Motivational Interview Flashcards
List in order, the stages of change
Precontemplation
Contempation
Preparation
Action
Maintenance
In this stage, the patient is not considering change at all.
Precontemplation
How should a physician respond in a pre-contemplative stage?
Increase awareness of why the patient should be considering a change
ask permission to talk about the issue
build trust
offer facts
examine discrepancies
express concern
In this stage, the patient is considering the possibility of making a change but is still uncertain
Contemplation
What is the physicians goal in the stage of contemplation?
encourage to make the change acknowledging that it is uncomfortable
pros and cons
reinforce ability
In this stage, the Patient is committed to making a change in the near future but still considering what to do.
Preparation
What is the physicians goal in the stage of preparation
clarify goals and strategies
Offer advice
help brainstorm around barriers
discuss what has worked in the past
encourage
In this stage, the physician is reinforcing the importance of remaining on track with realistic changes
Action
In what stage has the patient made the change?
Maintenance
Name that stage: Patient is committed to making a change in the near future but still considering what to do.
Action
Name that stage: 45 year old obese female comes in with acute on chronic knee pain. She has a history of impaired fasting glucose, and she wants to lose weight. She has a plan to start walking more next week, but she is concerned about the pain.
Preparation
45 year old obese female comes in with acute on chronic knee pain. She has a history of impaired fasting glucose, and she wants to lose weight. She has a plan to start walking more next week, but she is concerned about the pain. How can the physician help?
Advice on treatment options
Overcoming barriers
What has worked in the past?
Encourage family and friends
Name that stage:
23 yo female patient comes in today after taking her last alcoholic drink 1 week ago. She is having some temptations to drink again. She does not want to restart drinking though, as she has noticed her thinking seems to be more clear. She has support with Alcoholics Anonymous and friends.
Action
In an action setting, what is the physician supposed to do?
Acknowledge difficulties
Identify a high risk situation
Identify new reinforcers
