Standardized Patient Instructor (SPI) interactions are a viable way to teach medical students about health behavior counseling

Patient Education and Counseling

Volumn 84, Issue 2, 2011, Pages 271-274

  Wagenschutz, Heather ^a   Ross, Paula ^b   Purkiss, Joel ^b   Yang, Jun ^b   Middlemas, Sarah ^b   Lypson, Monica ^b  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

Author keywords

Health behavior counseling; Health promotion; Medical student feedback; Standardized patients

Indexed keywords

ARTICLE; BEHAVIOR MODIFICATION; CLINICAL EDUCATION; COUNSELING; HEALTH BEHAVIOR; HUMAN; MEDICAL EDUCATION; MEDICAL STUDENT; NUTRITION; PHYSICAL ACTIVITY; PRIORITY JOURNAL; RATING SCALE; ROLE PLAYING; SKILL; STANDARDIZED PATIENT INSTRUCTOR; STUDENT T TEST; TASK PERFORMANCE; TEACHING;

ADULT; CLINICAL CLERKSHIP; COUNSELING; CURRICULUM; EDUCATION, MEDICAL, UNDERGRADUATE; FEEDBACK; FEMALE; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMANS; INTERNAL MEDICINE; MALE; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; PATIENT SIMULATION; STUDENTS, MEDICAL; TEACHING; TOBACCO USE CESSATION;

EID: 79959957280     PISSN: 07383991     EISSN: 18735134     Source Type: Journal    
DOI: 10.1016/j.pec.2010.07.047     Document Type: Article

References (35)

1. Godin G., Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Amer J Health Promot 1996, 11:87-98.
2. National Center for Chronic Disease Prevention and Health Promotion Center for Disease Control and Prevention; 2009. Available from [updated 2009; cited 2009 December 18]. http://www.cdc.gov/chronicdisease/overview/index.htm.
3. Gaziano M.J. The age of obesity and inactivity. J Amer Med Assoc 2010, 303:275-276.
4. McDougall D. Feeling stressed?. CMA Manag Mag 1999, 14.
5. Katz D., O'Connell M., Yeh M., Nawaz H., Njike V., Anderson L., et al. Public health strategies for preventing and controlling overweight and obesity in school and worksite settings. Morb Mortal Wkly Rep 2005, 54:1-2.
6. Sparling P.B. Worksite health promotion: principles, resources, and challenges. Prev Chron Dis 2010, 7:1-6.
7. Prochaska J.O., DiClemente C.C., Norcross J.C. In search of how people change: applications to addictive behaviors. Amer Psychol 1992, 47:1102-1114.
8. Flocke S., Kelly R., Highland J. Initiation of health behavior discussions during primary care outpatient visits. Patient Educ Counsel 2009, 75:214-219.
9. Kreuter M., Chheda S., Bull F. How does physician advice influence patient behavior?. Arch Fam Med 2000, 9:426-433.
10. Elder J.P., Ayala G.X., Harris S. Theories and intervention approaches to health-behavior change in primary care. Am J Prev Med 1999, 17:275-284.
11. Cherry D.K., Burt C.W., Woodwell D.A. National ambulatory medical care survey: 2001 summary. Advanced data from vital and health statistics No 337 2003, National Center for Health Statistics, Hyattsille, MD.
12. Stange K.C., Woolf S.H., Gjeltema K. The power of leveraging to fulfill the promise of health behavior counseling. Am J Prev Med 2002, 22:320-323.
13. Chang J.C., Dado D., Frankel R.M., Rodriguez K.L., Zickmund S., Ling B.S., et al. When pregnant patients disclose substance use: missed opportunities for behavioral change counseling. Patient Educ Couns 2008, 72:394-401.
14. Wechsler H., Levine S., Idelson R., Schor E., Coakley E. The physician's role in health promotion revisited. A survey of primary care practioners. New Eng J Med 1996, 334:996-998.
15. Huang J., Yu H., Marin E., Brock S., Carden D., Davis T. Physicians' weight loss counseling in two public hospital primary care clinics. Acad Med 2004, 79:156-161.
16. Kushner R.F. Barriers to providing nutrition counseling by physicians: a survey of primary care practioners comment. Prev Med 1995, 24:546-552.
17. Forman-Hoffman V., Little A., Wahls T. Barriers to obesity management: a pilot study of primary care clinicians. BMC Fam Pract 2006, 7:35.
18. Vickers K., Kircher K., Smith M., Peterson L., Rasmussen N. Health behavior counseling in primary care: provider-reported rate and confidence. Fam Med 2007, 39(10):730-735.
19. Medical School Objectives Project Report I: learning objectives for medical student education-guidelines for medical schools 1998, Association of American Medical Colleges, Washington, DC.
20. Sharp P.C., Pearce K.A., Konen J.C., Knudson M.P. Using standardized patient instructors to teach health promotion interviewing skills. Fam Med 1996, 28(2):103-106.
21. Barrows H.S. An overview of the uses of standardized patients for teaching and evaluation skills. Acad Med 1993, 68:443-451.
22. May W., Park J.H., Lee J.P. A ten-year review of the literature on the use of standardized patients in teaching and learning: 1996-2005. Med Teach 2009, 31:487-492.
23. Beullens J., Rethans J.J., Goedhuys J., Buntinx F. The use of standardized patients in research in general practice. Fam Pract 1997, 14:58-62.
24. Bell K., Cole B. Improving medical students' success in promoting health behavior change: a curriculum evaluation. J Gen Intern Med 2008, 23:1503-1506.
25. Heisler M. Helping your patients with chronic disease: effective physician approaches to support self-management. Hosp Physician 2005, 8:43-54.
26. Rollnick S., Butler C., McCambridge J., Kinnersley P., Elwyn G. Consultations about changing behaviour. Brit Med J 2005, 331:961-963.
27. Doran G.T. There's a S.M.A.R.T. way to write management's goals and objectives. Manage Rev 1981, 70:29.
28. Glasgow R., Emont S., Miller D. Assessing delivery of the five "As" for patient-centered counseling. Health Promot Intern Adv Access 2006, 21:1-11.
29. Fiore M.C., Bailey W.C., Cohen S.J., Dorfman S.F., Goldstein M.G., Gritz E.R., et al. Treating tobacco use and dependence: clinical practice guideline 2000, US Department of Health and Human Services.
30. Serdula M.K., Khan L.K., Dietz W.H. Weight loss counseling revisited. J Amer Med Assoc 2003, 289:1747-1750.
31. Costanza M., Luckmann R., Quirk M., Clemow L., White M.J., Stoddard A. The effectiveness of using standardized patients to improve communicty physician skills in mammography conseling and clinical breast exam. Prev Med 1999, 29:241-248.
32. Henry B.W., Duellman M.C., Smith T.J. Nutrition-based standardized patient instructors to teach counseling awareness and confidence among dietetic interns. Top Clin Nutr 2009, 24:25-34.
33. Levenkron J.C., Greenland P., Bowley N. Using patient instructors to teach behavioral counseling skills. J Med Educ 1987, 62:665-672.
34. Moser E.M., Stagnaro-Green A. Teaching behavior change concepts and skills during the third-year medicine clerkship. Acad Med 2009, 84:851-858.
35. Dube C.E., O'Donnell J.F., Novack D.H. Communication skills for preventive interventions. Acad Med 2000, 75:45-54.