Evaluation of a Motivational Interviewing Training Using Standardized Patients in Managing Prescription Opioid Abuse for Doctor of Nursing Practice Students
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Problem under Investigation: Addressing prescription opioid abuse in older adults using MI. Objective: To determine whether an MI training with an SP simulation improves DNP students’ knowledge, confidence and skills in MI. Background Literature/Theoretical Framework: Prescription opioid abuse is increasing in older adults. MI can effectively reduce substance abuse, but training has not been well incorporated into APN education. The theoretical basis for this study is Benner’s Novice to Expert model. Project Methods: A one group pretest-posttest repeated measures design with convenience sampling is used. Twenty-one students completed the MI training. Descriptive statistics and RMANOVA is used for quantitative data analysis. Qualitative data is analyzed using content analysis. Results: Findings indicate a significant improvement in MI confidence at both post-tests compared to the baseline. MI attitudes are improved but are not statistically significant. MI consistent principles improved significantly from baseline to the second post-test. Addiction myth scores and principles inconsistent with MI do not indicate training effects. Participants agreed that the course was beneficial. Potential Significance/Implications: Results support that an MI training is valued by students and can be effectively incorporated into a DNP program to better prepare students to address prescription opioid abuse in older adults.