Aix Marseille Univ, DUMG, département universitaire de médecine générale, Marseille, France.
ORS PACA. Southeastern Health Regional Observatory, Faculty of Medicine, Marseille, France.
Hum Vaccin Immunother. 2022 Nov 30;18(6):2114253. doi: 10.1080/21645515.2022.2114253. Epub 2022 Sep 15.
The effectiveness of motivational interviewing (MI) for reducing vaccine hesitancy (VH) has been demonstrated in Quebec. We conducted a study to evaluate the acquisition of MI skills after MI training via videoconferencing for interns training as general practitioners (GPs) in southeastern France. A vaccination-specific MI training workshop was offered to interns in 2021, consisting of two separate Zoom videoconference sessions. Participants completed the Motivational Interviewing Skills in Immunization questionnaire before and after the training to measure skills acquisition. We used pairwise exact Wilcoxon-Pratt signed rank tests for the analysis. Among 45 GP interns enrolled in the first MI session, 34 (75.6%) attended both sessions and completed the questionnaire at 3 different time points. After the first session, MI knowledge scores improved significantly (+21.1 ± 21.6; < .0001), as did application of MI skills (+36.8 ± 36.7; < .0001), and MI practice confidence (+21.2 ± 11.1; < .0001). The second MI session maintained the skills developed after the first session without further improvement. Participant satisfaction was high. This is the first study in France assessing the impact of a vaccination-specific MI training for GP interns. It shows a substantial improvement in knowledge, application of MI skills, and self-confidence in the practice of MI. GP interns were highly satisfied with the training despite the videoconference format. These promising results will allow the integration of MI training in GP medical curricula in order to prepare future GPs for communication in the field of vaccination.
动机访谈(MI)在减少疫苗犹豫(VH)方面的有效性已在魁北克得到证实。我们进行了一项研究,以评估通过视频会议为法国东南部培训的全科医生(GP)实习生提供 MI 培训后 MI 技能的掌握情况。2021 年,为实习生提供了专门针对疫苗接种的 MI 培训研讨会,由两次单独的 Zoom 视频会议组成。参与者在培训前后完成了《免疫接种动机访谈技能问卷》,以衡量技能的掌握情况。我们使用配对精确 Wilcoxon-Pratt 符号秩检验进行分析。在参加第一次 MI 课程的 45 名 GP 实习生中,有 34 名(75.6%)参加了两次会议,并在 3 个不同时间点完成了问卷。第一次会议后,MI 知识得分显著提高(+21.1 ± 21.6; <.0001),MI 技能应用(+36.8 ± 36.7; <.0001)和 MI 实践信心(+21.2 ± 11.1; <.0001)也有所提高。第二次 MI 会议维持了第一次会议后发展的技能,没有进一步提高。参与者的满意度很高。这是法国第一项评估针对 GP 实习生的特定疫苗接种 MI 培训影响的研究。它显示出在知识、MI 技能的应用以及对 MI 实践的信心方面有了实质性的提高。尽管采用视频会议形式,GP 实习生对培训的满意度仍然很高。这些有希望的结果将允许将 MI 培训纳入 GP 医学课程,以便为未来的 GP 医生在疫苗接种领域的沟通做好准备。