Motivational Interviewing: An Experiential Online Training Tool

动机访谈：体验式在线培训工具

• 批准号: 8199073
• 负责人: Jeffrey Olivet
• 金额: $ 20.3万
• 依托单位: C4 INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-02 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8199073
• 关键词: AIDS/HIV problem; Address; Area; Books; Businesses; Caring; Centers for Disease Control and Prevention (U.S.); Client; Clinical; Clinical Skills; Code; Communities; Computers; Consult; Data; Data Analyses; Data Collection; Data Element; Data Sources; Development; Diabetes Mellitus; Discipline; Discipline of Nursing; Disease; Drug Metabolic Detoxication; Education; Effectiveness; Ensure; Evaluation; Evidence based practice; Evidence based program; Feasibility Studies; Fortune; Funding Mechanisms; Future; Goals; HIV; Homelessness; Individual; Inpatients; Instruction; Intervention; Knowledge; Learning; Life; Manikins; Marketing; Medical Education; Medicine; Mental Health; Modeling; Motivation; Multimedia; National Institute of Mental Health; Online Systems; Outcome; Outpatients; Participant; Patients; Pharmaceutical Preparations; Phase; Pilot Projects; Play; Pre-Post Tests; Price; Primary Health Care; Process; Provider; Quality of Care; Randomized; Recruitment Activity; Registries; Relative (related person); Research; Research Design; Research Personnel; Role; Sample Size; Sampling; Schedule; Scheduling and Staffing; Schools; Services; Shelter facility; Simulate; Site; Small Business Innovation Research Grant; Social Health Services; Strategic Planning; Support Groups; Surveys; Technology; Testing; Training; Universities; Vulnerable Populations; Work; alcohol abuse therapy; base; case-based; commercial application; commercialization; comparison group; cost; design; dissemination research; effectiveness trial; evidence base; experience; follow-up; improved; innovation; instrument; meetings; member; motivational enhancement therapy; new technology; outreach; phase 2 study; programs; prototype; research study; simulation; skills; social; substance abuse treatment; tool; uptake; usability; willingness to pay

DESCRIPTION (provided by applicant): The Center for Social Innovation (C4SI) proposes to develop and pilot test the Motivational Interviewing Simulator: An Experiential Online Training Tool. Motivational Interviewing (MI) is a well-established evidence- based practice that has been implemented across a wide range of disciplines including mental health and substance abuse treatment, primary care, HIV/AIDS services, homeless programs, and other health and social services. While standard 2-day face-to-face trainings have been shown effective in initial uptake of MI knowledge and skills, researchers have consistently documented a significant decrease in knowledge and skills in the weeks and months following onsite training. A need exists to develop a web-based training tool that can reinforce MI learning, and that will be accessible to a large number of providers. The proposed MI Simulator is designed to meet this need. The study has three specific aims: 1. To design a prototype Motivational Interviewing Simulator that supports health and social service providers to acquire, practice, and evaluate MI skills. 2. To conduct a pilot study to determine feasibility of a large Phase II study on the Simulator's effectiveness. 3. To explore commercial application of the Simulator. The Simulator will allow users to play the role of client, clinician, clinical supervisor, or team member. Multiple scenarios will allow users to work through various encounters across service settings (e.g., community mental health, inpatient detoxification, homeless outreach, diabetes care, HIV/AIDS treatment). The prototype will be created using an established process developed by Forio, a simulation development company that will consult on the project. Forio's process has guided simulated learning products developed by the Centers for Disease Control, Harvard University, and numerous Fortune 500 companies. C4SI will conduct a Phase I pilot study to determine the feasibility of conducting a larger relative effectiveness trial. The pilot will include a sample of 30 participants who will be recruited from participants in our regularly scheduled 2-day face-to-face MI trainings, then randomized into one of two conditions: 1) On-Site Training with MI Simulator (n=15); or 2) Onsite Training with Enhanced Online Support (self-paced "E-Book") (n=15). Data sources will include Pre/Post Training Surveys and coded audio tapes of participants-client encounters. We will closely track challenges associated with each aspect of such a design, including recruitment and randomization, data collection instruments and processes, and implementation of the MI Simulator and E-Book products. Data collected during this study will enable us to fine-tune study design, product usability, and hypotheses to be tested in a Phase II study. Finally, we will conduct a Phase I market analysis and develop preliminary marketing and pricing strategies. PUBLIC HEALTH RELEVANCE: The Motivational Interviewing Simulator: An Experiential Online Training Tool represents the first major effort matching simulation technology with the evidence-based practice of motivational interviewing (MI). The Simulator will support retention of MI knowledge and skills to ensure fidelity to the model-and ultimately will improve quality of care for vulnerable populations by improving the clinical skills of service providers.

描述（由申请人提供）：社会创新中心（C4SI）建议开发和试点测试动机访谈模拟器：一种体验式在线培训工具。动机访谈（MI）是一种良好的基于​​证据的实践，已在包括心理健康和药物滥用治疗，初级保健，艾滋病毒/艾滋病服务，无家可归的计划以及其他健康和社会服务在内的广泛学科中实施。尽管已经显示出标准的2天面对面培训在最初吸收MI知识和技能方面有效，但研究人员始终记录了现场培训后数周和几个月的知识和技能的显着降低。存在一个需要开发基于网络的培训工具，该工具可以增强MI学习，并且大量提供商将可以使用。拟议的MI模拟器旨在满足这一需求。该研究具有三个具体的目的：1。设计一个原型动机访谈模拟器，该模拟器支持卫生和社会服务提供商以获取，实践和评估MI技能。 2。进行试点研究，以确定大型II期研究对模拟器有效性的可行性。 3。探索模拟器的商业应用。模拟器将允许用户扮演客户，临床医生，临床主管或团队成员的角色。多种情况将使用户可以在服务环境（例如社区心理健康，住院排毒，无家可归的外展，糖尿病护理，艾滋病毒/艾滋病治疗）之间进行各种相遇。该原型将使用Forio开发的既定流程（将在项目上咨询）创建。 Forio的过程指导了由疾病控制中心，哈佛大学和众多财富500强公司开发的模拟学习产品。 C4SI将进行I期试点研究，以确定进行更大的相对有效性试验的可行性。飞行员将包括30名参与者的样本，他们将在我们定期安排的2天面对面MI培训中从参与者那里招募，然后随机分为两个条件之一：1）使用MI Simulator（n = 15）进行现场培训；或2）现场培训具有增强的在线支持（自定进度的“电子书”）（n = 15）。数据源将包括培训前/培训后调查和参与者 - 客户遇到的编码音频录像带。我们将密切跟踪与此类设计的各个方面相关的挑战，包括招聘和随机化，数据收集工具和流程以及MI模拟器和电子书产品的实施。在这项研究中收集的数据将使我们能够在II期研究中进行微调研究设计，产品可用性和假设。最后，我们将进行I期市场分析，并制定初步的营销和定价策略。 公共卫生相关性：动机访谈模拟器：一种体验式在线培训工具，代表了将模拟技术与基于证据的动机访谈实践（MI）匹配的首要努力。模拟器将支持保留MI知识和技能，以确保对模型的保真度，并最终通过提高服务提供商的临床技能来提高弱势群体的护理质量。