollnick S. Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Educ Couns. 2013 Nov;93(2):157-68. doi: 10.1016/j.pec.2013.07.012. Epub 2013 Aug 1.

  PMID: 24001658 BACKGROUND

• Hershberger PJ, Pei Y, Bricker DA, Crawford TN, Shivakumar A, Castle A, Conway K, Medaramitta R, Rechtin M, Wilson JF. Motivational interviewing skills practice enhanced with artificial intelligence: ReadMI. BMC Med Educ. 2024 Mar 5;24(1):237. doi: 10.1186/s12909-024-05217-4.

  PMID: 38443862 BACKGROUND

• Hershberger PJ, Bricker DA, Conway K, Torcasio MH. Turning "Lose-Lose" into "Win-Win": What Is Good for Them Is Good for Us! Med Sci Educ. 2021 Mar 30;31(3):1177-1181. doi: 10.1007/s40670-021-01280-4. eCollection 2021 Jun.

  PMID: 34457961 BACKGROUND

• Chapman EN, Kaatz A, Carnes M. Physicians and implicit bias: how doctors may unwittingly perpetuate health care disparities. J Gen Intern Med. 2013 Nov;28(11):1504-10. doi: 10.1007/s11606-013-2441-1. Epub 2013 Apr 11.

  PMID: 23576243 BACKGROUND

• Hershberger PJ, Martensen LS, Crawford TN, Bricker DA. Promoting Motivational Interviewing in Primary Care: More Than Intention. PRiMER. 2021 Feb 4;5:7. doi: 10.22454/PRiMER.2021.287928. eCollection 2021.

  PMID: 33860162 BACKGROUND

MeSH Terms

Conditions

Multiple Chronic Conditions; Patient Participation; Burnout, Professional; Bias, Implicit

Interventions

Alkalies

Condition Hierarchy (Ancestors)

Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Prejudice; Social Behavior

Intervention Hierarchy (Ancestors)

Inorganic Chemicals

Study Officials

• Paul J Hershberger, PhD

  Wright State University Boonshoft School of Medicine

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Paul J Hershberger, PhD

CONTACT

937-245-7223; paul.hershberger@wright.edu

Mary Crane, MBA

CONTACT

937-245-7218; mary.crane@wright.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Family Medicine; Associate Dean for Research Affairs

Model Details: Primary care provider (PCP) participants will be randomly assigned to intervention (IG) or control (CG) groups, with the Basic IG receiving two ReadMI (Real-time Evaluation of Dialogue in Motivational Interviewing)-supported motivational interviewing (MI) trainings and the Plus IG receiving four MI trainings. Plus will receive two MI trainings at the same time as Basic and will receive two additional MI trainings one year later.

Study Record Dates

• First Submitted: September 5, 2024
• First Posted: September 19, 2024
• Study Start: July 1, 2025
• Primary Completion (Estimated): June 30, 2028
• Study Completion (Estimated): June 30, 2028
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)