Approach To Motivational Interview

Question 1

What is the the principles of motivational interviewing?

Answer 1

Patient Centered
Goal Directed
Non-confrontational
-not scare tactics or persuasion

Question 2

What techniques should you use during motivational interviewing?

Answer 2

Open ended questions
Affirmations
Reflective Listening
Summaries

Question 3

Precontemplation

Answer 3

Patient is not considering change
-physicians job is to increase awareness of why they should consider change
—build trust
—ask permission to talk about issue
—Offer facts

Question 4

Contemplation

Answer 4

Patient is considering possibility of making change, still uncertain
-physician should encourage making change
—weigh pros/cons
—reinforce the fact of free will

Question 5

Preparation

Answer 5

Patient is committed to making change in near future but still considering what to do
-physicians job is to clarify goals and strategies
—offer advice
—consider barriers and solutions
—discuss what has worked for people

Question 6

Action

Answer 6

Patient is actively making changes
-physicians job is to reinforce pt on staying on track to realistic changes
—acknowledge difficulties
—identify high risk situations
—identify new reinforcements

Question 7

Maintenance

Answer 7

Patient has made change
-physicians goal is to reinforce and support
—give affirmations
—develop plan for regression