Reinventing the reel: An innovative approach to resident skill-building in motivational interviewing for brief intervention

Bonnie Cole, Denice Crowe Clark, J. Paul Seale, Sylvia Shellenberger, Alan Lyme, J Aaron Johnson, Aruna Chhabria

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

To enhance the skills of primary care residents in addressing substance misuse, residency screening, brief intervention, and referral to treatment (SBIRT) programs increasingly offer motivational interviewing (MI) training, but seldom include feedback and coaching. This innovative 2-round Virginia Reel approach, supplementing 3 hours of basic MI instruction, was designed to teach and coach residents to use MI while providing ongoing medical care. SBIRT/MI-competent facilitators served as both trainers and actors at 8 carefully sequenced Objective Structured Clinical Examination (OSCE) stations, providing instruction, role-play practice, and feedback on 17 microskills in 2 successive clinical visits/rounds addressing alcohol misuse and diabetes management. Evaluation included OSCE checklists, overall competency assessments, and responses to open-ended questions. Three residents showed improvement between rounds. Resident evaluations were strongly positive, identifying practice of MI skills and receipt of coaching and feedback from MI experts as particularly valuable. Further study is needed to confirm effectiveness of the approach and explore the impact of fewer OSCE stations of longer duration.

Original languageEnglish (US)
Pages (from-to)278-281
Number of pages4
JournalSubstance Abuse
Volume33
Issue number3
DOIs
StatePublished - Jul 1 2012
Externally publishedYes

Fingerprint

Motivational Interviewing
Referral and Consultation
Internship and Residency
Checklist
Primary Health Care
Alcohols
Mentoring

Keywords

  • Educational measurement
  • residency
  • substance-related disorders
  • training techniques

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Medicine(all)

Cite this

Reinventing the reel : An innovative approach to resident skill-building in motivational interviewing for brief intervention. / Cole, Bonnie; Clark, Denice Crowe; Seale, J. Paul; Shellenberger, Sylvia; Lyme, Alan; Johnson, J Aaron; Chhabria, Aruna.

In: Substance Abuse, Vol. 33, No. 3, 01.07.2012, p. 278-281.

Research output: Contribution to journalArticle

Cole, Bonnie ; Clark, Denice Crowe ; Seale, J. Paul ; Shellenberger, Sylvia ; Lyme, Alan ; Johnson, J Aaron ; Chhabria, Aruna. / Reinventing the reel : An innovative approach to resident skill-building in motivational interviewing for brief intervention. In: Substance Abuse. 2012 ; Vol. 33, No. 3. pp. 278-281.
@article{10e2fc645f12418fae26cd55783ec24c,
title = "Reinventing the reel: An innovative approach to resident skill-building in motivational interviewing for brief intervention",
abstract = "To enhance the skills of primary care residents in addressing substance misuse, residency screening, brief intervention, and referral to treatment (SBIRT) programs increasingly offer motivational interviewing (MI) training, but seldom include feedback and coaching. This innovative 2-round Virginia Reel approach, supplementing 3 hours of basic MI instruction, was designed to teach and coach residents to use MI while providing ongoing medical care. SBIRT/MI-competent facilitators served as both trainers and actors at 8 carefully sequenced Objective Structured Clinical Examination (OSCE) stations, providing instruction, role-play practice, and feedback on 17 microskills in 2 successive clinical visits/rounds addressing alcohol misuse and diabetes management. Evaluation included OSCE checklists, overall competency assessments, and responses to open-ended questions. Three residents showed improvement between rounds. Resident evaluations were strongly positive, identifying practice of MI skills and receipt of coaching and feedback from MI experts as particularly valuable. Further study is needed to confirm effectiveness of the approach and explore the impact of fewer OSCE stations of longer duration.",
keywords = "Educational measurement, residency, substance-related disorders, training techniques",
author = "Bonnie Cole and Clark, {Denice Crowe} and Seale, {J. Paul} and Sylvia Shellenberger and Alan Lyme and Johnson, {J Aaron} and Aruna Chhabria",
year = "2012",
month = "7",
day = "1",
doi = "10.1080/08897077.2011.639696",
language = "English (US)",
volume = "33",
pages = "278--281",
journal = "Substance Abuse",
issn = "0889-7077",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - Reinventing the reel

T2 - An innovative approach to resident skill-building in motivational interviewing for brief intervention

AU - Cole, Bonnie

AU - Clark, Denice Crowe

AU - Seale, J. Paul

AU - Shellenberger, Sylvia

AU - Lyme, Alan

AU - Johnson, J Aaron

AU - Chhabria, Aruna

PY - 2012/7/1

Y1 - 2012/7/1

N2 - To enhance the skills of primary care residents in addressing substance misuse, residency screening, brief intervention, and referral to treatment (SBIRT) programs increasingly offer motivational interviewing (MI) training, but seldom include feedback and coaching. This innovative 2-round Virginia Reel approach, supplementing 3 hours of basic MI instruction, was designed to teach and coach residents to use MI while providing ongoing medical care. SBIRT/MI-competent facilitators served as both trainers and actors at 8 carefully sequenced Objective Structured Clinical Examination (OSCE) stations, providing instruction, role-play practice, and feedback on 17 microskills in 2 successive clinical visits/rounds addressing alcohol misuse and diabetes management. Evaluation included OSCE checklists, overall competency assessments, and responses to open-ended questions. Three residents showed improvement between rounds. Resident evaluations were strongly positive, identifying practice of MI skills and receipt of coaching and feedback from MI experts as particularly valuable. Further study is needed to confirm effectiveness of the approach and explore the impact of fewer OSCE stations of longer duration.

AB - To enhance the skills of primary care residents in addressing substance misuse, residency screening, brief intervention, and referral to treatment (SBIRT) programs increasingly offer motivational interviewing (MI) training, but seldom include feedback and coaching. This innovative 2-round Virginia Reel approach, supplementing 3 hours of basic MI instruction, was designed to teach and coach residents to use MI while providing ongoing medical care. SBIRT/MI-competent facilitators served as both trainers and actors at 8 carefully sequenced Objective Structured Clinical Examination (OSCE) stations, providing instruction, role-play practice, and feedback on 17 microskills in 2 successive clinical visits/rounds addressing alcohol misuse and diabetes management. Evaluation included OSCE checklists, overall competency assessments, and responses to open-ended questions. Three residents showed improvement between rounds. Resident evaluations were strongly positive, identifying practice of MI skills and receipt of coaching and feedback from MI experts as particularly valuable. Further study is needed to confirm effectiveness of the approach and explore the impact of fewer OSCE stations of longer duration.

KW - Educational measurement

KW - residency

KW - substance-related disorders

KW - training techniques

UR - http://www.scopus.com/inward/record.url?scp=84863507993&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863507993&partnerID=8YFLogxK

U2 - 10.1080/08897077.2011.639696

DO - 10.1080/08897077.2011.639696

M3 - Article

C2 - 22738005

AN - SCOPUS:84863507993

VL - 33

SP - 278

EP - 281

JO - Substance Abuse

JF - Substance Abuse

SN - 0889-7077

IS - 3

ER -