Motivating Patients

Question 1

What was the issue with Dr. Wields’ “Quit or get another doctor” plan?

Answer 1

Dr. Ross said he is helping people by making them feel pressured and that they want his approval. These are clear extrinsic motivation→ feeling forced and compelled.

Question 2

What might introjected motivation look like in the case of smoking patients?

Answer 2

I want to quit smoking because I feel bad for my family that I am a soker.

Question 3

Who is Dr. Geoff Williams and what was his main insight?

Answer 3

He was a doctor who got a PHD in motivational psychology to figure out how to better motivate his patients. He studied autonomous motivation and autonomy support and highlighted some basic listening skills

Question 4

What are the three key aspects of autonomy support?

Answer 4

Providing choices
Offering rationale for tasks
Non-controlling language

Question 5

What specific behaviours should one engage in when providing
autonomy support

Answer 5

• make eye conact
• ask open-ended questions
• listen carefully
• do not interrupt
• encourage initiation and involvement
• provide a rationale for your suggestions

Question 6

What is motivational interviewing?

Answer 6

a counseling method that helps people resolve ambivalence and find the internal motivation to change their behavior. It’s a person-centered approach that focuses on guiding individuals through their own internal dialogue about change, rather than directly advising them

Question 7

What are the 5 A’s of the National Cancer Association protocol for
smoking interventions?

Answer 7

Ask
Advise
Assess
Assist
Arrange

Question 8

What did the clip from something’s gotta give illustrate?

Answer 8

An example of Doctor autonomy support

Question 9

What were Dr. William’s main findings?

Answer 9

Three studies: Quitting Cessation, Medication Adherence, Diabetes Control.
1) found that autonomy suport fosters autonomous motivation which lead to significant abstience.
2) Percieved autonomy support lead to autonomous motivation and higher levels of adherance
3) Perception of autonomy support led to autonomous reasons, to better glucose control
In general: autonomy support –> autonomous motivation –> Positive health outcomes

Question 10

What kind of interpersonal behaviour fosters autonomous motivation?

Answer 10

autonomy-supportive behaviour, active listening, motivational interviewing, offering choices, taking perspective