Amsterdam 2015
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| Abstract #2209 - Poster 1 | ||||
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Session: 58.9: Poster 1 (Poster) on Tuesday in Chaired by Authors: Presenting Author: Mr Maurice Bulls - Wayne State University, United States |
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| Additional Authors: Dr Kouassi Martin, Mr Brou Sylvain, | ||||
| Aim: This presentation will describe an MI implementation program delivered within an entire real-world multidisciplinary HIV clinic. This one-stop-shopping clinic serves men, women, adolescents and children in Broward County, Florida, a county with the highest HIV/AIDS rates in the United States. | ||||
| Method / Issue: Providers who demonstrate communication consistent with Motivational Interviewing (MI) provide support and respect for the patient, facilitate collaboration, and generally have patients who are more satisfied and committed to treatment regimen, resulting in better health outcomes.. MI also includes technical components to facilitate behavior change, and has been shown to promote change and treatment engagement across multiple behaviors, formats, and providers. Thus, MI is an appropriate framework to address the different health behaviors commonly addressed in multidisciplinary HIV care settings. Fidelity of implementation refers to the degree to which staff members actually implement programs or evidence-practices as intended. Several studies suggest that delivering MI with high fidelity can be difficult for many providers, but staff benefit from carefully designed, multicomponent interventions to help them understand and use evidence-based practices. | ||||
| Results / Comments: Providers who demonstrate communication consistent with Motivational Interviewing (MI) provide support and respect for the patient, facilitate collaboration, and generally have patients who are more satisfied and committed to treatment regimen, resulting in better health outcomes. | ||||
| Discussion: Early in the project, several lessons emerged. Use of an online scheduling system combined with manager prompts was necessary to increase frequency of the calls. Giving provider flexibility to create the context of the standardized patient interactions (e.g. clinic-based, home-based, phone-based) increased their comfort level. Boosting confidence early in the coaching process also increased comfort level. Scheduling the first booster early in the process was critical for developing skills. Finally, staff requested that future boosters include observations of real-world practice. We will present additional lessons learned as the project is completed, as well as initial satisfaction and fidelity data. | ||||
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