Date of Graduation

Spring 5-6-2014

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Karen Van Leuven, PhD FNP

Second Advisor

Alexa Curtis, PhD, FNP

Third Advisor

Jo Loomis, DNP, FNP, CNL


Motivational interviewing has been endorsed by San Mateo County as an evidence-based effective form of behavior change counseling. Eighty percent of pediatric healthcare providers in San Mateo County have been trained in motivational interviewing, however 70% of the providers use it less than 50% of the time. The goal of this project was to reeducate the adolescent providers of San Mateo County in motivational interviewing with an emphasis on individualized training and feedback, directed toward healthy diet and exercise. Results of the quality improvement project showed an average 2.5-point increase in provider confidence on a zero to ten-point scale, and average increase in the use of motivational interviewing of 2 patients per day. Providers reported overall satisfaction with the project and demonstrated continued interest in further use of motivational interviewing. Recommendations for continued quality improvement include extension of the project for further support in motivational interviewing practice and increasing macrosystem involvement by training more providers throughout San Mateo County.