title: Motivational interviewing in paediatric residency.
abstract: BACKGROUND
  Motivational interviewing (MI) is a collaborative, evidence-based, person-centred counselling style for addressing ambivalence about behaviour change. Despite its proven effectiveness, there is little formal instruction of MI in paediatric training programmes.
  
  
  METHODS
  Second-year paediatric residents participated in a 4-hour MI workshop, followed by a 1-hour small group review course and hands-on supervision during their Adolescent Medicine rotation. After the MI workshop, and again after their refresher course, we assessed residents' attitudes and skill with written and online surveys, as well as with a modified Helpful Responses Questionnaire (HRQ).
  
  
  RESULTS
  Results revealed a statistically significant improvement in residents' confidence in eliciting health behaviour change [t-score(59) = 3.76, p = 0.008]. HRQ scores for all three clinical scenarios improved significantly following the workshop (p < 0.000). Residents most valued the interactive components of the workshop and review course, particularly the practice exercises, videos/video vignettes, feedback and coaching.
  
  
  CONCLUSIONS
  A standardised MI curriculum for paediatric residency training improved residents' confidence in eliciting health behaviour change and use of empathic, reflective language. The curriculum is both feasible and widely accepted by residents, with opportunities for residents to practise MI under supervision during resident training. In conclusion, providing a 4-hour MI workshop for paediatric residents, with reinforcement through a review course and clinical opportunities to practise MI under supervision, improved confidence in eliciting health behaviour change and the use of MI-consistent language. This innovative and time-sensitive effort could serve as a future model for MI training for paediatric residents. There is little formal instruction of MI in paediatric training programmes.
authors: Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Michigan Health System, Ann Arbor, Michigan, USA.|Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan, USA.
authors: Nasuh
authors: N
authors: Malas
authors: Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.|Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Dana
authors: D
authors: Rofey
authors: Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Anne Marie
authors: AM
authors: Kuchera
authors: Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Jonathan
authors: J
authors: Pletcher
authors: Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.|Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Roberto
authors: R
authors: Ortiz-Aguayo
authors: Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Antoine
authors: A
authors: Douaihy
authors: Department of Pediatrics, Columbia University Medical Center, New York, USA.
authors: Melanie
authors: M
authors: Gold
mesh_terms: D000295:Adolescent Medicine / Q000193:education*; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003479:Curriculum; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D062405:Motivational Interviewing; D010372:Pediatrics / Q000193:education*; D011795:Surveys and Questionnaires