Robert Keeley, MD

Research Interests

Publications

• Comorbidities in the Management of Osteoarthritis in a Public Health System Greg Gutierrez, MD; Robert Keeley, MD MSPH. NAPCRG meeting November 2009, San Juan, PR,
• Patient-level Correlates of the Healthy User Bias Alemayehu Biffa, MD; Robert D. Keeley, MD, MSPH; Gutierrez Greg, MD; Aaron Reiter, MD. NAPCRG, 2009.
• Moderators and Mediators of CHD Mortality in NHANES I Robert D. Keeley, MD, MSPH; Margaret Driscoll, MSM; Lori Crane, Ph.D.; Miriam Dickinson, Ph.D., NAPCRG podium presentation, 2008.
• Toward an Emerging Role for Motivational Interviewing in Primary Care. Keeley R1,2, Engel M3, Reed A4, Brody D5,6, Burke BL7. Author information Abstract PURPOSE OF REVIEW: Implementing Motivational Interviewing (MI) in primary care settings has been problematic due in part to persistent gaps in knowledge. Examples include poor understanding of how to effectively train persons to conduct MI, or of which aspects of MI-related communication are associated with better outcomes for patients. This review describes how recent research findings addressing the knowledge gaps support a growing role for MI in primary care. RECENT FINDINGS: Two trials of MI training combined classroom time with ongoing coaching and feedback, resulting in enhanced MI ability relative to a control arm where PCPs received minimal or no MI training. A third MI training trial excluded coaching and feedback, failing to increase use of MI. Adding to a growing list of behavioral health-related problems for which MI training has shown some effectiveness, a trial of training PCPs to use MI with depressed patients was associated with significantly improved depressive symptoms. Moreover, aspects of the PCPs' MI-related language and patients' arguments for positive behavior changes, "change talk," appeared to explain the positive effects of MI training on depression outcome. MI-training approaches have improved such that PCPs and possibly other clinic staff may want to consider MI training as a way to more effectively support their patients as they address behavioral health-related problems (e.g., tobacco use). MI training should focus on eliciting "change talk" from patients. Researchers and funding agencies might collaborate to continue closing knowledge gaps in the MI literature. KEYWORDS: MI training; Motivational Interviewing; Primary care Curr Psychiatry Rep. 2018 May 18;20(6):41. doi: 10.1007/s11920-018-0901-3.

Practice Locations

• University of Colorado Hospital
• Denver Health Medical Center

Specialty Information

• Family Medicine, Board Certification