ACR Meeting Abstracts

ACR Meeting Abstracts

Abstract Number: 1136

Clinician Training in Motivational Communication Skills: The Impact of the Language of Change Program Among Rheumatologists from Across Canada

Kim L. Lavoie1,2, Mary Bell3,4, Trudy Taylor5, Regan Arendse6, Michele Saum7, Denis Faucher7, May Shawi7 and Monique Camerlain8, 1Université de Quebec á Montréal, Montreal, QC, Canada, 2Montreal Behavioral Medicine Center, Hôpital du Sacre Coeur de Montréal, Montreal, QC, Canada, 3University of Toronto, Toronto, ON, Canada, 4Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 5Dalhousie University, Halifax, NS, Canada, 6University of Saskatchewan, Saskatoon, SK, Canada, 7Janssen Inc., Canada, Toronto, ON, Canada, 8Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada

Meeting: 2016 ACR/ARHP Annual Meeting

Date of first publication: September 28, 2016

Keywords:

Session Information

Date: Monday, November 14, 2016

Title: Education - Poster

Session Type: ACR Poster Session B

Session Time: 9:00AM-11:00AM

Background/Purpose:  Motivational communication (MC) is an evidenced-based communication style designed to enhance patients’ intrinsic motivation to engage in a healthy lifestyle and adhere to treatment. Due to its efficacy and popularity, the demand for physician training has risen markedly over the past decade. Despite the widespread dissemination of these programs, there is little empirical data on the extent to which they impact physician knowledge and attitudes. This study assessed the impact of 2 1.5 hour MC workshops (phase 1 and 2 of the Language of Change Program) on MC attitudes among rheumatologists.

Methods:  This was a single group pre-post intervention trial. The MC training program, called The Language of Change, was developed by rheumatologists and a behavior change expert. The program being assessed consisted of 2 live workshops (1.5 hour sessions, held roughly 6 months apart) delivered by an MC expert alongside a rheumatologist, to 67 rheumatologists from across Canada. Participants completed a battery of validated questionnaires measuring MC motivation, self-efficacy, outcome expectancies, and short term (30 day) intention to change, at baseline and after each of the Module 1 and 2 sessions. T-tests were conducted to assess the effects of the introductory workshop on each questionnaire.

Results:  Analyses revealed significant post-introductory workshop effects on motivation to use MC (+.86, p<.0001), MC self-efficacy (+1.26, p<.0001), outcome expectancies (including perceived program usefulness [+.59, p<.0005], pertinence [+.48, p<.003], effectiveness [+.81, p<.00001], potential to benefit physicians [+.54, p<.0001], potential to benefit patients [+.65, p<.0002], and short term (30 day) intention to change (pre=43%, post=66%).

Conclusion:  This study indicates that two 1.5 hour workshops on MC significantly increased motivation to use MC and MC self-efficacy, and had a uniformly positive impact on outcome expectancies and intention to use MC in practice. Results suggest that even a small amount of MC training may impact healthcare professional attitudes and intention to change.

Disclosure: K. L. Lavoie, Paid Consultant of Janssen Inc., Canada, 5; M. Bell, Paid Consultant of Janssen Inc., Canada, 5; T. Taylor, Paid consultant of Janssen Inc., Canada, 5; R. Arendse, Paid Consultant of Janssen Inc., Canada, 5; M. Saum, Employee of Janssen Inc., Canada, 3; D. Faucher, Employee of Janssen Inc., Canada, 3; M. Shawi, Janssen, 3,Johnson & Johnson, 1; M. Camerlain, Paid consultant of Janssen Inc., Canada, 5.

To cite this abstract in AMA style:

Lavoie KL, Bell M, Taylor T, Arendse R, Saum M, Faucher D, Shawi M, Camerlain M. Clinician Training in Motivational Communication Skills: The Impact of the Language of Change Program Among Rheumatologists from Across Canada [abstract]. Arthritis Rheumatol. 2016; 68 (suppl 10). https://acrabstracts.org/abstract/clinician-training-in-motivational-communication-skills-the-impact-of-the-language-of-change-program-among-rheumatologists-from-across-canada/. Accessed .

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