Zelra Malan1, Bob Mash2, Katherine Everett-Murphy3. 1. Family Medicine and Primary Care, Stellenbosch University, Box 19063, Tygerberg 7505, South Africa. Electronic address: zmalan@sun.ac.za. 2. Family Medicine and Primary Care, Stellenbosch University, Box 19063, Tygerberg 7505, South Africa. Electronic address: rm@sun.ac.za. 3. Chronic Diseases Initiative in Africa (CDIA), Faculty of Health Sciences, University of Cape Town, P/Bag X 3, Observatory, Cape Town 7935, South Africa. Electronic address: kmurphy@uct.ac.za.
Abstract
OBJECTIVE: To evaluate the effect on clinical practice of training primary care providers (PCPs) in an approach to brief behaviour change counselling (BBCC), integrating the 5As (ask, alert, assess, assist, arrange) with a guiding style derived from motivational interviewing in the South African context. BBCC was focused on the four risky behaviours (unhealthy eating, tobacco smoking, physical inactivity, harmful alcohol use) for non-communicable diseases. METHODS: It was a before-and-after design, recording BBCC skills at baseline, directly after training and 6-weeks later. We evaluated each recording for adherence to the guiding style and delivery of the 5As using the Motivational Interviewing Treatment Integrity 3.1.1. tool, and a tool based on the 5As training design. RESULTS: 123 recordings were collected from 41 PCPs. Results showed a significant improvement in adoption of the guiding style (e.g. global score at baseline 2.0 (2.0-2.6) and in clinical practice 3.0 (2.7-3.3) p<0.001) and completion of the 5A steps (e.g. assist score at baseline 1.26 (1.12-1.4) and in clinical practice 1.75 (1.61-1.89) p<0.001). CONCLUSION: Training PCPs in this approach to BBCC is effective at changing their clinical practice in the short term. PRACTICE IMPLICATIONS: The training programme should be integrated into the curricula of PCPs, and used in continuing professional development.
OBJECTIVE: To evaluate the effect on clinical practice of training primary care providers (PCPs) in an approach to brief behaviour change counselling (BBCC), integrating the 5As (ask, alert, assess, assist, arrange) with a guiding style derived from motivational interviewing in the South African context. BBCC was focused on the four risky behaviours (unhealthy eating, tobacco smoking, physical inactivity, harmful alcohol use) for non-communicable diseases. METHODS: It was a before-and-after design, recording BBCC skills at baseline, directly after training and 6-weeks later. We evaluated each recording for adherence to the guiding style and delivery of the 5As using the Motivational Interviewing Treatment Integrity 3.1.1. tool, and a tool based on the 5As training design. RESULTS: 123 recordings were collected from 41 PCPs. Results showed a significant improvement in adoption of the guiding style (e.g. global score at baseline 2.0 (2.0-2.6) and in clinical practice 3.0 (2.7-3.3) p<0.001) and completion of the 5A steps (e.g. assist score at baseline 1.26 (1.12-1.4) and in clinical practice 1.75 (1.61-1.89) p<0.001). CONCLUSION: Training PCPs in this approach to BBCC is effective at changing their clinical practice in the short term. PRACTICE IMPLICATIONS: The training programme should be integrated into the curricula of PCPs, and used in continuing professional development.
Authors: Michael B Madson; Margo C Villarosa-Hurlocker; Julie A Schumacher; Daniel C Williams; Jami M Gauthier Journal: Subst Abus Date: 2018-10-09 Impact factor: 3.716
Authors: Siti Idayu Hasan; Farizah Mohd Hairi; Amer Siddiq Amer Nordin; Mahmoud Danaee Journal: Int J Environ Res Public Health Date: 2019-11-05 Impact factor: 3.390