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Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
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Parallel processes: using motivational interviewing as an implementation coaching strategy
Jennifer E Hettema1, Denise Ernst, Jessica Roberts Williams
1Department of Family and Community Medicine, University of New Mexico, NM 87131, USA, jhettema@salud.unm.edu.
The Journal of Behavioral Health Services & Research
|December 19, 2013
Summary
Motivational interviewing (MI) coaching webinars effectively increased evidence-based practice adoption among health providers. This active dissemination strategy proved superior to passive methods, demonstrating MI
Area of Science:
- Implementation Science
- Behavioral Health
- Health Services Research
Background:
- Motivational interviewing (MI) is a clinical communication style.
- MI is hypothesized to aid evidence-based practice (EBP) adoption.
- Active dissemination strategies may improve EBP uptake.
Purpose of the Study:
- To report on MI-based implementation coaching webinars.
- To evaluate webinar effectiveness compared to passive dissemination.
- To assess fidelity to the MI model during coaching.
Main Methods:
- Webinars utilized MI principles for implementation coaching.
- The Motivational Interviewing Treatment Integrity (MITI) scale assessed fidelity.
- Coaching webinars were delivered to behavioral and community health organizations.
Main Results:
- MI-based webinars were more effective than passive strategies for EBP adoption.
- The MITI scale was applicable to coaching webinars.
- High inter-rater reliability was achieved using the MITI scale.
- Coaches demonstrated high fidelity to the MI model.
Conclusions:
- MI-based implementation coaching webinars are feasible.
- Active dissemination using MI can enhance EBP adoption.
- MI is a viable coaching tool for healthcare providers.
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