• Motivational interviewing with personalized feedback: a brief intervention for motivating smokers with schizophrenia to seek treatment for tobacco dependence

      Steinberg, Marc L.; Ziedonis, Douglas M.; Krejci, Jonathan; Brandon, Thomas H. (2004-08-11)
      Individuals with schizophrenia have a much higher prevalence of tobacco smoking, a lower cessation rate, and a higher incidence of tobacco-related diseases than the general population. The initial challenge has been to motivate these individuals to quit smoking. This study tested whether motivational interviewing is effective in motivating smokers with schizophrenia or schizoaffective disorder to seek tobacco dependence treatment. Participants (N = 78) were randomly assigned to receive a 1-session motivational interviewing (MI) intervention, standard psychoeducational counseling, or advice only. As hypothesized, a greater proportion of participants receiving the MI intervention contacted a tobacco dependence treatment provider (32%, 11%, and 0%, respectively) and attended the 1st session of counseling (28%, 9%. and 0%) by the 1-month follow-up as compared with those receiving comparison interventions.
    • The relationship between direct observation, knowledge, and feedback: results of a national survey

      Mazor, Kathleen M.; Holtman, Matthew M.; Shchukin, Yakov; Mee, Janet; Katsufrakis, Peter J. (2011-10-14)
      BACKGROUND: Multisource feedback can provide a comprehensive picture of a medical trainee's performance. The utility of a multisource feedback system could be undermined by lack of direct observation and accurate knowledge. METHOD: The National Board of Medical Examiners conducted a national survey of medical students, interns, residents, chief residents, and fellows to learn the extent to which certain behaviors were observed, to examine beliefs about knowledge of each other's performance, and to assess feedback. RESULTS: Increased direct observation is associated with the perception of more accurate knowledge, which is associated with increased feedback. Some evaluators provide feedback in the absence of accurate knowledge of a trainee's performance, and others who have accurate knowledge miss opportunities for feedback. CONCLUSIONS: Direct observation is a key component of an effective multisource feedback system. Medical educators and residency directors may be well advised to establish explicit criteria specifying a minimum number of observations for evaluations.