Using Motivational Interviewing Techniques in the Care of the Multiple Sclerosis Patient

Sponsored by the Postgraduate Institute for Medicine
Release date: September 2005
Expiration date: September 2006
Estimated time to complete activity: 1 hour

This educational program is supported through an educational grant from Biogen Idec and Elan Pharmaceuticals.
  • Program Overview
  • There is evidence that patient-centered approaches to health care consultations may have better outcomes than traditional advice giving, especially when lifestyle change is involved. Motivational interviewing (MI) is a patient-centered approach that is gathering increased interest in health settings. It provides a way of working with patients who may not seem ready to make the behavioral changes that are considered necessary by the health practitioner.

    Motivational interviewing is a method of communication that can be effectively applied within the clinic and pharmacy setting to prompt patients toward desired behaviors. Skillful empathic listening and nonjudgmental reflections form the basis for clinicians to encourage patients to talk about change, rather than exhibit resistance. By building rapport, care providers can motivate patients to resolve ambivalence about their health care behaviors and take positive action.

  • Goal Statement
  • To introduce to the MS treating community a relatively new technique that can improve communications and lead to better persistence with therapy—strategies that can result in significant long-term health benefits for patients with multiple sclerosis.
  • Target Audience
  • This activity has been designed to meet the educational needs of nurses and pharmacists involved in the management of patients with multiple sclerosis.
  • Learning Objectives
  • Upon completion of this activity, participants should be better able to:

    • State the obstacles to adherence to and persistence with therapy that are particular to MS
    • Outline the major techniques used in motivational interviewing
    • Identify helpful, as opposed to counterproductive, interviewing interactions
    • Explain how to incorporate motivational interviewing techniques into their own practices
  • Faculty & Participants
  • Ken Resnicow, PhD (Moderator)
    Professor, Health Behavior & Health Education
    University of Michigan School of Public Health

    Ken Resnicow is a professor in the Department of Health Behavior and Health Education at the University of Michigan School of Public Health. His research interests include: the design and evaluation of health promotion programs for special populations, particularly cardiovascular and cancer prevention interventions for African Americans, understanding the relationship between ethnicity and health behaviors, substance use prevention and harm reduction, motivational interviewing for chronic disease prevention, Type II diabetes prevention and comprehensive school health programs. Current studies include: Healthy Body Healthy Spirit, an NHLBI-funded intervention to increase physical activity and consumption of fruit and vegetables among African Americans recruited through Black churches using motivational interviewing, GO GIRLS, an NHLBI funded study to develop an obesity prevention program for overweight African American adolescent females, Body and Soul, an NIH/ACS collaboration to disseminate proven cancer control interventions using lay health advisors, a FOGARTY/NIH study to develop smoking prevention programs for South African Youth and an NCI-funded project to test the impact of ethnic tailoring of dietary intervention materials.

    Deanna Broujos
    Patient with MS
    Pittsburg, PA

    Deanna Broujos is a registered nurse in Pennsylvania, who currently resides in Pine Twp., just north of Pittsburgh. Deanna is married to Gregg Broujos, a principal in the Downtown Pittsburgh-based commercial real estate firm, NAI Pittsburgh Commercial. Deanna and Gregg have two sons, Zachary, 10, and Nicholas, 7. Deanna enjoys reading, walking and attending her sons' numerous athletic events.

    Deanna is an "Army brat," moving from state to state, country to country, with her family to follow Brigadier General (Ret.) Jack Pellicci, Deanna's father. Her stops included Hawaii, Germany and Carlisle, Pennsylvania, where Deanna and her husband first met at a dance when Deanna was in the ninth grade.

    Deanna attended the University of West Virginia, where she earned an undergraduate degree and a Master's degree in Exercise Physiology. She then moved to California to work as a Diabetes Educator/Exercise Specialist at Foothill Presbyterian Hospital. This experience made a lasting impression on Deanna, steering her into the field of nursing.

    After obtaining a nursing degree while working as an exercise physiologist in Northern Virginia, Deanna married and moved to Pittsburgh. Deanna held several staff nurse positions at Allegheny General Hospital in Pittsburgh, before deciding to stay at home to raise her two sons.

    Deanna is active in the local chapter of the National Multiple Sclerosis Society and is determined to bring an end to this devastating disease that has affected her and her mother, Susan.

    Celeste Egan
    Clinical Research Coordinator, Brady Prostate Center
    New York Presbyterian Hospital of Cornell University

    Celeste Egan, MS, RN, NP, earned her B.S. in nursing at Georgetown University and her M.S. in nursing at Columbia University. She currently serves as a nurse practitioner and clinical research coordinator in the Brady Prostate Center at New York Presbyterian Hospital, specializing in prostate disorders and voiding dysfunctions. She is also responsible for all aspects of industry-sponsored and NIH-sponsored clinical trials, including work as study coordinator and, in some studies, as a sub-investigator. Previously, Celeste worked as a clinical research coordinator at the New York Center for Human Sexuality at Columbia University.

    Celeste is also a medical consultant to Cinema World Studios in Brooklyn, where she writes, researches and assists in developing medical story lines, simulating medical conditions and atmosphere. A member of the American Federation of Television and Radio Artists, Celeste is an actress for health-related programs.

    Celeste is a member of the American Academy of Nurse Practitioners, the Society of Urologic Nurses and Associates and the Medical Reserve Corps of New York City, among other professional organizations.

    April M. Hopper, PharmD
    Disease Management Specialist
    Rite Aid Clinical Services
    Moon Township, PA

    Dr. April Hopper is a disease management specialist for Rite Aid Corporation and provides counseling to people with heart disease, diabetes and asthma. April received her B.S. degree in pharmacy in 1992 and her Doctor of Pharmacy degree in 1998 from Duquesne University, Pittsburgh, PA. She completed a residency in pharmacy practice at Allegheny General Hospital, Pittsburgh, PA in 2000. Additionally, April serves as Membership Chair for the Western Pennsylvania Society of Health-System Pharmacists and is a member of United States Congressman Tim Murphy's Health Care Advisory Board.

    Faith Reilly, RN
    Patient with MS
    Scott's Valley, CA

    Faith Riley, RN, is a registered nurse, certified in MS nursing. Diagnosed with multiple sclerosis in 1995, she currently practices independently in patient MS education in northern California. Faith volunteers with the MS Society and is an advocate for and mentor to other people with MS.

  • Instructions for Credit
  • Pharmacist Continuing Education
    Accreditation Statement
    The Postgraduate Institute for Medicine is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

    Credit Designation
    The Postgraduate Institute for Medicine designates this continuing education activity for 1.0 contact hours (0.10 CEUs) of the Accreditation Council for Pharmacy Education. (Universal Program Number - 809-999-05-070-H04)

    Nursing Continuing Education
    CNA/ANCC
    This educational activity for 1.0 contact hours is provided by the Postgraduate Institute for Medicine (PIM). The Postgraduate Institute for Medicine is an approved provider of continuing education by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

    California Board of Registered Nursing
    Postgraduate Institute for Medicine is approved by the California Board of Registered Nursing, Provider Number 13485 for 1.0 contact hours.

    A statement of credit will be issued only upon receipt of a completed activity evaluation form.

  • Fee Information
  • There is no fee for this educational activity.
  • Disclosure of Conflicts of Interest
  • Postgraduate Institute for Medicine (PIM) assesses conflict of interest with its instructors, planners, managers and other individuals who are in a position to control the content of CME activities. All relevant conflicts of interest that are identified are thoroughly vetted by PIM for fair balance, scientific objectivity of studies utilized in this activity and patient care recommendations. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.
  • Faculty Disclosure Statements
  • The Postgraduate Institute for Medicine has a conflict of interest policy that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials. It is not assumed that these financial interests or affiliations will have an adverse impact on faculty presentations; they are simply noted here to fully inform participants.

    Ken Resnicow, PhD
    Consultant: Biogen Idec

    Deanna Broujos
    No financial interest/relationships relating to the topic of this activity

    Celeste Egan
    No financial interest/relationships relating to the topic of this activity

    April M. Hopper, PharmD
    No financial interest/relationships relating to the topic of this activity

    Faith Reilly, RN
    Consultant: Biogen Idec

    The following planners and managers reported a real or apparent conflict of interest:

    Thomas Maxwell Mundy, MD (Healthology)
    No financial interest/relationships relating to the topic of this activity

    Linda Graham, RN (PIM)
    No financial interest/relationships relating to the topic of this activity

  • Method of Participation
  • There are no fees for participating and receiving CME credit for this activity. During the period September 2005 through September 2006, participants must: 1) read the learning objectives and faculty disclosures; 2) study the educational activity; 3) complete the post-test by recording the best answer to each question in the answer key on the Evaluation Form; and 4) complete the Evaluation Form.

    A statement of credit will be issued only upon receipt of a completed activity Evaluation Form and a completed post-test with a score of 70 percent or better. Your statement of credit will be mailed to you within three weeks.

  • Media
  • Internet
  • Disclosure of Unlabeled Use
  • This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by FDA. The Postgraduate Institute for Medicine (PIM), Healthology Inc. and Biogen Idec and Elan pharmaceuticals do not recommend the use of any agent outside of the labeled indications.

    The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of PIM, Healthology Inc. and Biogen Idec and Elan pharmaceuticals. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings.

  • Disclaimer
  • Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications on dangers in use, review of any applicable manufacturer's product information and comparison with recommendations of other authorities.

    Produced by Healthology © 2005

    Sponsored by the Postgraduate Institute for Medicine

    Supported through an educational grant from Biogen Idec and Elan pharmaceuticals.