ESPE2023 Poster Category 1 Diabetes and Insulin (55 abstracts)
Motivational interviewing from the pediatricians' perspective: assessments after a 2-day training for physicians caring for adolescents with chronic medical conditions (CMCs)
Hannah Kammering 1 , Jennifer Antony Cruz 1 , Anna Lena Platzbecker 1 , Christina Reinauer 1 , Rabea Viermann 1 , Katharina Förtsch 1 , Lisa Krassuki 1 , Thomas Meissner 1 , Matthias Domhardt 2 , Harald Baumeister 2 , Doris Staab 3 , Kirsten Minden 4 , Annabel Sandra Mueller-Stierlin 2 , Reinhard W. Holl 2 & Petra Warschburger 5
1Universitätsklinikum Düsseldorf, Düsseldorf, Germany. 2Universität Ulm, Ulm, Germany. 3Charite Humboldt Universität Berlin, Berlin, Germany. 4Freie Universität Berlin und Humboldt Universität Berlin, Berlin, Germany. 5Universität Potsdam, Potsdam, Germany
Background: Counselling adolescents with chronic diseases can be challenging when it comes to appropriate interview techniques and the doctor's attitude towards the patient. Successful communication can be a key element of treatment. Motivational interviewing (MI) is widely applicable in the management of behavioural problems and illnesses, as it increases patients' motivation for lifestyle changes. This plays a particularly important role in the treatment of adolescents with type I & II diabetes mellitus and chronic endocrine disorders. However, there is a lack of data on the applicability, feasibility and implementation of MI sessions in daily practice from the physicians' perspective.
Purpose: Our aim was to explore clinicians' experiences of MI training and subsequent use of MI in the routine care of adolescents with CMCs. Therefore, we wanted to find out if and how MI can be integrated into clinical practice and how training in MI should be designed.
Method: The present study has a descriptive and qualitative design. Twenty pediatricians were randomized to a 2-day MI course followed by MI consultations in a cluster-randomized controlled trial (COACH-MI). Data were collected one year after MI training using a questionnaire. Factors for effective training and possible barriers to successful use of MI were examined.
Results: Completed questionnaires were returned by 19 of 20 pediatricians. The pediatricians' experiences with MI demonstrate that MI is regarded as a valuable tool when working with adolescents with CMCs. 95 % of all respondents reported that they found MI education necessary for their clinical work and were using it also outside the COACH-MI study context. 73.7 % percent saw potential to strengthen the connection to their patients by using MI. The doctors were already using more MI conversation techniques after a 2-day MI course. Obstacles were seen in the short training, the lack of time, and missing undisturbed environment (interruptions by telephone, staff, etc.) during clinical flow.
Conclusions: MI techniques are not yet a regular part of medical training. However, a 2-day MI course was rated effective and providing a lasting impact by physicians caring for children and adolescents with chronic medical conditions (CMCs), although booster sessions should be offered regularly.
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