Motivational Interviewing Flashcards
Definition of MI
A collaborative, person-centred approach of guiding to strengthen motivation to change.
Critical components of MI
Willingness: importance of change for them
Ability: confidence they can change
Readiness: is it an immediate priority to change
MI can be used for:
- Med adherence
- Managing SNAP
- Diabetes & CV management
- Substance-abuse management
- Gambling or sexual behaviour management
- Referral to allied health/specialists
- completing of screenings/tests
What is the spirit of MI?
Collaboration
Evocation
Patient Autonomy
Spirit of MI: Collaboration
- partnership
- building rapport & trust
- mutual understanding
Spirit of MI: Evocation
- draw out patient’s own ideas, give power back to patient
- let them discover own motivation to change
- will result in lasting change if doing so
Spirit of MI: Patient Autonomy
It is patient’s decision whether they want to change or not
Principles of MI
- Express empathy
- Support self-efficacy
- Roll with resistance
- Describe discrepancy
Techniques to use MI
- Building motivation to change: OARS
2. Strengthening commitment to change: CHANGE TALK
OARS
Open-ended questions
Affirmations
Reflections
Summarises
Change Talk
Prepatory change talk
Implementing change talk
Evoking change talk
Prepatory change talk
Desire: I want to change
Ability: I can change
Reason: It’s important to change
Need: I should change
Implementing change talk
Commitment: I am willing to change
Activation: I am ready, willing and able to change
Taking steps: I am taking action towards change
Evoking change talk
Asking series of questions from 4 categories
- Adv after the change
- Disadv of current behaviour
- Intention to change
- Optimism for change
OARS: Summarising
- mutual understanding of the discussion
- show you listened and understood what has been said
- ‘checking in’ with the patient
