Motivational Interviewing Training for HIV Care Physicians in Argentina: Uptake and Sustainability of an Effective Behavior Change Intervention
Date
2021-06
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Motivational interviewing (MI) utilizes a patient-centered approach to address patient ambivalence about treatment and has been found to improve treatment ART adherence among patients living with HIV disengaged from care. This study examined MI training for clinicians, uptake, and sustainability over time.
Clinics (n = 7) with N = 38 physicians were randomized to condition (MI, Enhanced Standard of Care). Physicians completed video- recorded patient consultations at baseline and 6, 12, and 18-month follow-up. MI condition physicians had greater relational and technical scores over time and were more likely to adhere to and sustain MI over time. Overall, physicians found the MI training highly acceptable and were able to sustain their skills. Results illustrate the feasibility of MI training, implementation, and sustainment over 18 months. Findings support previous research in Argentina in which trained physicians found MI useful with challenging patients. Broader implementation of MI among HIV care physicians in Argentina is merited.
Description
Fil: Rodriguez VJ. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine. Department of Psychology, University of Georgia, Athens; United States
Fil: Abbamonte, John M. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: Alcaide ML. Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine; Miami; United States
Fil: Rodriguez Yanes NL. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: de la Rosa A. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: Sued, O. Fundación Huésped; Buenos Aires; Argentina
Fil: Cecchini D. Helios Salud; Buenos Aires; Argentina
Fil: Weiss SM. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: Jones DL. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: Abbamonte, John M. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: Alcaide ML. Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine; Miami; United States
Fil: Rodriguez Yanes NL. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: de la Rosa A. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: Sued, O. Fundación Huésped; Buenos Aires; Argentina
Fil: Cecchini D. Helios Salud; Buenos Aires; Argentina
Fil: Weiss SM. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Fil: Jones DL. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine; Miami; United States
Keywords
Entrevista Motivacional, Argentina, VIH, Infecciones por VIH, Síndrome de Inmunodeficiencia Adquirida