Motivational Interviewing as a tool to enhance access to mental health treatment in adolescents with chronic medical conditions and need for psychological support (COACH-MI): study protocol for a clusterrandomised controlled trial.
Open accessAbstract
BACKGROUND: This cluster-randomised monocentric controlled trial focuses on improving the uptake symptoms of mental health care in adolescents with chronic medical conditions who have been identified by screening to have depression or anxiety. The study aims to determine the efficacy of motivational interviewing (MI) delivered by trained physicians to increase 12- to 20-year-old adolescents' utilisation of psychological health care for symptoms of anxiety or depression. METHODS/DESIGN: In this single-centre approach, n = 1,000 adolescents will be screened (using PHQ-9 and GAD-7), and adolescents with results indicative of anxiety or depressive symptoms (n = 162) will be advised to seek psychological health care in clusters from treating physicians in specialised outpatient departments. Participants who screen positive will receive either two sessions of MI or treatment as usual (TAU; regarded as the typical daily clinical practice), which is focused on recommending them to seek psychological health care for further evaluation. MI efficacy will be compared to the current TAU as the control condition. The primary outcome is the utilisation rate of psychological health care after counselling by an MI-trained physician vs. an untrained physician. Additionally, reasons for not claiming psychological support and changes in disease-related parameters will be evaluated in a 6-month follow-up session. DISCUSSION: This trial will evaluate the feasibility of MI as a way to improve the utilisation of mental health-care services by adolescents who need further support other than that provided by standard care for chronic diseases. Physicians offering MI to adolescents may serve as a model for optimising health-care management in daily clinical practice, which may improve adolescents' long-term well-being by improving adherence to medical treatment and preventing negative lifelong consequences into adulthood. TRIAL REGISTRATION: German Trials Register (DRKS), DRKS00014043 . Registered on 26 April 2018. Düsseldorf University study ID: 2017114504.
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Published data suggest that MI can be implemented into clinical routines to improve young patients' mental health care services utilization.
“Published data suggest that MI can be implemented into clinical routines to improve young patients’ mental health care services utilization.35,36”
From Efficacy of Motivational Interviewing to Improve Utilization of Mental Health Services Among Youths With Chronic Medical Conditions: A Cluster Randomized Clinical Trial (2021) · cites this paper as [36]
The Background reports that MI has improved uptake of cognitive behavioural therapy among adolescents. But the Discussion says implementation in routine clinical care depends on whether the proposed trial proves effective; this protocol does not provide data showing that physician-delivered MI improves service use in clinical routines. (LLM, conf=0.85)
Experimental — accuracy not yet measuredShort MI seminars have been successful in teaching physicians basic MI skills, but proficiency and long-term experience are associated with its success.
“Short MI seminars have been successful in teaching physicians basic MI skills,36,47,48,49 but proficiency and long-term experience are associated with its success.”
Researchers have combined MI with limited case management in a collaborative care setting with varying success.
“Researchers have combined MI with limited case management in a collaborative care setting with varying success (eg, incorporating follow-up phone calls by social workers).36,50”
From Efficacy of Motivational Interviewing to Improve Utilization of Mental Health Services Among Youths With Chronic Medical Conditions: A Cluster Randomized Clinical Trial (2021) · cites this paper as [36]
The Methods/design > Study interventions section describes two physician-delivered MI sessions intended to encourage adolescents to seek psychological care, but does not describe case management or social-worker follow-up calls. The Methods/design > Outcomes section describes a planned follow-up interview, not an intervention or its results. This is a study protocol, so our copy does not establish the claimed combination or its varying success. (LLM, conf=0.76)
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Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
(2013) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/103.1437-1588 · Cited by 11,769 · see citing works
Spitzer, R. L. (1999) · JAMA · doi:10.1001/jama.282.18.1737 · Cited by 9,802 · see citing works
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008) · Medical Care · doi:10.1097/mlr.0b013e318160d093 · Cited by 4,527 · see citing works
How stigma interferes with mental health care.
Corrigan, P. (2004) · American Psychologist · doi:10.1037/0003-066x.59.7.614 · Cited by 3,648 · see citing works
Pocock, S. J., & Simon, R. (1975) · Biometrics · doi:10.2307/2529712 · Cited by 2,350 · see citing works
Plummer, F., Manea, L., Trepel, D., & McMillan, D. (2016) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2015.11.005 · Cited by 1,882 · see citing works
What is Motivational Interviewing?
Rollnick, S., & Miller, W. R. (1995) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246580001643x · Cited by 1,737 · see citing works
Applied Mixed Models in Medicine
Brown, H., & Presco, R. (2000) · Technometrics · doi:10.1080/00401706.2000.10485742 · Cited by 1,699 · see citing works
Löwe, B., Kroenke, K., Herzog, W., & Gräfe, K. (2004) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00198-8 · Cited by 1,558 · see citing works
Motivational interviewing with problem drinkers
Miller, W. R. (1983) · Behavioural Psychotherapy · doi:10.1017/s0141347300006583 · Cited by 1,390 · see citing works
Ten Things that Motivational Interviewing Is Not
Miller, W. R., & Rollnick, S. (2009) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465809005128 · Cited by 1,315 · see citing works
A Randomized Trial of Methods to Help Clinicians Learn Motivational Interviewing.
Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J., & Pirritano, M. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.6.1050 · Cited by 1,075 · see citing works
Lundahl, B., Moleni, T., Burke, B. L., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013) · Patient Education and Counseling · doi:10.1016/j.pec.2013.07.012 · Cited by 909 · see citing works
Richardson, L. P., McCauley, E., Grossman, D. C., McCarty, C. A., Richards, J., Russo, J. E., Rockhill, C., & Katon, W. (2010) · Pediatrics · doi:10.1542/peds.2010-0852 · Cited by 806 · see citing works
Ismail, K., Winkley, K., & Rabe-Hesketh, S. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16202-8 · Cited by 531 · see citing works
Applied Mixed Models in Medicine
Ziegel, E. R., Brown, H. K., & Prescott, R. J. (2000) · Technometrics · doi:10.2307/1270978 · Cited by 451 · see citing works
Hinz, A., Klein, A. M., Brähler, E., Glaesmer, H., Luck, T., Riedel-Heller, S. G., Wirkner, K., & Hilbert, A. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.12.012 · Cited by 443 · see citing works
Winkley, K., Landau, S., Eisler, I., & Ismail, K. (2006) · BMJ · doi:10.1136/bmj.38874.652569.55 · Cited by 359 · see citing works
Diagnostic Validity of the Generalized Anxiety Disorder - 7 (GAD-7) among Pregnant Women
Zhong, Q.-Y., Gelaye, B., Zaslavsky, A. M., Fann, J. R., Rondon, M. B., Sánchez, S. E., & Williams, M. A. (2015) · PLOS ONE · doi:10.1371/journal.pone.0125096 · Cited by 297 · see citing works
Dear, B. F., Titov, N., Sunderland, M., McMillan, D., Anderson, T., Lorian, C., & Robinson, E. (2011) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2011.582138 · Cited by 282 · see citing works
Allgaier, A.-K., Pietsch, K., Frühe, B., Sigl-Glöckner, J., & Schulte-Körne, G. (2012) · Depression and Anxiety · doi:10.1002/da.21971 · Cited by 235 · see citing works
Medication Adherence and Health Care Utilization in Pediatric Chronic Illness: A Systematic Review
McGrady, M. E., & Hommel, K. A. (2013) · PEDIATRICS · doi:10.1542/peds.2013-1451 · Cited by 227 · see citing works
Herzer, M., & Hood, K. K. (2009) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsp063 · Cited by 218 · see citing works
Van Voorhees, B. W., Fogel, J., Reinecke, M. A., Gladstone, T., Stuart, S., Gollan, J., Bradford, N., Domanico, R., Fagan, B., Ross, R., et al. (2009) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181966c2a · Cited by 197 · see citing works
Mahler, C., Hermann, K., Horne, R., Ludt, S., Haefeli, W. E., Szécsényi, J., & Jank, S. (2010) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2009.01169.x · Cited by 188 · see citing works
Chronic illness and emotional distress in adolescence
Surı́s, J.-C., Parera, N., & Puig, C. (1996) · Journal of Adolescent Health · doi:10.1016/1054-139x(95)00231-g · Cited by 133 · see citing works
Depression, self-esteem, and life events in adolescents with chronic diseases
Seigel, W. M., Golden, N. H., Gough, J. W., Lashley, M. S., & Sacker, I. M. (1990) · Journal of Adolescent Health Care · doi:10.1016/0197-0070(90)90110-n · Cited by 125 · see citing works
The psychological burden of cystic fibrosis
Quittner, A. L., Saez-Flores, E., & Barton, J. D. (2016) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000244 · Cited by 102 · see citing works
Kongkaew, C., Jampachaisri, K., Chaturongkul, C. A., & Scholfield, C. N. (2013) · European Journal of Pediatrics · doi:10.1007/s00431-013-2128-y · Cited by 100 · see citing works
Depression, Anxiety, and Severity of Obesity in Adolescents
Fox, C. K., Gross, A. C., Rudser, K. D., Foy, A. M. H., & Kelly, A. S. (2015) · Clinical Pediatrics · doi:10.1177/0009922815615825 · Cited by 95 · see citing works
(2013) · Europe PMC (PubMed Central) · Cited by 88 · see citing works
Hintzpeter, B., Metzner, F., Pawils, S., Bichmann, H., Kamtsiuris, P., Ravens-Sieberer, U., Klasen, F., & group, T. B. S. (2014) · Kindheit und Entwicklung · doi:10.1026/0942-5403/a000148 · Cited by 76 · see citing works
The University of North Carolina at Chapel Hill University Libraries (2020) · PubMed · doi:10.17615/m4tg-fa10 · Cited by 74 · see citing works
KiGGS Study Group, Neuhauser, H. K., & Poethko‐Müller, C. (2014) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-014-1976-6 · Cited by 73 · see citing works
Hoek, W., Marko, M., Fogel, J., Schuurmans, J., Gladstone, T., Bradford, N., Domanico, R., Fagan, B., Bell, C., Reinecke, M. A., et al. (2011) · Translational research · doi:10.1016/j.trsl.2011.07.006 · Cited by 73 · see citing works
Dean, S., Britt, E., Bell, E. M., Stanley, J., & Collings, S. C. (2016) · Psychological Medicine · doi:10.1017/s0033291716000568 · Cited by 68 · see citing works
Puka, K., Widjaja, E., & Smith, M. L. (2017) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2016.12.011 · Cited by 60 · see citing works
Evaluation of motivational interviewing to improve psychotropic medication adherence in adolescents.
Hamrin, V., & Iennaco, J. D. (2017) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2015.0187 · Cited by 37 · see citing works
Motivational interviewing: relevance in the treatment of rheumatoid arthritis?
Georgopoulou, S., Prothero, L., Lempp, H. K., Galloway, J. B., & Sturt, J. A. (2015) · Lara D. Veeken · doi:10.1093/rheumatology/kev379 · Cited by 33 · see citing works
Gearing, R. E., Schwalbe, C. S., Dweck, P., & Berkowitz, J. (2012) · Community Mental Health Journal · doi:10.1007/s10597-011-9394-9 · Cited by 23 · see citing works
Child Attitude Toward Illness Scale (CATIS): A systematic review of the literature
Ramsey, R. R., Ryan, J. L., Fedele, D. A., Mullins, L. L., Chaney, J. M., & Wagner, J. L. (2016) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2016.03.026 · Cited by 19 · see citing works
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Tolchin, B. D., Baslet, G. C., Suzuki, J., Martino, S., Blumenfeld, H., Hirsch, L. J., Altalib, H. H., & Dworetzky, B. A. (2019) · Epilepsia · doi:10.1111/epi.14728 · Cited by 54 · see citing works
Allergic Diseases and Mental Health
Conway, A. E., Verdi, M., Kartha, N., Maddukuri, C., Anagnostou, A., Abrams, E. M., Bansal, P., Bukstein, D. A., Nowak-Wegrzyn, A. H., Oppenheimer, J. J., et al. (2024) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2024.05.049 · Cited by 55 · see citing works
Geirhos, A., Domhardt, M., Lunkenheimer, F., Temming, S., Holl, R. W., Minden, K., Warschburger, P., Meissner, T., Mueller-Stierlin, A. S., & Baumeister, H. (2022) · BMC Pediatrics · doi:10.1186/s12887-022-03134-3 · Cited by 37 · see citing works
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BackgroundMethodSelf-citationReinauer, C., Platzbecker, A. L., Viermann, R., Domhardt, M., Baumeister, H., Foertsch, K., Linderskamp, H., Krassuski, L., Staab, D., Minden, K., et al. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.27622 · Cited by 22 · see citing works
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Wagner, G., Karwautz, A. F. K., Philipp, J., Truttmann, S., Dür, W., Waldherr, K., Berger, G., & Zeiler, M. D. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12051927 · Cited by 19 · see citing works
Warschburger, P., Petersen, A.-C., von Rezori, R. E., Buchallik, F., Baumeister, H., Holl, R. W., Minden, K., Mueller‐Stierlin, A. S., Reinauer, C., & Staab, D. (2021) · BMC Pediatrics · doi:10.1186/s12887-021-02869-9 · Cited by 18 · see citing works
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Sedghy, Z., Yousefi, N., & Navidian, A. (2020) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_344_20 · Cited by 9 · see citing works
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Köstner, K., Geirhos, A., Ranz, R., Galler, A., Schöttler, H., Klose, D., Feldhahn, L., Flury, M., Schaaf, K., Holterhus, P., et al. (2021) · Diabetologie und Stoffwechsel · doi:10.1055/a-1589-7922 · Cited by 4 · see citing works
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- Authors
- COACH consortium, Reinauer, C., Viermann, R., Förtsch, K., Linderskamp, H., Warschburger, P., Holl, R. W., Staab, D., Minden, K., Muche, R., Domhardt, M., Baumeister, H., & Meissner, T.
- Affiliations
- Düsseldorf University Hospital (DE)
- University of Potsdam (DE)
- Universität Ulm (DE)
- Charité – Universitätsmedizin Berlin (DE)
- German Rheumatism Research Centre (DE)
- Corresponding author
- Reinauer, Christina
- ORCID
- Venue
- Trials
- Published
- 2018-11-14
- Volume
- 19
- Issue
- 1
- Pages
- 629-629
- ISSN
- 1745-6215 (ISSN-L)
- PMC
- PMC6236943
- OpenAlex
- W2901289418
- Cited by
- 23
- References
- 43
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 6 · 2019: 3
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Trials (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- publish.UP (University of Potsdam) (submittedVersion, cc-by)
- OPen Access Repositorium der Universität Ulm (OPARU) (Ulm University) (submittedVersion, other-oa)
- Universität Ulm, Kommunikations- und Informationszentrum (kiz) (cc-by)
- Funders
- Bundesministerium für Bildung und Forschung (FKZ 01GL1740D)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- motivational interviewing, adolescents, chronic disease, access to mental health care, depression, anxiety, PHQ-9, GAD-7, medication adherence
- MeSH terms
- Adaptation, Psychological, Adolescent, Adolescent Behavior, Age Factors, Anxiety, Child, Child Behavior, Chronic Disease, Depression, Feasibility Studies, Germany, Health Services Accessibility, Humans, Mental Health, Mental Health Services, Patient Compliance, Time Factors, Treatment Outcome, Young Adult, Motivational Interviewing, Pragmatic Clinical Trials as Topic
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