motivational interviewing

Question 1

what is the key issue to resolve for change to occur

Answer 1

ambivalence is the key thing to change, all people are often ambivalent to change

Question 2

briefly describe what motivational interviewing is

Answer 2

a collaborative person centered form of guiding to elicit and strengthen motivation dor change. its designed to enhance the patients own motivation to change using strategies which are empathetic and non confrontational

Question 3

what is self efficacy

Answer 3

an individuals belief in their capacity to act in the ways necessary to reach specific goals. we aim to increase a patients self efficacy through the use if change talk

Question 4

what are the three values of motivational interviewing

Answer 4

collaborative - have to work together to understand the patients perspective beliefs and concerns
autonomy - while doctor may suggest stuff, we must respect that it is the patients choice to do with their own health care
evocative - it tries to evoke the patients feelings around change.

Question 5

whats the general skills for motivational interviewing

Answer 5

OARS, open questions, affirmation, reflective listening, summarising

Question 6

of the OARS principals explain affirmation

Answer 6

statements of appreciation or understanding in order to encourage and support the patient through the change process. acknowledging what the patients are doing reinforces the desired behaviour

Question 7

what are the two motivational interviewing specific skills

Answer 7

chnage talk and the READS principals

Question 8

what are the reads principals

Answer 8

roll with resistance, express empathy, avoid argumentation, develop discrepancy, support self efficacy

Question 9

explain roll with resistance

Answer 9

resistance stems from fear of change. rolling with the resistance reduces the likelihood that the patient will continue to resist. can slowly influence them to change. rather than fight it and they will be worse

Question 10

explain express empathy

Answer 10

express empathy so tbe patient feels personally excepted and valued, say you seem, you feel, i gather that, i imagine

Question 11

what should you never say in motivational interviewing

Answer 11

I UNDERSTAND - no ya dont

Question 12

explain develop discrepancy

Answer 12

increases awareness between where the client is and where they want to be through change talk, which doesn’t increase resistance. this is the thing where its like “on the one hand you have an important goal of lowering blood pressure, but on the other your smoking is increasing your blood pressure risks, what do you think on that.?”

Question 13

explain support self efficacy

Answer 13

helping patients believe in themselves and making them feel confident that they can carry out the chosen changes by themselves.