Lecture 7: Motivational Interviewing

Question 1

What are the 5 A’s of intervention?

Answer 1

Ask
Advise
Assess
Assist
Arrange

Question 2

What is the main purpose of Ask of intervention?

Answer 2

Identifying the documenting the current behavior you want to change.

EX: How much alcohol do you drink per day?

Question 3

What is the main purpose of Advise of intervention?

Answer 3

Give info about health risks if not changed.
Give info about health benefits to reinforce change.

Question 4

What is the main purpose of Assess of intervention?

Answer 4

Determining if the patient is willing to change their behavior.

Question 5

What is the main purpose of Assist of intervention?

Answer 5

If PATIENT IS WILLING, use interventions to help make change.

Question 6

What is the main purpose of Arrange of intervention?

Answer 6

Schedule short-interval follow-up with patient.

Question 7

What are the 5 stages of change?

Answer 7

Precontemplation
Contemplation
Preparation
Action
Maintenance

Question 8

What is the precontemplation stage?

Answer 8

Not even considering change.

Either due to denial/disbelief OR failed so many times they’ve lost hope ):

Question 9

What is the contemplation stage?

Answer 9

Ambivalent about changing.
Giving up their behavior causes them to feel a sense of loss.

Question 10

What is the preparation stage?

Answer 10

Preparing to make a specific change, often experimenting with small changes.

Question 11

What is the action stage?

Answer 11

Actively pursuing a change.

Need encouragement, support, and praise still.

Question 12

What is the maintenance stage?

Answer 12

RELAPSE PREVENTION.

Incorporating the new behavior for the long term.

Some patients may recycle a few times before their changes are fully established.

Question 13

How often does the preparation stage last?

Answer 13

0-3mo

Question 14

How often does the action stage last?

Answer 14

3-6mo

Question 15

How often does the maintenance stage last?

Answer 15

6+ mo

Question 16

What is adherence?

Answer 16

The extent to which a patient’s behavior corresponds with the agreed-upon recommendations from a healthcare provider.

Question 17

How good is adherence for chronic diseases among developed countries?

Answer 17

50% only ):

Question 18

If a patient didn’t agree to a care plan, what is a change we can make?

Answer 18

Shared decision making.

Question 19

If a patient says they’re unable to afford care, what is a change we can make?

Answer 19

Change to a more affordable one.
Look for patient assistance to help cover cost.

Question 20

If a patient says they’re unable to access treatment, what is a change we can make?

Answer 20

Alternative treatment.
Look for ways to improve patient access.

Question 21

If a patient says they do not like the SE of a treatment plan, which is a change we can make?

Answer 21

Explain risks vs benefits.
Look for alternative treatments.

Question 22

If a patient says they think they are better and no longer need treatment, what is a change we can make?

Answer 22

Educate patients on the course of their disease.

Question 23

What are some major causes of non-adherence?

Answer 23

Healthcare team and system-related factors
Condition-related factors
Therapy characteristics
Patient-related factors