Behavior Change Counseling of Patients with Substance Use Disorders by Health Professions Students
The purpose of this project was to create an interprofessional substance use disorders (SUDs) course that provided health professions students an opportunity to acquire and apply behavior change counseling skills for patients with SUDs with direct observation, assessment, and feedback.
The interprofessional SUDs course was offered five times within one academic year as part of a one-month psychiatry clerkship. The course focused on developing empathy and examining personal bias, behavioral change counseling, and recognition, screening, and treatment of SUDs. Students practiced behavior change counseling during the course and with a SUD patient. A faculty member experienced in behavior change counseling assessed students’ patient counseling using the validated Behavior Change Counseling Index (BECCI).
Seventy-eight students from medicine, nursing, pharmacy, social work, and physician assistant programs completed the one-month course. Fifty-three students counseled a SUD patient. Students’ BECCI-rated counseling skills indicated they performed recommended counseling practices and spoke “less than half the time” or “about half the time” when counseling. Ninety-three percent of SUD patients reported a willingness for follow-up care about their substance use after the student-led session with a student.
Following participation in an innovative interprofessional SUD course that included behavior change counseling, students demonstrated their ability to apply their skills during training and with a SUD patient. The study demonstrated promising patient outcomes following student counseling.
KeywordsMotivational interviewing Opioid Alcohol Addiction Brief intervention
This work was supported by Duke Area Health Education Center, Innovations Grant; Duke University, Josiah Charles Trent Memorial Foundation Endowment Fund; and Duke University, Duke University Division of Addiction Medicine.
Compliance with Ethical Standards
IRB declared as “exempt research” and IRB form submitted.
On behalf of all authors, the corresponding author states that there is no conflict of interest.
- 2.Junod P, Sommer J, Louis-Simonet M, Nendaz M. Teaching communication skills: beyond wishful thinking. Swiss Med Wkly. 2015;145:Ew14064.Google Scholar
- 5.Curriculum Guidelines, American Association of Colleges of Nursing (AACN). (n.d.). https://www.aacnnursing.org/Education-Resources/Curriculum-Guidelines Accessed February 24, 2019.
- 6.Competencies for the Physician Assistant Profession, Assessing PA Competencies(n.d.). https://www.aapa.org/career-central/employer-tools/employing-a-pa/competencies-physician-assistant-profession/ Accessed February 24, 2019.
- 8.BECCI Manual, BECCI Manual | Motivational Interviewing Network of Trainers (MINT). (n.d.). https://motivationalinterviewing.org/becci-manual Accessed February 24, 2019.
- 9.Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2nd ed. New York, NY New York; 2002.Google Scholar
- 23.Center for Behavioral Health Statistics. Key substance use and mental health indicators in the United States: results from the 2016 National Survey on Drug Use and Health. (https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.htm#sud). Accessed April 28, 2019.
- 24.Opioid overdose. Centers for Disease Control and Prevention (https://www.cdc.gov/drugoverdose/). Published October 23, 2017. Accessed April 28, 2019.
- 25.Trends and statistics. National Institute on Drug Abuse. (https://www.drugabuse.gov/related-topics/trends-statistics#supplemental-references-for-economic-costs). Published April 2017. Accessed April 28, 2019.