Motivation Flashcards
Values and attitudes of MI
Partnership & collaboration
Acceptance
Compassion
Evocation ( stimulation that calls (draws forth) particular class of behaviors)
Definition of motivational interviewing
A collaborative conversation style for strengthening a person’s own motivation and commitment to change.
Engagement with another person, exchange of ideas
Non MI teqniques
Confrontation
Rejection
Lack of warmth
Educating, advising, telling
Characteristics guiding communication
Non- judge mental respect for patients autonomy, values, and goals
Recognition that ambivalence about change is normal and common
Motivation for change is personal and intrinsic; external motivators are less powerful and can generate resistance.
The professional has valuable knowledge and skills for guiding
Ambivalence
Feeling two ways about changing behavior
It’s normal in the process of change. Getting stuck is the problem
Core elements of MI
Having effective conversations with patients that are consistent with MI depends on core values,skills, and strategies.
Without the values, the spirit of MI, the skills and strategies can be mere tricks.
MI is a person-centered model taping into and building on the patients wisdom.
Values and attitudes: the spirit of MI
Partnership and collaboration Acceptance of clien autonomy Compassion Evocation PACE
Build relationship
Principles of MI
Resist the right reflex
Understand your patients motivations
Listen to you patient
Empower your patient
Basic skills (oars)
Open ended questions
Affirmations
Reflections
Summaries
Resistance from client
Stop what your doing
Drop the subject for now
Roll with resistance- use reflections
Go on to a topic to re-engage the patient in collaboration.
Change talk
Desire-wants Ability-confidence Reasons- benefits of change Need-current problems Commitment- I will Use all your skills - OARS-to draw out and reinforce change talk.
A simple strategy for providing info
Ask- tell- ask Ask or elicit- would it be okay to tell you about.... Or what do you already know about.... Tell about third party or provide info Some people find... The research shows.... Offer at least 3 options or info., Ask for the patient perspective What do you think?
Invite conversation about change
To encourage someone to consider making a change, to guide them to find personal motivation to change, engage them in a conversation about change.
People generally believe what they tell themselves vs whatbothers tell them.
Commitment to change is increased as they ( not you) talk about change
