ArticleBMC medical education2019
Embedding and sustaining motivational interviewing in clinical environments: a concurrent iterative mixed methods study.
Article in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Examining the nexus between medical education and complexity: a systematic review to inform practice and research.BMC medical education · 2023Pooled it
- Motivational interviewing from the paediatricians' perspective: assessments after a 2-day training for physicians caring for adolescents with chronic medical conditions (CMCs).BMC pediatrics · 2024Trial
- From Persuasion to Partnership: Evaluating the Practicalities, Ethics, and Evidence for Implementing Motivational Interviewing in Veterinary Practice.Animals : an open access journal from MDPI · 2026Review
- Building better conversations: results of a community-based online health misinformation and motivational interviewing training program in Alaska.BMC public health · 2026Article
- Pharmacy and physician assistant students experience benefits from an interprofessional education experience incorporating motivational interviewing training.Exploratory research in clinical and social pharmacy · 2025Article
- Readiness in implementing green industry standard for SMEs: Case of Indonesia's batik industry.Heliyon · 2024Article
- Article
- BAP-MI: A Novel Stepped-Care Integration of Brief Action Planning and Motivational Interviewing to Optimize Outcomes.AJPM focus · 2023Article
- Application of complexity theory in health and social care research: a scoping review.BMJ open · 2023Article
- Barriers and Facilitators to Hepatitis C Virus (HCV) Treatment for Aboriginal and Torres Strait Islander Peoples in Rural South Australia: A Service Providers' Perspective.International journal of environmental research and public health · 2023Article
- Protecting pregnant people & infants against influenza: A landscape review of influenza vaccine hesitancy during pregnancy and strategies for vaccine promotion.Human vaccines & immunotherapeutics · 2022Review
- Roles, experiences and perspectives of the stakeholders of "10,000 Lives" smoking cessation initiative in Central Queensland: Findings from an online survey during COVID-19 situation.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022Article
- Implementation of motivational interviewing in the general practice setting: a qualitative study.BMC primary care · 2022Article
- Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions.Frontiers in psychology · 2021Article
- Understanding implementation completion of tailored motivational interviewing in multidisciplinary adolescent HIV clinics.Implementation research and practiceArticle
- Flipped Exam Room.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMotivational interviewing (MI) is internationally recognised as an effective intervention to facilitate health-related behaviour change; although, how it is best implemented and maintained in everyday clinical practice is not so clear. The aim of this study is to understand how MI as an intervention can be embedded and sustained in the clinical practice and learning environments.
methodsA concurrent iterative mixed methodology was utilised. Data collection occurred in two parts: a scoping review to identify reported barriers and enablers to embedding and sustaining MI in healthcare settings, and a survey of health professionals at an international clinical educator workshop on the topic. Results from both methods were integrated at the analysis phase ('following a thread') to understand how MI is embedded and the fidelity sustained in the clinical environments. Complexity theory as a conceptualising framework was utilised.
resultsEleven studies were included, and 30 health professionals were surveyed. Sustainability of MI at micro-clinical levels can be fostered through use of enabling technology, focus on patient-centred care, personnel development and process improvement. At the meso-organisational level, developing shared vision, creating opportunities and an organisational culture supportive of continuous learning are relevant issues. At the macro levels, adopting systems thinking and a learning organisation approach is important for sustaining MI.
conclusionsIn addressing the recognised barriers to embedding and sustaining MI in health service provisions, clinical educators could potentially play a central role as change agents within and across the complex clinical system.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.