A Glaucoma-Specific Brief Motivational Interviewing Training Program for Ophthalmology Para-professionals: Assessment of Feasibility and Initial Patient Impact

Paula Anne Newman-Casey, Olivia Killeen, Sarah Miller, Chamisa MacKenzie, Leslie M. Niziol, Ken Resnicow, John W. Creswell, Paul Cook, Michele Heisler

Research output: Contribution to journalArticle

Abstract

Our objective was to test the feasibility of, fidelity to, and initial impact of a brief, glaucoma-specific motivational interviewing (MI) training program for ophthalmic para-professionals. This prospective, mixed-methods study had two components, one for staff and one for patients. Staff fidelity to MI principles was graded through audio-recorded encounters after initial and final training sessions. After training, patients graded staff for adherence to autonomy supportive care. Semi-structured interviews with para-professionals elicited feedback about the training and about their ability to implement MI in the clinic. The impact on patient satisfaction with staff communication, eye drop instillation self-efficacy, and overall health activation was assessed using a survey pre- and post-training. Para-professionals met two of three program goals for MI skills and improved in their overall scores for MI fidelity. Para-professionals noted lack of time in the clinic as a significant barrier to implementing counseling. Patient satisfaction with staff communication increased after the training (p = 0.04) among patients who rated their staff above the mean for providing autonomy supportive care. The intervention did not improve patients’ eye drop instillation self-efficacy or overall health activation. Training para-professional staff in brief, glaucoma-specific MI techniques is feasible and may improve patient satisfaction, though dedicated time in clinic is needed to implement MI counseling into glaucoma practice.

Original languageEnglish (US)
Pages (from-to)233-241
Number of pages9
JournalHealth Communication
Volume35
Issue number2
DOIs
StatePublished - Jan 28 2020

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Ophthalmology
Motivational Interviewing
Glaucoma
training program
Chemical activation
Health
staff
Education
Communication
Patient Satisfaction
Feedback
Ophthalmic Solutions
Self Efficacy
activation
self-efficacy
Counseling
counseling
autonomy
Aptitude
communication

ASJC Scopus subject areas

  • Health(social science)
  • Communication

Cite this

A Glaucoma-Specific Brief Motivational Interviewing Training Program for Ophthalmology Para-professionals : Assessment of Feasibility and Initial Patient Impact. / Newman-Casey, Paula Anne; Killeen, Olivia; Miller, Sarah; MacKenzie, Chamisa; Niziol, Leslie M.; Resnicow, Ken; Creswell, John W.; Cook, Paul; Heisler, Michele.

In: Health Communication, Vol. 35, No. 2, 28.01.2020, p. 233-241.

Research output: Contribution to journalArticle

Newman-Casey, Paula Anne ; Killeen, Olivia ; Miller, Sarah ; MacKenzie, Chamisa ; Niziol, Leslie M. ; Resnicow, Ken ; Creswell, John W. ; Cook, Paul ; Heisler, Michele. / A Glaucoma-Specific Brief Motivational Interviewing Training Program for Ophthalmology Para-professionals : Assessment of Feasibility and Initial Patient Impact. In: Health Communication. 2020 ; Vol. 35, No. 2. pp. 233-241.
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