Amsterdam 2015
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| Abstract #2210 - Needs and interventions for school-aged populations | ||||
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Session: 19.4: Needs and interventions for school-aged populations (Parallel) on Wednesday @ 16.30-18.00 in C103 Chaired by Mark Orkin, Larry Brown Authors: Presenting Author: Professor Sylvie Naar - Wayne State University, United States |
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| Additional Authors: | ||||
| Aim: To present early results of a new model of MI training implementation at 13 sites across the United States. | ||||
| Method / Issue: Issues: In the US, as few as 31% of HIV-infected, 13-24 year old youth are linked to care. Motivational Interviewing (MI) has been shown to promote behavior change and treatment engagement across multiple behaviors, formats and provider types including HIV care. Studies suggest that delivering MI with adequate competency can be difficult. Traditional MI training programs may not be feasible in HIV programs due to reliance on expert-led face-to-face training and ongoing coaching that require coding of recorded client interactions. | ||||
| Results / Comments: Project: We present early results of a new model of MI training implementation delivered to linkage-to-care coordinators (LTC-Cs) in youth HIV continuum of care sites (17 sites 13 MI / 4 control) within the Adolescent Trials Network (ATN) in collaboration with the Centers for Disease Control & Prevention, and Health Resources and Services Administration entitled Project for the Enhancement and Alignment of the Continuum of Care for HIV-Infected Youth (PEACOC). In addition to 16-hours of face-to-face MI training, LTC-Cs in the MI condition completed an innovative phone program with audiotaping of standardized patient calls (n = 9) and individual coaching calls (n = 9) guided by coded MI feedback with an MI trainer. Control LTC-Cs completed 6 audiotaped standardized patient calls. MI competency was evaluated by a 12-item tool assessing key MI behaviors with beginning competence = 2.5 on a 4-point scale. | ||||
| Discussion: Lessons Learned: Protocol fidelity was high (98% of calls completed). At baseline, 15% of the LTC-Cs in the MI condition demonstrated beginning competency in MI skills/spirit. At 3 and 6 months, 70% and 60% of the LTC-Cs demonstrated beginning competency respectively. No control LTC-C reached competency at any time point. Qualitative analyses are underway and will provide additional lessons learned. Results from this implementation research study are promising and offer insights about feasible training approaches to facilitate uptake of evidence-based practices in the context of clinical care. | ||||
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