Counseling by family physicians: Implications for training

Kathryn Fraser, Oliver Oyama, Mary Ann Burg, Tim Spruill, Heidi Allespach

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVES: This study explored family physicians’ practice of providing psychosocial interventions in the form of counseling, their beliefs about the efficacy of their counseling, their preferences of who should provide counseling, the skills involved in counseling, and their training experiences in learning how to counsel. METHODS: A total of 230 faculty and residents completed written surveys at 11 family medicine residency programs in Florida. RESULTS: Eighty-one percent of study participants regularly offered counseling to their patients, 85% did so for psychosocial problems, and 94% did so for health behavior change. Compared to residents, faculty reported greater use of counseling and a greater willingness to counsel patients for depression or anxiety. Fifty-six percent of the sample stated that their counseling for mental health problems was effective. Sixty percent reported that their training provided them with a basic knowledge of counseling skills; training involved primarily observing a counselor or acting as a co-counselor with an identified counselor. Cognitive Behavioral Therapy, Motivational Interviewing, and the Stages-of-Change Model were the most widely taught counseling approaches. CONCLUSIONS: Family physicians regularly provide counseling for psychosocial problems and health behavior change, and a modest number believe counseling is effective. Residents counsel less regularly and are less confident in the effectiveness of their counseling compared to faculty. Training in counseling skills generally involves direct observation and learning several counseling techniques. Future research should explore whether models of family physician counseling are practical, which techniques should be taught and how.

Original languageEnglish (US)
Pages (from-to)517-523
Number of pages7
JournalFamily Medicine
Volume47
Issue number7
StatePublished - Jul 1 2015

Fingerprint

Family Physicians
Counseling
Health Behavior
Learning
Motivational Interviewing
Family Practice
Cognitive Therapy
Internship and Residency

ASJC Scopus subject areas

  • Family Practice

Cite this

Fraser, K., Oyama, O., Burg, M. A., Spruill, T., & Allespach, H. (2015). Counseling by family physicians: Implications for training. Family Medicine, 47(7), 517-523.

Counseling by family physicians : Implications for training. / Fraser, Kathryn; Oyama, Oliver; Burg, Mary Ann; Spruill, Tim; Allespach, Heidi.

In: Family Medicine, Vol. 47, No. 7, 01.07.2015, p. 517-523.

Research output: Contribution to journalArticle

Fraser, K, Oyama, O, Burg, MA, Spruill, T & Allespach, H 2015, 'Counseling by family physicians: Implications for training', Family Medicine, vol. 47, no. 7, pp. 517-523.
Fraser K, Oyama O, Burg MA, Spruill T, Allespach H. Counseling by family physicians: Implications for training. Family Medicine. 2015 Jul 1;47(7):517-523.
Fraser, Kathryn ; Oyama, Oliver ; Burg, Mary Ann ; Spruill, Tim ; Allespach, Heidi. / Counseling by family physicians : Implications for training. In: Family Medicine. 2015 ; Vol. 47, No. 7. pp. 517-523.
@article{7903190f8897448bac573983deffda88,
title = "Counseling by family physicians: Implications for training",
abstract = "BACKGROUND AND OBJECTIVES: This study explored family physicians’ practice of providing psychosocial interventions in the form of counseling, their beliefs about the efficacy of their counseling, their preferences of who should provide counseling, the skills involved in counseling, and their training experiences in learning how to counsel. METHODS: A total of 230 faculty and residents completed written surveys at 11 family medicine residency programs in Florida. RESULTS: Eighty-one percent of study participants regularly offered counseling to their patients, 85{\%} did so for psychosocial problems, and 94{\%} did so for health behavior change. Compared to residents, faculty reported greater use of counseling and a greater willingness to counsel patients for depression or anxiety. Fifty-six percent of the sample stated that their counseling for mental health problems was effective. Sixty percent reported that their training provided them with a basic knowledge of counseling skills; training involved primarily observing a counselor or acting as a co-counselor with an identified counselor. Cognitive Behavioral Therapy, Motivational Interviewing, and the Stages-of-Change Model were the most widely taught counseling approaches. CONCLUSIONS: Family physicians regularly provide counseling for psychosocial problems and health behavior change, and a modest number believe counseling is effective. Residents counsel less regularly and are less confident in the effectiveness of their counseling compared to faculty. Training in counseling skills generally involves direct observation and learning several counseling techniques. Future research should explore whether models of family physician counseling are practical, which techniques should be taught and how.",
author = "Kathryn Fraser and Oliver Oyama and Burg, {Mary Ann} and Tim Spruill and Heidi Allespach",
year = "2015",
month = "7",
day = "1",
language = "English (US)",
volume = "47",
pages = "517--523",
journal = "Family Medicine",
issn = "0742-3225",
publisher = "Society of Teachers of Family Medicine",
number = "7",

}

TY - JOUR

T1 - Counseling by family physicians

T2 - Implications for training

AU - Fraser, Kathryn

AU - Oyama, Oliver

AU - Burg, Mary Ann

AU - Spruill, Tim

AU - Allespach, Heidi

PY - 2015/7/1

Y1 - 2015/7/1

N2 - BACKGROUND AND OBJECTIVES: This study explored family physicians’ practice of providing psychosocial interventions in the form of counseling, their beliefs about the efficacy of their counseling, their preferences of who should provide counseling, the skills involved in counseling, and their training experiences in learning how to counsel. METHODS: A total of 230 faculty and residents completed written surveys at 11 family medicine residency programs in Florida. RESULTS: Eighty-one percent of study participants regularly offered counseling to their patients, 85% did so for psychosocial problems, and 94% did so for health behavior change. Compared to residents, faculty reported greater use of counseling and a greater willingness to counsel patients for depression or anxiety. Fifty-six percent of the sample stated that their counseling for mental health problems was effective. Sixty percent reported that their training provided them with a basic knowledge of counseling skills; training involved primarily observing a counselor or acting as a co-counselor with an identified counselor. Cognitive Behavioral Therapy, Motivational Interviewing, and the Stages-of-Change Model were the most widely taught counseling approaches. CONCLUSIONS: Family physicians regularly provide counseling for psychosocial problems and health behavior change, and a modest number believe counseling is effective. Residents counsel less regularly and are less confident in the effectiveness of their counseling compared to faculty. Training in counseling skills generally involves direct observation and learning several counseling techniques. Future research should explore whether models of family physician counseling are practical, which techniques should be taught and how.

AB - BACKGROUND AND OBJECTIVES: This study explored family physicians’ practice of providing psychosocial interventions in the form of counseling, their beliefs about the efficacy of their counseling, their preferences of who should provide counseling, the skills involved in counseling, and their training experiences in learning how to counsel. METHODS: A total of 230 faculty and residents completed written surveys at 11 family medicine residency programs in Florida. RESULTS: Eighty-one percent of study participants regularly offered counseling to their patients, 85% did so for psychosocial problems, and 94% did so for health behavior change. Compared to residents, faculty reported greater use of counseling and a greater willingness to counsel patients for depression or anxiety. Fifty-six percent of the sample stated that their counseling for mental health problems was effective. Sixty percent reported that their training provided them with a basic knowledge of counseling skills; training involved primarily observing a counselor or acting as a co-counselor with an identified counselor. Cognitive Behavioral Therapy, Motivational Interviewing, and the Stages-of-Change Model were the most widely taught counseling approaches. CONCLUSIONS: Family physicians regularly provide counseling for psychosocial problems and health behavior change, and a modest number believe counseling is effective. Residents counsel less regularly and are less confident in the effectiveness of their counseling compared to faculty. Training in counseling skills generally involves direct observation and learning several counseling techniques. Future research should explore whether models of family physician counseling are practical, which techniques should be taught and how.

UR - http://www.scopus.com/inward/record.url?scp=84937128219&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937128219&partnerID=8YFLogxK

M3 - Article

C2 - 26562638

AN - SCOPUS:84937128219

VL - 47

SP - 517

EP - 523

JO - Family Medicine

JF - Family Medicine

SN - 0742-3225

IS - 7

ER -