Tailored Motivational Interviewing

This communication-centered approach to service delivery provides a compassionate and supportive environment in which to promote intrinsic behavior change among youth 16 to 29 with newly diagnosed HIV. Tailored Motivational Interviewing (TMI) helps youth address psychosocial barriers to HIV care and medication adherence and improve their use of the health care system.

Summary

Resumen

About the Project

Priority Population: Youth ages 16 to 29 year with HIV

Setting: HIV Care Clinic

Location: Detroit, MI

Intervention Focus: Retention

Study Period: 2003-2005

Outcomes, Components, Cost Analysis

Outcomes

Clients missed fewer appointments.
33% of youth achieved undetectable status (in Healthy Choices, the subsequent randomized controlled trial).

Intervention Components

Define Priority Youth Characteristics and Data Measures
Secure Leadership Buy-In
Assess Staff Competencies and Readiness
Develop a Youth Advisory Board and Community of Practice
Recruit TMI Trainers and Staff as Necessary
Train Staff
Retain Youth with HIV in Care and Monitor Intervention Fidelity

Cost Analysis

The TMI intervention cost analysis is not currently available. However, you can use the CIE Cost Calculator to create an estimate of the cost of implementing the intervention at your organization.

Challenges and Solutions

Challenge	Solution
Provider availability for training	Leadership and administrative supervision support staff can discuss scheduling options to reduce the time burden experienced by providers and other staff.
Staff have prior experience with MI	Gauge staff's MI training and experience and ensure that they are certified in the MI style pertinent to TMI.
Staff turnover and participation in the required components of TMI	Internal coaching of team members and engagement with Communities of Practice can ensure that MI becomes established institutional knowledge that is easily disseminated to new staff.
Lack of buy-in at the leadership and managerial levels	Highlight the benefits offered by TMI while creating a clear plan for integrating TMI strategies into the existing care structure. Engage Communities of Practice in discussions about strategies for creating buy-in.