title: Physician training in self-efficacy enhancing interviewing techniques (SEE IT): Effects on patient psychological health behavior change mediators.
abstract: To explore how physician training in self-efficacy enhancing interviewing techniques (SEE IT) affects patient psychological health behavior change mediators (HBCMs).
  
  
  
  We analyzed data from 131 patients visiting primary care physicians ≥4 months after the physicians participated in a randomized controlled trial. Experimental arm physicians (N=27) received SEE IT training during three ≤20min standardized patient instructor (SPI) visits. Control physicians (N=23) viewed a diabetes medications video during one SPI visit. Physicians were blinded to patient participation. Outcomes were self-care self-efficacy, readiness, and health locus of control (Internal, Chance, Powerful Others), examined as a summary HBCM score (average of standardized means) and individually. Analyses adjusted for pre-visit values of the dependent variables.
  
  
  
  Patients visiting SEE IT-trained physicians had higher summary HBCM scores (+0.42, 95% CI 0.07-0.77; p=0.021). They also had greater self-care readiness (AOR 3.04, 95% CI 1.02-9.03, p=0.046) and less Chance health locus of control (-0.27 points, 95% CI -0.50-0.04, p=0.023), with no significant differences in other HBCMs versus controls.
  
  
  
  Improvement in psychological HBCMs occurred among patients visiting SEE IT-trained physicians, PRACTICE IMPLICATIONS: If further research shows the observed HBCM effects improve health behaviors and outcomes, SEE IT training might be offered widely to physicians.
authors.affiliation: Department of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: afjerant@ucdavis.edu.
authors.forename: Anthony
authors.initials: A
authors.lastname: Jerant
authors.affiliation: Department of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: mlichte@ucdavis.edu.
authors.forename: Melissa
authors.initials: M
authors.lastname: Lichte
authors.affiliation: Department of Internal Medicine, University of California Davis, Sacramento, USA. Electronic address: rlkravitz@ucdavis.edu.
authors.forename: Richard L
authors.initials: RL
authors.lastname: Kravitz
authors.affiliation: Department of Pediatrics and Center for Healthcare Policy and Research, University of California Davis, Sacramento, USA. Electronic address: djtancredi@ucdavis.edu.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Tancredi
authors.affiliation: Department of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: emagnan@ucdavis.edu.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Magnan
authors.affiliation: Sutter Medical Foundation, Sacramento, USA. Electronic address: HudnutA@Sutterhealth.org.
authors.forename: Andrew
authors.initials: A
authors.lastname: Hudnut
authors.affiliation: Department of Family and Community Medicine, University of California Davis, Sacramento, USA. Electronic address: pfranks@ucdavis.edu.
authors.forename: Peter
authors.initials: P
authors.lastname: Franks
mesh_terms: D000328:Adult; D004502:Education, Medical, Continuing; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008603:Mental Health; D062405:Motivational Interviewing / Q000379:methods*; D010043:Outcome and Process Assessment, Health Care; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care / Q000193:education*; D011320:Primary Health Care / Q000379:methods; D012648:Self Care; D020377:Self Efficacy; D055815:Young Adult
keywords: Continuing professional development; Health behavior; Interviews as topic; Locus of control; Motivation; Patient engagement; Primary care; Self-efficacy; Stages of change