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Publication

Development and feasibility of a motivational interviewing training for community health workers

Revard, Hope
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Abstract

Training community health workers (CHWs) in motivational interviewing (MI) may help individuals in rural environments have better access to health care services. In this single-arm, pre-post feasibility trial in Oklahoma, n=24 CHWs completed a series of MI trainings. These trainings consisted of four online, asynchronous video modules and one in-person reinforcement session. All trainings met the recommendations outlined by the Motivational Interviewing Network of Trainers (MINT). Outcome measures included various feasibility indicators: acceptability, demand, implementation, practicality, and limited efficacy, which were assessed through a series of pre-post surveys, semi-structured interviews, and an examination of the training itself. While n=24 CHWs completed MI training, not all participants completed data collection methods. The training and delivery of MI by CHWs were deemed to be feasible based on the aforementioned feasibility outcomes. Acceptability was achieved by 93% of respondents rating the training as “Excellent” or “Very Good”. Measures of demand showed an increase in actual MI use by respondents. Implementation was achieved by exceeding the recruitment goal for training. The training was deemed practical in that delivery was consistent with existing literature, and was deemed limitedly efficacious by respondents showing some increases in MI knowledge. Future research should consider the burden of selected data collection methods, training participants in smaller segments over more time, and providing more active learning activities for participants within training.

Date
2023-07
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