Motivational Interviewing Flashcards
what is the first tool of effective behaviour change and what does this allow for
find out what the patient wants
allows for patient to consider this for themselves, cultivates partner relationship
increases buy in, no mental gymnastics for you
tells you what’s got their motivation, allows for expectation management
engages client as part of the solution
define motivational interviewing
a client centred counselling style that helps people to explore and resolve their ambivalence regarding behaviour change
what is MI about
arranging conversations so people talk themselves into change based on their own values and interests
MI is a process of what
a process of intervention that enables and empowers people to enhance their health and lives via shared decision making
- behaviour change is more meaningful when we come up with it for ourselves
what needs to be done in order to most effectively partner with clients in service of their health goals
integrate and work with their values and preferences while also utilizing evidence from research
what % of the likelihood a client will engage in behaviour change comes from our techniques/skills, the client’s sense of hope, social determinants, and the client’s experience of the relationship
techniques/skills: 15%
sense of hope: 15%
social determinants: 40%
experience of the relationship 30%
- means you can influence 60% of the likelihood of change (social determinants are outside of your control
what are the second and third tools for MI
drop assumptions, get curious
what do we know about receiving unsolicited advice and what should you do and NOT do in regards to this?
people defend against it
DON’T: force your opinion, try to fix without listening to the full issue
DO: empathize with the person and understand things from their perspective, validate their feelings, take the time to connect with them
the power for client behaviour change comes from what
the relationship we cultivate with them
what is the fourth tool for MI
acknowledgement
see/hear your client which points to a feeling or characteristic of their experience
have space for the feeling that they are in
ex. I see your frustration/sadness…
acknowledgements should be without ___
judgement
what is the 5th tool to MI
powerful open ended questions that take the person into exploring for themselves
most powerful questions start with what word
a few of the powerful questions start with what word
none of the powerful questions start with what word
mostly: what (asks more about external variables)
a few: how
none: why (feels like a personal attack)
what powerful question should be a part of every clinical conversation and how should you respond to their answer to this question
“what is important about ___?”
acknowledge what they say then focus on the positives because it taps into what they value
what’s important about asking “what’s important”
taps into client values, if we can find their desire to change they are more likely to do it and have it be longer lasting
shifts the balance of responsibility from practitioner to client
more effective for the client and less stress for the practitioner
