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Motivational Interviewing Yee! Yee!
Terms in this set (37)
What is motivational interviewing?
1. It is a communication style that works by activating the patient's own motivation for change and adherence to treatment
2. It is a patient centered counseling method for addressing patient ambivalence and resistance to change regarding health behaviors
3 parts to motivational approach?
Collaboration is what part?
discovering motivation for change
Pro's vs. con's
Elicit motivation for change
What actually helps people change?
reasons they have discovered themselves
Essential elements of motivational interviewing?
What are SMART goals?
Specific Measurable Attainable Relevant Time-based
What is OARS effective communication?
O-pen ended questions
Benefits of open ended questions?
Freedom of expression
Patient will provide more information
Learn more about the patient and his/her motivation
Keeps the tone positive (no checkboxes)
What are affirmations?
Useful throughout the session
Example of affirmations?
"I admire your strength. I can appreciate how difficult this is for you"
What is reflective listening?
Statement clarifying what was stated
Encourages patient to continue
What is the patient's perception when you practice reflective listening?
You are listening
You want to hear more
What they are saying is important to you
You are not judging them
You understand his/her feelings
Providing empathy is part of reflective listening.
What is ambivalence?
feeling two ways about something
What NOT to do with ambivalence?
Convince them about their "problem"
Argue with them
Instructing them how to change
Warning regarding consequences
What to do with ambivalence?
What is the "R" in rule?
R- resist the writing reflex
What is the "U" in rule?
U- understand the patient's motivation
What is the "L" in rule?
L- listen to them
What is the "E" in rule?
E- empower them
What is the discord part of ambivalence?
Has to do with your relationship to the pt
-can't make me
-you don't understand
What is "rolling with resistance?"
NOT to let resistance anger you
What is the DARN change talk? *
D- desire (i want to)
A- ability (done it before)
R- reason (i would have more energy)
N- need (if i don't, I wont get better)
DARN CAT change talk.....what is CAT?
commitment- i will do this
activation- i'll start by
Talking steps- (set the quit date)
Advice-giving alone is enough to provoke change
Importance and confidence in the change talk mean?
They must understand why it is important and you have to give them confidence so they will be ready
what is decisional balance?
pt weighs the pros and cons and won't make the change until the pros outweigh the cons
Decisional balance: resistance
cons outweigh the pros
Decisional balance: ambivalent
cons equal the pros
Decisional balance: ready for change
pros outweigh the cons
What do you do when faced with ambivalence or resistance?
explore, don't explain
Education with MI steps?
1. get permission
2. elicit- ask what they know or want to know
3. Provide- information
4. elicit- the patient's interpretation
What is "the menu?"
Present a choice of options to patient and let them choose one to work on for a solution to the problem
What is "the insurance card?"
May I tell you what concerns me?
What is "a look over the fence?"
If you could look over your fence and see yourself as a non-smoker, what would you like about that?
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