@Article{info:doi/10.2196/12540,
author="Lukaschek, Karoline
and Schneider, Nico
and Schelle, Mercedes
and Kirk, Ulrik Bak
and Eriksson, Tina
and Kunnamo, Ilkka
and Rochfort, Andr{\'e}e
and Collins, Claire
and Gensichen, Jochen",
title="Applicability of Motivational Interviewing for Chronic Disease Management in Primary Care Following a Web-Based E-Learning Course: Cross-Sectional Study",
journal="JMIR Ment Health",
year="2019",
month="Apr",
day="29",
volume="6",
number="4",
pages="e12540",
keywords="motivational interviewing; e-learning; web-based learning; primary care; health behavior change; disease management",
abstract="Background: Motivational interviewing (MI) is an established communication method for enhancing intrinsic motivation for changing health behavior. E-learning can reduce the cost and time involved in providing continuing education and can be easily integrated into individual working arrangements and the daily routines of medical professionals. Thus, a Web-based course was devised to familiarize health professionals with different levels of education and expertise with MI techniques for patients with chronic conditions. Objective: The aim of this study was to report participants' opinion on the practicality of MI (as learned in the course) in daily practice, stratified by the level of education. Methods: Participants (N=607) of the MI Web-based training course evaluated the course over 18 months, using a self-administered questionnaire. The evaluation was analyzed descriptively and stratified for the level of education (medical students, physicians in specialist training [PSTs], and general practitioners [GPs]). Results: Participants rated the applicability of the skills and knowledge gained by the course as positive (medical students: 94{\%} [79/84] good; PSTs: 88.6{\%} [109/123] excellent; and GPs: 51.3{\%} [182/355] excellent). When asked whether they envisage the use of MI in the future, 79{\%} (67/84) of the students stated to a certain extent, 88.6{\%} (109/123) of the PSTs stated to a great extent, and 38.6{\%} (137/355) of GPs stated to a great extent. Participants acknowledged an improvement of communication skills such as inviting (medical students: 85{\%} [72/84]; PSTs: 90.2{\%} [111/123]; GPs: 37.2{\%} [132/355]) and encouraging (medical students: 81{\%} [68/84]; PSTs: 45.5{\%} [56/123]; GPs: 36.3{\%} [129/355]) patients to talk about behavior change and conveying respect for patient's choices (medical students: 72{\%} [61/84]; PSTs: 50.0{\%} [61/123]; GPs: 23.4{\%} [83/355]). Conclusions: Participants confirmed the practicality of MI. However, the extent to which the practicality of MI was acknowledged as well as its expected benefits depended on the individual's level of education/expertise. ",
issn="2368-7959",
doi="10.2196/12540",
url="http://mental.jmir.org/2019/4/e12540/",
url="https://doi.org/10.2196/12540",
url="http://www.ncbi.nlm.nih.gov/pubmed/31033446"
}