Motivational interviewing: relevance in the treatment of Rheumatoid Arthritis?

Abstract

Background: Motivational interviewing (MI) is used to support patients in making behaviour changes. We developed an MI-based training course in psychosocial support for rheumatology practitioners. The aim was to increase remission rates in patients with rheumatoid arthritis (RA) and improve their quality of life (QoL) evaluated within a clinical trial – TITRATE. Methods: The training course focuses on MI techniques e.g. developing trust/rapport, identifying potential barriers/facilitators for behaviour change and health psychology concepts e.g. illness perceptions and psycho-education on RA. 199 patients will be recruited in the intervention arm and seen monthly for one year. Expected results: 48 Rheumatology practitioners from hospitals in England trained between February 2014 - February 2015. Sessions are audio-recorded to provide feedback and enable fidelity ratings. MI skills appear to be effectively used by practitioners with positive response from patients. Current stage of work: Training/intervention delivery in progress. Discussion: If findings suggest that MI-based psychosocial support training and provision is feasible and beneficial, it could be provided to further practitioners in Rheumatology to improve communication and patient outcomes.