Motivational Interviewing

Question 1

What is motivational interviewing?

Answer 1

Consulting style to talk to pts about change.

Question 2

What does cycle of change model consist of?

Answer 2

Pre-contemplation (carrying on their habit, not thinking of change, e.g. smoking cig)
Contemplation (thinking about changing)
Preparation (researching about change, alternative methods)
Action (enforcing the change)
Maintenance
Relapse

Question 3

What changes might PA/pts want to discuss?

Answer 3

Stopping smoking
Reduce alcohol consumption
Exercise
Diet
Compliance to medication

Question 4

Barriers to making changes?

Answer 4

Excuse their behaviour
Minimise the effects of their behaviour
Be pessimistic about chance of success
Unwilling to change
Conflicting feelings about the process and outcomes of making a change

Question 5

Core principles of motivational?

Answer 5

RULE

Resist the righting reflex and roll with resistance.
Understand pt’s motivation
Listen with empathy
Empower the pt

Question 6

Techniques for motivational interviewing?

Answer 6

OARS

Open Qs (ask pt to tell their story)
Affirmations (recognise pt’s strength and behaviours)
Reflective listening (rephrasing, reflection of feeling)
Summarising