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Toward an Emerging Role for Motivational Interviewing in Primary Care

  • Robert KeeleyEmail author
  • Matthew Engel
  • Alex Reed
  • David Brody
  • Brian L. Burke
Psychiatry in Primary Care (BN Gaynes, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Psychiatry in Primary Care

Abstract

Purpose of Review

Implementing Motivational Interviewing (MI) in primary care settings has been problematic due in part to persistent gaps in knowledge. Examples include poor understanding of how to effectively train persons to conduct MI, or of which aspects of MI-related communication are associated with better outcomes for patients. This review describes how recent research findings addressing the knowledge gaps support a growing role for MI in primary care.

Recent Findings

Two trials of MI training combined classroom time with ongoing coaching and feedback, resulting in enhanced MI ability relative to a control arm where PCPs received minimal or no MI training. A third MI training trial excluded coaching and feedback, failing to increase use of MI. Adding to a growing list of behavioral health-related problems for which MI training has shown some effectiveness, a trial of training PCPs to use MI with depressed patients was associated with significantly improved depressive symptoms. Moreover, aspects of the PCPs’ MI-related language and patients’ arguments for positive behavior changes, “change talk,” appeared to explain the positive effects of MI training on depression outcome.

Summary

MI-training approaches have improved such that PCPs and possibly other clinic staff may want to consider MI training as a way to more effectively support their patients as they address behavioral health-related problems (e.g., tobacco use). MI training should focus on eliciting “change talk” from patients. Researchers and funding agencies might collaborate to continue closing knowledge gaps in the MI literature.

Keywords

Motivational Interviewing Primary care MI training 

Notes

Compliance with Ethical Standards

Conflict of Interest

Robert Keeley, Matthew Engel, Alex Reed, David Brody, and Brian L. Burke each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Robert Keeley
    • 1
    • 2
    Email author
  • Matthew Engel
    • 3
  • Alex Reed
    • 1
  • David Brody
    • 4
    • 5
  • Brian L. Burke
    • 6
  1. 1.Department of Family MedicineUniversity of Colorado DenverAuroraUSA
  2. 2.Denver HealthDenverUSA
  3. 3.University of Kansas School of Medicine-WichitaWichitaUSA
  4. 4.Department of Internal MedicineUniversity of Colorado DenverAuroraUSA
  5. 5.Colorado Community Health AllianceDenverUSA
  6. 6.Department of PsychologyFort Lewis CollegeDurangoUSA

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