Web-Based Simulated Patient Interviewing for Developing MI Skills for Health Care

Award Information
Agency: Department of Health and Human Services
Branch: N/A
Contract: 1R43TR000472-01A1
Agency Tracking Number: R43TR000472
Amount: $316,524.00
Phase: Phase I
Program: SBIR
Awards Year: 2012
Solicitation Year: 2012
Solicitation Topic Code: NCATS
Solicitation Number: PA11-096
Small Business Information
1121 34th Ave., SEATTLE, WA, 98122-5138
DUNS: 101064988
HUBZone Owned: N
Woman Owned: N
Socially and Economically Disadvantaged: N
Principal Investigator
 SUSAN STONER
 (206) 748-0443
 sstoner@talariainc.com
Business Contact
 GLENDA POLWARTH
Phone: (206) 748-0443
Email: gpolwarth@talariainc.com
Research Institution
 Stub
Abstract
DESCRIPTION (provided by applicant): Modifiable behavioral risk factors for diabetes and cardiovascular disease, two of the most costly diseases in both human and monetary terms, include obesity, lack of physical activity, smoking tobacco and excess alcohol consumption. Despite a longstanding movement in the medical community towards models of chronic care to support changes in behavioral risk factors, primary care clinicians, in general, do not provide a key feature in chronic care models: patient-centeredbehavioral counseling. Motivational Interviewing (MI), an evidence-based form of patient-centered counseling, improves patient outcomes when applied to risk factors for diabetes and cardiovascular disease. To support dissemination of MI for health behavior change in primary care, the field needs low cost and highly accessible methods to both evaluate and train practitioners of many disciplines in patient-centered communication. The proposed project aims to develop a computer-based system to support healthcare providers consisting of a health care specific MI skills assessment and a suite of simulated patient training cases that providers can use to practice their MI skills. The system will be web-based to greatly facilitate access and utility. Phase I aimsinclude developing a prototype of the skill assessment and one interactive practice case, conducting usability testing of the practice case with 12 clinicians and conducting a pilot study of the initial psychometric properties of the skill assessment with24 primary care providers. In Phase II, the complete product will be developed and evaluated in a randomized trial to establish reliability and validity of the assessment and training effectiveness of the training cases. Given the crucial health challengepresented by diabetes and heart disease, as well as wide movement to adopt chronic care and primary care medical home models, we expect demand for such a product to be large. PUBLIC HEALTH RELEVANCE: This project will develop online training support resources for healthcare providers learning motivational interviewing. Chronic diseases such as diabetes have reached epidemic proportions in the US but are largely preventable and treatable with health behavior changes. With better access to training in motivational interviewing, healthcare providers may be better able to help patients make difficult lifestyle changes.

* Information listed above is at the time of submission. *

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