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Designing Practical Motivational Interviewing Training for Mental Health Practitioners Implementing Behavioral

Arlene Taylor Dalcin1,2, Christina T Yuan3, Gerald J Jerome1,4

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Summary

Brief motivational interviewing (MI) training, combined with avatar practice, may effectively enhance clinician skills for individuals with serious mental illness (SMI). This scalable approach addresses barriers to implementing health behavior interventions for SMI populations.

Keywords:
cardiovascular diseasecommunity mental healthlifestyle interventionsmotivational interviewingtraining

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Area of Science:

  • Behavioral Science
  • Public Health
  • Mental Health Technology

Background:

  • Motivational interviewing (MI) is effective for improving health behaviors in persons with serious mental illness (SMI).
  • Cardiovascular disease (CVD) risk is disproportionately high in SMI populations, necessitating effective risk reduction strategies.
  • Traditional MI training is time-intensive, posing a barrier to widespread implementation in community mental health settings.

Purpose of the Study:

  • To design and develop scalable MI training approaches for community mental health practitioners.
  • To evaluate brief real-time workshops and asynchronous avatar training for MI skills development.
  • To support the implementation of lifestyle interventions for weight loss, smoking cessation, and CVD risk reduction in people with SMI.

Main Methods:

  • Developed 2 scalable MI training approaches: brief real-time workshops (1-4 hours) and asynchronous avatar training.
  • Trained 126 practitioners across 3 pilot projects addressing weight loss, smoking cessation, and CVD risk reduction.
  • Utilized videoconferencing for workshops and a commercial website for avatar-based training and simulations.

Main Results:

  • The ALACRITY Center successfully implemented MI training for 126 practitioners.
  • Pilot implementation projects are ongoing, with expected completion in May 2023.
  • The study is assessing practitioner attitudes and MI skills at 3, 6, and 12 months post-training.

Conclusions:

  • Brief MI training combined with avatar skills practice shows potential for enhancing clinician MI skills.
  • This scalable training model could overcome barriers to implementing MI for physical health interventions in SMI populations.
  • Findings will inform the broader adoption of effective MI training for community mental health practitioners.