Training Physicians in Motivational Communication to Address Influenza Vaccine Hesitation: A Proof-of-Concept Study

Members of Can-Change A. Dragomir, V. Gosselin-Boucher, C. Laurin, K. Lavoie, and S. Bacon are seeking strategies to support health care professionals on how to address vaccine hesitancy are needed. They developed a 4-h Motivational Communication (MC) training program tailored to help physicians address hesitancy related to influenza vaccination among patients living with rheumatoid arthritis. The program increased MC competency among rheumatology physicians and promoted behavioral change among patients.

An international Delphi consensus study to define motivational communication in the context of developing a training program for physicians

Training physicians to improve their behavior change counseling/communication skills is important, yet the evidence for the efficacy and acceptability of existing training programs is lacking and there is little consensus on the core competencies that physicians should master in the context of NCD management. The purpose of this study, led by a number of Can-Change members including Anda Dragomir, Vincent Gosselin Boucher and Drs Simon Bacon and Kim Lavoie, is to generate an acceptable, evidence-based, stakeholder-informed list of the core communication competencies that physicians should master in the context of NCD management.

Comprehensive Self-Management Strategies

Review of the literature on self-management interventions and giving thought to how, when, and by whom they should be offered to patients. Proper self-management support is a basic prerequisite and self-management interventions need to target enhancing intrinsic motivation to change through client-centered communication (motivational communication). To be able to design and implement self-management interventions that are integrated, coherent, and have a strong likelihood of success, a more careful look is needed at the case manager, the patient (patient evaluation), and the quality assurance. Can-Change member Dr. Kim Lavoie contributed to this article.

Training Healthcare Providers in Motivational Communication: Do We Know What We Are Doing?

Regular physical activity (PA) is essential for secondary and tertiary prevention of cardiometabolic risk factors and disease, but low adherence to PA recommendations is common. Motivational communication (MC) shows promise for promoting PA adherence. However dissemination of MC strategies has been limited. We discuss preliminary considerations for training individuals in the use of MC. Future work is needed to establish what constitutes competent MC training to impact cardiometabolic health outcomes. Can-Change members Dr. Tavis Campbell, Dr. Simon Bacon, Dr. Kim Corace, Dr. Kim L. Lavoie, and Dr. Michael Vallis contributed to this article.

Can-Change Member Dr. Catherine Laurin presents at the 2015 CPA Conference

Dr. Laurin presented four different workshops: Advanced Workshop on Motivational Communication Skills for Health Behaviour Change; Canadian Network for Health Behaviour Change and Promotion: Challenges and Opportunities; Positive Impact of Healthcare Autonomy Support on Patient Motivation and Adherence to Asthma Medication; and Effect of Panic Attacks on Exacerbations in Patients with Chronic Obstructive Pulmonary Disease.