Type of Thesis
Psychology & Neuroscience
This study sought to determine whether training primary care providers (PCPs) in Motivational Interviewing (MI) would improve patient-provider alliance during treatment for depression, therefore helping to inform primary care practices. The data used in this study came from a cluster randomized controlled trial (RCT) of PCPs trained in MI (n=10) and not trained (n=15) to treat depression at 7 clinics (randomized to 3 MI, 4 control) in an urban setting (Keeley et al., 2014). The National Institute of Mental Health and the National Institutes of Health/National Center for Advancing Translational Sciences Colorado provided funding for the primary study (Keeley et al., 2014). All patients (MI N = 86, control N = 80) were recruited after being diagnosed with major depression (Keeley et al., 2014). PCPs in the intervention group were trained in MI during at least one 8-hour session, with further training available (Keeley et al., 2014). Patient treatment conditions were determined by clinic assignments, to which they were blinded. Contrary to hypotheses, patient-provider alliance was not significantly higher among patients of MI trained PCPs at any point in time; however, there was evidence of a significant difference in change over time between conditions. There was a decrease in patient-provider alliance for patients who received depression treatment from PCPs who were not trained in MI; in contrast, patients of MI trained PCPs maintained patient-provider alliance over the course of 12 weeks of treatment. The findings presented in this study are discussed with respect to limitations and suggestions for further research.
Crane, Kelly, "Training Primary Care Providers in Motivational Interviewing and Alliance During Treatment of Depression: A Randomized Trial" (2014). Undergraduate Honors Theses. 733.