Table 3 Health promotion advocate motivational interviewing and brief negotiation interview training plan
Training agenda | Description of training |
|---|---|
Motivational interviewing | |
 Half day 1 | Introduction to the fundamentals of motivational interviewing: • Prochaska and DiClemente’s Transtheoretical Model66 • MI spirit (i.e., partnership, acceptance, compassion, evocation) • MI technical skills (i.e., open questions, affirmations, reflective listening, summaries [OARS] [132]) • Strengthening of change talk (i.e., self-statements that support change) and skillful handling and reduction of sustain talk (i.e., self-statements that support the status quo)90 |
 Half day 2 | OARS skills building using various practice exercises: • Development of open questions that pull for change talk, construction of reflective statements, and identification of strengths in patient statements Practice implementation: • Role-play demonstrations and simulated patient practice exercises with performance-based feedback |
Brief negotiation interview | |
 Half day 3 | Introduction of the BNI 4-step interviewing technique: • Didactic portion included instruction on (1) how to raise the subject of alcohol, (2) provide feedback on the patient’s drinking levels, (3) enhance motivation to reduce or stop drinking, and (4) negotiate and advise a plan of action [133] • Instruction of the implementation of the BNI from a SDOH lens and structural racism context • Watch video clips on the implementation of the BNI with patients in the emergency department to learn each step [134] • Watch recordings of the Project ENHANCE conference lecture series |
 Half day 4 | Practice the BNI steps with the trainer: • Role-play demonstrations with patient facing pamphlets and documentation of patient treatment agreement • Live performance-based feedback was provided by the trainer |