Motivational Interview- Weber Flashcards
Motivational interviewing is a skill that is useful when….
managing chronic conditions when patients need to make lifestyle behavior changes
What are the basic principles of motivational interviewing?
- Collaborate
- Evoke
- Encourage autonomy
- Elicit values, fears, hopes, expectations, feelings
What are some barriers to change?
- Social (norms, secondary gains)
- Spiritual (suffering/deserved)
- Psychological (depressed/anxiety)
- Biology (exercise hurts)
What are the 5 stages of change?
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance
What is a good way to gather a lot of information with one question?
Typical Day Assessment
Also develops rapport!
What are 3 productive questions you should ask in a motivational interview?
- How important is this change for you?
- How confident are you that you can make this change?
- How has this behavior kept you from moving forward?
What are important components of listening to your patient?
- Eye contact
- REFLECTIVE listening
- Summarize early, and often
- Listen to tone
Why doesn’t a patient actually HEAR you?
Could be…..
overwhelmed high emotion distractions Mood White Coat syndrome Wants to impress you
People change when they see why the change is relevant to them. How can you relate the changes that need to be made? What are motivators for them?
Evaluate their:
Activities = recreation, work, relationships, sex
Identity = good parent, spiritual, responsible, good spouse
Values = independent, disciplined, successful, strong
What are three reasons people do NOT change?
- Ambivalence
- Resistance
- Personal Struggles
How do you deal with a patient resisting change?
- Avoid arguing
- Encourage patient to come up with new perspective/ new way to solve problem
- Ask what has worked in the past
What are some sources of resistance?
Patient is rigid Not desirable Depression Not Ready Religion No benefit
