Advertisement

Improving Interdisciplinary Professionals’ Capacity to Motivate Adolescent Behavior Change

      Highlights

      • We determined the effectiveness of adolescent-focused motivational interviewing training
      • We examined changes in knowledge, skills, and confidence of health care professionals in using motivational interviewing strategies
      • We examined continued use of motivational interviewing strategies over time
      • Adolescent-focused training improved health professional practice in the short term

      Abstract

      Nearly 75% of adolescent morbidity and mortality is a result of risky behaviors. In this study we aimed to determine the effectiveness of an adolescent-focused motivational interviewing training in improving health professionals’ knowledge, skills, and confidence in risk reduction counseling with adolescents. Paired t-tests and Spearman’s correlation coefficients for pre- and posttraining showed significant improvements in knowledge, skills, and confidence, with P < .05. Slightly positive correlations between intention and use of strategies at 1 and 3 months posttraining were noted. The findings show that there was an improvement in health professionals’ knowledge, skills, and confidence in counseling adolescents on risky behaviors.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal for Nurse Practitioners
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Institute of Medicine and National Research Council
        The Science of Adolescent Risk-Taking Workshop Report.
        The National Academies Press, Washington, DC2011
      1. Fox HB, McManus MA, Arnold KN. Significant multiple risk behaviors among U.S. high school students (fact sheet no. 8). National Alliance to Advance Adolescent Health Care. http://www.thenationalalliance.org/pdfs/FS8.%20Significant%20Multiple%20Risk%20Behaviors.pdf/. Accessed January 13, 2015.

        • US Centers for Disease Control and Prevention
        Youth risk behavior surveillance—United States, 2013. Surveillance summaries.
        MMWR Morb Mortal Wkly Rep. 2014 June 13; 63
        • Halfon N.
        • Stevens G.D.
        • Larson K.
        • Olson L.M.
        Duration of a well-child visit: association with content, family-centeredness, and satisfaction.
        Pediatrics. 2011; 128: 657-664
        • Akers A.Y.
        • Gold M.A.
        • Borrero S.
        • Santucci A.
        • Schwarz E.B.
        Provider’s perspectives on challenges to contraceptive counseling in primary care settings.
        J Womens Health. 2010; 19: 1163-1170
        • Irwin C.E.
        • Adams S.H.
        • Park M.J.
        • Newacheck P.W.
        Preventive care for adolescents: few get visits and fewer get services.
        Pediatrics. 2009; 123: e565-e572
        • Bernstein E.
        • Edwards E.
        • Dorfman D.
        • Heeren T.
        • Bliss C.
        • Bernstein J.
        Screening and brief intervention to reduce marijuana use among youth and young adults in pediatric emergency department.
        Acad Emerg Med. 2009; 16: 1174-1185
        • Black M.M.
        • Hager E.R.
        • Le K.
        • et al.
        Challenge! Health promotion/obesity prevention mentorship model among urban, black adolescents.
        Pediatrics. 2010; 126: 280-288
        • D’Amico E.
        • Miles J.N.V.
        • Stern S.A.
        • Meredith L.S.
        Brief motivational interviewing for teens at risk of substance use consequences: a randomized pilot study in a primary care clinic.
        J Subst Abuse Treat. 2008; 35: 53-61
        • VanVoorhees B.W.
        • Fogel J.
        • Reinecke M.A.
        • et al.
        Randomized clinical trial of an internet-based depression prevention program for adolescents (PROJECT CATCH-IT) in primary care: 12 week outcomes.
        J Dev Behav Pediatr. 2009; 30: 23-27
        • Naar-King S.
        • Suarez M.
        Motivational Interviewing With Adolescents and Young Adults.
        Guilford Press, New York2011
        • Miller W.R.
        • Rollnick S.
        Motivational Interviewing: Helping People Change.
        3rd ed. Guilford Press, New York2013
        • Smart K.A.
        • Parker R.S.
        • Lampert J.
        • Sulo S.
        Speaking up: teens voice their health information needs.
        J School Nurs. 2012; 28: 379-388
        • Madson M.B.
        • Loignon A.C.
        • Lane C.
        Training in motivational interviewing: a systematic review.
        J Subst Abuse Treat. 2009; 36: 101-109
        • Miller W.R.
        • Moyers T.B.
        Eight stages in learning motivational interviewing.
        J Teach Addict. 2006; 5: 3-17
        • Martino S.
        • Haeseler F.
        • Belitsky R.
        • Pantalon M.
        • Fortin IV, A.H.
        Teaching brief motivational interviewing to year three medical students.
        Med Educ. 2007; 41: 160-167
        • Miller W.R.
        • Hedrick E.K.
        • Orlofsky D.R.
        The helpful responses questionnaire: a procedure for measuring therapeutic empathy.
        J Clin Psychol. 1991; 47: 444-448
      2. Arthur Jr., W. Day E.A. Bennett Jr., W. Portrey A. Individual and Team Skill Decay: the Science and Implications for Practice. Taylor & Francis/Psychology Press, New York2013

      Biography

      Jennifer Salerno, DNP, CPNP, FAANP, was an adjunct faculty at the University of Michigan School of Nursing in Ann Arbor. She is currently associated with Possibilities for Change in Dexter, MI, and can be reached at .

      Biography

      Kathleen R. Delaney, PhD, PMH-NP, is a professor and specialty coordinator in the Psychiatric Mental Health–FNP Program at the Rush University College of Nursing in Chicago, IL.

      Biography

      Kathryn D. Swartwout, PhD, APN, is an assistant professor at the Rush University College of Nursing.

      Biography

      Tsui-Sui Annie Kao, PhD, FNP-BC, is an assistant professor at the University of Michigan School of Nursing.