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Evaluation of Combined Educational Methods on Motivational Interviewing for Final-Year Medical Students: Mixed
Isaraporn Thepwongsa1, Radhakrishnan Muthukumar2, Pat Nonjui1
1Department of Community, Family and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Khon Kaen, Thailand.
A combined educational model significantly improved medical students' knowledge and confidence in motivational interviewing (MI). Students successfully applied MI techniques in patient encounters, particularly for chronic disease management.
Area of Science:
- Medical Education
- Health Behavior Change
- Communication Skills Training
Background:
- Motivational interviewing (MI) is crucial for health behavior change but inconsistently integrated into medical curricula.
- Evidence for combined learning models (face-to-face and web-based) in MI training for medical students, especially in Asia, is limited.
Purpose of the Study:
- To evaluate a combined MI educational model's impact on final-year medical students' knowledge, confidence, and application during clinical rotations.
- To assess the effectiveness of a blended learning approach for MI training in an Asian medical context.
Main Methods:
- Sequential explanatory mixed methods design with a before-and-after quantitative study.
- Quantitative data collected via pre- and post-intervention questionnaires (n=120) and learning analytics.
- Qualitative data gathered through semistructured interviews (n=12) to explore application experiences.
Main Results:
- Significant improvement in MI knowledge (P<.001) and confidence post-intervention.
- High reported application of MI in patient encounters (96.9%) and satisfaction with the combined approach (92.3%).
- Students frequently used brief MI for chronic disease management; challenges included time constraints and complex cases.
Conclusions:
- A combined MI learning approach enhances student knowledge, confidence, and clinical application.
- MI is perceived as practical for patient engagement in chronic disease management.
- Longitudinal, spiral curriculum integration with practice opportunities can strengthen MI competencies in medical education.
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