Addo Sonya Feinberg, Maiden Kristin, Ehrenthal Deborah B
The Heart Truth Delaware, Christiana Care Health System, Delaware, USA.
Del Med J. 2011 Jan;83(1):17-21.
The United States Preventive Services Task Force and numerous other organizations recommend the use of brief motivational interventions as evidence-based approaches to achieve effective behavior change. The extent to which community primary care providers are familiar or trained in these methods is not known.
To assess awareness and training in the use of brief motivational interventions among primary care providers.
Cross-sectional assessment of primary care providers' familiarity and training in the use of the 5A's and Motivational Interviewing (MI). Participants include physicians, nurse practitioners, and nurses attending professional education events focused on women and heart disease across a single state. Familiarity with the 5 A's and MI, assessed using a five-point Likert scale, and prior training in MI were measured using cross tabulations and chi-square testing.
Of the 186 providers, only 32.1 percent were generally or very familiar with the 5A's and only 17.7 percent were generally or very familiar with MI. Although there were no statistically significant differences by provider types, family physicians may have been more familiar with the 5 A's while family physicians and general internists were significantly more familiar with MI than all provider types (p = .012). There was a significant association between recency of medical training and experience with MI training.
There is a low level of familiarity with brief motivational interventions among primary care providers. Increasing post-graduate training in the 5 A's and MI can be an important strategy to increasing the effectiveness of the primary care provider in helping their patients achieve lasting behavior change.
美国预防服务工作组及众多其他组织推荐使用简短动机性干预措施，作为实现有效行为改变的循证方法。社区初级保健提供者对这些方法的熟悉程度或接受培训的情况尚不清楚。
评估初级保健提供者对使用简短动机性干预措施的认知和培训情况。
对初级保健提供者使用5A's和动机性访谈（MI）的熟悉程度和培训情况进行横断面评估。参与者包括在一个州参加专注于女性和心脏病的专业教育活动的医生、执业护士和护士。使用五点李克特量表评估对5A's和MI的熟悉程度，使用交叉表和卡方检验测量MI的先前培训情况。
在186名提供者中，只有32.1%的人对5A's总体或非常熟悉，只有17.7%的人对MI总体或非常熟悉。虽然不同提供者类型之间没有统计学上的显著差异，但家庭医生可能对5A's更熟悉，而家庭医生和普通内科医生对MI的熟悉程度明显高于所有提供者类型（p = 0.012）。医学培训的近期程度与MI培训经验之间存在显著关联。
初级保健提供者对简短动机性干预措施的熟悉程度较低。增加5A's和MI的研究生培训可能是提高初级保健提供者帮助患者实现持久行为改变有效性的重要策略。
