Assessment of training of general practice interns in motivational interviews about vaccination

Hum Vaccin Immunother. 2022 Nov 30;18(6):2114253. doi: 10.1080/21645515.2022.2114253. Epub 2022 Sep 15.

Abstract

The effectiveness of motivational interviewing (MI) for reducing vaccine hesitancy (VH) has been demonstrated in Quebec. We conducted a study to evaluate the acquisition of MI skills after MI training via videoconferencing for interns training as general practitioners (GPs) in southeastern France. A vaccination-specific MI training workshop was offered to interns in 2021, consisting of two separate Zoom videoconference sessions. Participants completed the Motivational Interviewing Skills in Immunization questionnaire before and after the training to measure skills acquisition. We used pairwise exact Wilcoxon-Pratt signed rank tests for the analysis. Among 45 GP interns enrolled in the first MI session, 34 (75.6%) attended both sessions and completed the questionnaire at 3 different time points. After the first session, MI knowledge scores improved significantly (+21.1 ± 21.6; P < .0001), as did application of MI skills (+36.8 ± 36.7; P < .0001), and MI practice confidence (+21.2 ± 11.1; P < .0001). The second MI session maintained the skills developed after the first session without further improvement. Participant satisfaction was high. This is the first study in France assessing the impact of a vaccination-specific MI training for GP interns. It shows a substantial improvement in knowledge, application of MI skills, and self-confidence in the practice of MI. GP interns were highly satisfied with the training despite the videoconference format. These promising results will allow the integration of MI training in GP medical curricula in order to prepare future GPs for communication in the field of vaccination.

Keywords: Motivational interview; medical interns; medical training; skills; vaccination promotion; vaccine hesitancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Curriculum
  • General Practice*
  • Humans
  • Immunization
  • Motivational Interviewing* / methods
  • Vaccination

Grants and funding

This work was supported by the GIRCI Méditerrannée (Groupement Interrégional pour la Recherche Clinique et l’Innovation) during the call for projects of 2019 and by the European Union’s Horizon 2020 research and innovation program under Grant agreement number 964728 (JITSUVAX).