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Comparison of Patient Versus Trained Observer Assessments of Healthcare Providers' Use of Motivational Interviewing Techniques for Patients Experiencing Depression and Anxiety in the Dominican Republic.
Caplan, Susan; Rothstein, Jessica D; Comas, Carmen Esther Veloz; Lovera, Angelina Sosa.
Afiliação
  • Caplan S; School of Nursing, College of Health and Human Sciences, Northern Illinois University, 1240 Normal Rd, DeKalb, IL, 60115, USA.
  • Rothstein JD; School of Nursing, College of Health and Human Sciences, Northern Illinois University, 1240 Normal Rd, DeKalb, IL, 60115, USA. jrothstein@jhu.edu.
  • Comas CEV; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. jrothstein@jhu.edu.
  • Lovera AS; School of Psychology, Universidad Autónoma de Santo Domingo, Santo Domingo, Dominican Republic.
J Clin Psychol Med Settings ; 29(1): 206-219, 2022 03.
Article em En | MEDLINE | ID: mdl-34143354
In settings with limited mental health system capacity, integrated care and the improvement of patient-provider communication surrounding common mental disorders is critical to advancing treatment outcomes. We trained primary care providers in the Dominican Republic in motivational interviewing (MI) to improve communication with patients experiencing depression and anxiety. Providers were randomized to an intervention group, which received MI training, or a control group. To evaluate the training's effectiveness, patients assessed their clinical encounters using the Motivational Interviewing Measure of Staff Interaction (MIMSI). Trained research assistants (RAs) rated a sub-set of those interactions using an adapted MIMSI instrument. Overall, patients (n = 36) perceived their interactions with providers (n = 10) very positively; however, the RAs' ratings strongly indicated that providers' application of MI behaviors was insufficient. Patients generally could not distinguish between intervention and control providers. Findings underscore the need to carefully consider optimal training delivery and cultural influences surrounding the implementation of MI mental health interventions in settings where directive communication is highly valued.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Entrevista Motivacional Tipo de estudo: Clinical_trials / Guideline / Qualitative_research Limite: Humans País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: J Clin Psychol Med Settings Assunto da revista: PSICOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Entrevista Motivacional Tipo de estudo: Clinical_trials / Guideline / Qualitative_research Limite: Humans País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: J Clin Psychol Med Settings Assunto da revista: PSICOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos