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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Assessing REflective simulation-based e-Training on motivational interviewing among multidisciplinary healthcare

Angela Massouh¹, Nour Alayan², Mariam Shatila³

¹American University of Beirut School of Nursing, Beirut, Lebanon. angelamassouh@gmail.com.

BMC Medical Education

|July 3, 2024

Summary

This study shows that simulation-based e-training improved healthcare practitioners' confidence in Motivational Interviewing (MI). The reflective program enhanced skills and attitudes, supporting its integration into health education curricula.

Keywords:

Blended Education Interprofessional Education Reflective Learning Simulation Transformative Learning

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Area of Science:

Health Professions Education
Behavioral Science
Medical Simulation

Background:

Behavioral modification techniques are integrated into health science curricula.
Motivational Interviewing (MI) is a key technique with limited educational success.
Simulation-based learning offers a controlled, authentic training platform with immediate feedback.

Purpose of the Study:

To assess the impact of a simulation-based reflective e-training program on healthcare practitioners' knowledge, attitudes, and confidence in Motivational Interviewing.
To explore the role of self-reflection in promoting reflective learning within the training.

Main Methods:

Mixed-method study design with 15 participants for quantitative/reflective phases and 5 for focus groups.
Pre- and post-tests measured changes in knowledge, attitudes, and confidence in MI.
Motivational Interviewing Treatment Integrity (MITI) scores assessed competence in simulation; qualitative analysis explored participant experiences.

Main Results:

Significant increase in confidence scores for Motivational Interviewing (median 29 to 34, p=0.006).
Participants demonstrated competence in technical and relational skills.
Reflective assignments revealed content, process, and premise transformations, indicating enhanced skills and potential attitude shifts.

Conclusions:

Simulation-based e-training is an effective educational modality for health professions.
The reflective program positively impacted confidence and skills in Motivational Interviewing.
Evidence supports integrating reflective simulation-based e-training into health education curricula.