4.3 Article

Tailored Motivational Interviewing (TMI): A Pilot Implementation-Effectiveness Trial to Promote MI Competence in Adolescent HIV Clinics

Journal

AIDS AND BEHAVIOR
Volume 26, Issue 1, Pages 183-187

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-021-03369-8

Keywords

Motivational interviewing; Adolescent; HIV; Provider training; Standard patient

Funding

  1. National Institute of Mental Health [1R34MH103049-01A1]
  2. National Institute of Child Health and Human Development [1U19HD089875]

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The report discusses the implementation of Tailored Motivational Interviewing (TMI) in adolescent HIV clinics, showing improvements in staff's interview skills and training effectiveness through TMI.
This brief report describes results of piloted Tailored Motivational Interviewing (TMI). Tailoring focused on site-specific training needs, target patient behaviors, and implementation facilitators and barriers that staff anticipated. Participating staff (N = 31) at two adolescent HIV clinics completed a pre-training qualitative interview (N = 27), and MI competency assessments based on three pre- and six post-training standard patient role-plays (N = 27). Results included pre- to post-training MI competence improvement (t (153) = - 4.13, p <= 0.001) and change in competency category distribution (X-2 = (2, N = 155) = 15.72, p <= 0.001), providing initial support for the implementation of TMI in adolescent HIV clinic settings.

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