title: Effect of teaching motivational interviewing via communication coaching on clinician and patient satisfaction in primary care and pediatric obesity-focused offices.
abstract: OBJECTIVE
  Studies indicate needed improvement in clinician communication and patient satisfaction. Motivational interviewing (MI) helps promote patient behavior change and improves satisfaction. In this pilot study, we tested a coaching intervention to teach MI to all clinic staff to improve clinician and patient satisfaction.
  
  
  METHODS
  We included four clinics (n=29 staff members). In the intervention clinics (one primary care and one pediatric obesity-focused), we trained all clinic staff in MI through meetings as a group seven times, directly observing clinicians in practice 4-10 times, and providing real-time feedback on MI techniques. In all clinics, we assessed patient satisfaction via anonymous surveys and also assessed clinician burnout and self-rated MI skills.
  
  
  RESULTS
  Clinicians in the intervention clinics reported improvements in burnout scores, self-rated MI skills, and perceived cohesion whereas clinicians in the control clinic reported worse scores. Patient satisfaction improved in the intervention clinics more than in the control clinics.
  
  
  CONCLUSIONS
  This is the first study to find some benefit of training an entire clinic staff in MI via a coaching model.
  
  
  CONCLUSIONS
  It might help to train staff in MI to improve clinician satisfaction, team cohesion, perceived skills, and patient satisfaction.
authors: Cancer Control and Populations Sciences, Duke Cancer Institute, Durham, USA; Department of Community and Family Medicine, Duke School of Medicine, Durham, USA. Electronic address: kathryn.pollak@duke.edu.
authors: Kathryn I
authors: KI
authors: Pollak
authors: Department of Psychiatry, Duke School of Medicine, Durham, USA.
authors: Paul
authors: P
authors: Nagy
authors: Southern Regional AHEC, Fayetteville, USA.
authors: John
authors: J
authors: Bigger
authors: Cancer Control and Populations Sciences, Duke Cancer Institute, Durham, USA.
authors: Alicia
authors: A
authors: Bilheimer
authors: Cancer Control and Populations Sciences, Duke Cancer Institute, Durham, USA.
authors: Pauline
authors: P
authors: Lyna
authors: Cancer Control and Populations Sciences, Duke Cancer Institute, Durham, USA.
authors: Xiaomei
authors: X
authors: Gao
authors: Community Care of North Carolina, Raleigh, USA.
authors: Michael
authors: M
authors: Lancaster
authors: Community Care of North Carolina, Raleigh, USA.
authors: R Chip
authors: RC
authors: Watkins
authors: Division of Community Health, Department of Community and Family Medicine, Duke School of Medicine, Durham, USA.
authors: Fred
authors: F
authors: Johnson
authors: Batish Family Medicine, Leland, USA.
authors: Sanjay
authors: S
authors: Batish
authors: Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, USA.
authors: Joseph A
authors: JA
authors: Skelton
authors: Department of Pediatrics, Duke School of Medicine, Durham, USA.
authors: Sarah
authors: S
authors: Armstrong
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D002983:Clinical Competence; D003142:Communication; D004502:Education, Medical, Continuing / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D017060:Patient Satisfaction; D063766:Pediatric Obesity / Q000517:prevention & control; D010372:Pediatrics; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods; D011369:Professional-Patient Relations; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D013663:Teaching
keywords: Coaching; Motivational interviewing; Patient-clinician communication; Satisfaction