1. The WONCA Anniversary Project 2015 WP3: Evaluation of the international e-learning course about Motivational Interviewing (MI) Andree Rochfort, Tina Eriksson, Clair Colins, Mercedes Schelle, Ilkka Kunnamo, Ulrik Kirk and Jochen Gensichen

2. Professor Jochen Gensichen

3. Motivational interviewing Motivational interviewing (MI) is defined as a means of communication in a way that the patient becomes motivated to carry out necessary changes in his/her lifestyle. The objective of MI is that the patient takes more responsibility of his/her wellbeing and health. The course is suitable for physicians, nurses, and other professionals that counsel patients.

4. The evaluation of the MI e-learning course An cross-sectional observational study Online survey in July 2014 -Aug 2015 At the end of the course participants took 15 minutes to respond a 17 item (5 point Lickert- scale) questionnaire (modified 'Behaviour Change Counselling Index') English and German Version Open recruitment across Europe, using professional networks Noordmana J, van der Leea I, Nielena M, Vlekb H, van der Weijden T, van Dulmena S. Do Trained Practice Nurses Apply Motivational Interviewing Techniques in Primary Care Consultations?J Med Res 2012, 2012;4(6):393-401

7. The results MI - e-learning course - sample N= 598 24 European countries: - English language N= 149 - German language N= 449 Profession - GP N=352 - GP Trainee N= 152 - Medical Student N=83 - Other N=11

8. I took the course (N =573) N=314… at home N=180… at school / university / office N=79 … during patient-time in the clinic The results MI - e-learning course - process

9. I feel that the course helped to improve my skills and competence (N=576). The results MI - e-learning course – effects I

10. Applicability of the skills and knowledge I obtained from the course in my clinical practice. (N=575) The results MI - e-learning course – effects II

11. The course motivated me to learn and reflect upon the topic. (N=575) The results MI - e-learning course – effects III

12. The most essential yield for me was: The results MI - e-learning course – effects IV

13. -Results are not representative, an exact descriptive population is not possible, since it relies in the evaluation of the non-audited self-reporting of participants. -Use of a non-validated modified mesure. -Multiple assessments cannot be excluded. The limitations MI - e-learning course

14. The knowledge about motivational interviewing is deepened and clarified is the possibility of practical application. The shape of the E- learning seems to be well received by the participants. The discussion MI - e-learning course

15. The results shows that the e-learning course on Motivational Interviewing is a valide possibility of transfer of knowledge and skills. The conclusion MI - e-learning course

16. …. additional slides ! (R1-5)

17. Which teaching method was best? N=1819 The results MI - e-learning course – effects R1

18. W10: After taking the course I know better how to invite the patient to talk about behavior change. W11: After taking the course I know better how to encourage the patient to talk about behavior change. W12: After taking the course I know better how to actively convey respect for the patient’s choice about behavior change. W13: After taking the course I and the patient exchange ideas about how the patient could change current behavior. W14: In MI it is important to listen empathically to the problems, but not engaging in them, to really concentrate and act on change talk. After taking the course I know better how to get a good balance in my consultations between empathic listening to problems, and active engagement in change talk. W15: In MI it is important to know that the tool is not useful for every consultation. After taking the course I know better how to select the right patients at the right time to use MI. W16: After taking the course I think it is feasible for me to per-form MI (with some patients) in my daily general practice. W17: After taking the course I plan to use MI in my daily practice. Which competences improved after the course? The results MI - e-learning course – effects R2

19. W10W11W12W13W14W15W16W17 Mittelwert3,293,103,113,163,172,803,293,42 N566 564565561563558 Standardabweichung,769,806,842,775,720,938,789,808 Median3,00 4,00 W10: After taking the course I know better how to invite the patient to talk about behavior change. W11: After taking the course I know better how to encourage the patient to talk about behavior change. W12: After taking the course I know better how to actively convey respect for the patient’s choice about behavior change. W13: After taking the course I and the patient exchange ideas about how the patient could change current behavior. W14: In MI it is important to listen empathically to the problems, but not engaging in them, to really concentrate and act on change talk. After taking the course I know better how to get a good balance in my consultations between empathic listening to problems, and active engagement in change talk. W15: In MI it is important to know that the tool is not useful for every consultation. After taking the course I know better how to select the right patients at the right time to use MI. W16: After taking the course I think it is feasible for me to per-form MI (with some patients) in my daily general practice. W17: After taking the course I plan to use MI in my daily practice. The results MI - e-learning course – effects R3 Which competences improved after the course?

20. My suggestions to improve the course? The results MI - e-learning course – effects R4

21. I would like to have e-Learning courses of the following topics in the future. The results MI - e-learning course – effects R5