Motivational Interviewing Flashcards
When is motivational interviewing used?
When a health behavior change is required to manage a health condition
No one is completely unwilling to make a health behavior change
Many people could go either way (make the change vs not)
What are some examples of health behavior changes?
Following through on a referral to another provider
Getting hearing aids or other device(s)
Taking care of hearing aids or other device(s)
Wearing hearing aids or other device(s)
Increasing hearing aid or accessory use
Following a treatment protocol (vestibular, tinnitus)
Wearing hearing protection
Attending an aural rehab class
Journaling/reflective exercises
Self-advocacy skills
Do many people think that the treatment itself will change their condition?
Yes
They need to be educated that a behavior change is an important component
Motivational interviewing activates patients’ own motivation for change
Answers to a behavior change lie within the patient
Can how we talk with patients influence their personal motivation for behavior change?
Yes
What are some characteristics of motivational interviewing?
Guides people to tap into their own motivation
Collaborative
Evocative (connect health behavior change with what patient already cares about)
Honors patient autonomy (patients make their own choices about their lives)
Can be developed and implemented within minutes
What is motivational interviewing?
Empathic, person-centered counseling approach that prepares people for change by helping them resolve ambivalence, enhance intrinsic motivation, and build confidence to change
What does OARS stand for?
Open questions
Affirmations (we can make comments that builds a patients view of themselves)
Reflective listening (do not assume, be aware you may be misinterpreting)
Summaries (summarize what they told you)
What are some roadblocks to effective communication? (reflective listening)
Speaker doesn’t say what they mean
Listener does not hear correctly
Listener gives different interpretation to what the words mean
What are levels of reflective listening?
Repeat/rephrase
Paraphrase
Reflect feeling
What are the 4 guiding principles for motivational interviewing? (RULE) remember
Resist the righting reflex
Understand your patient’s motivations
Listen to your patient
Empower your patient
What is resisting the righting reflex?
Resist correcting your patients
Patients are ambivalent on most issues of health behavior change
Humans have a natural tendency to resist persuasion (arguing doesn’t work)
We want the patient to voice the arguments for change
How can you understand your patient’s motivations?
Be interested in patient’s concerns, values, and motivations
Explore and evoke patient’s perceptions about the situation
Asking why a patient would want to make a change is a better use of time than telling them what to do
“How do you think things would change for the better if you remembered your hearing aids?”
“What do you think would be different if you could hear better at those work meetings?”
How can you listen to your patient?
Listen as much as inform
Answers to behavior change lie within the patient
Patients will likely tell you what it wrong, we just need to listen
How can you empower your patient?
Help patients explore how they can make a difference in their health
Support hope that change is possible and can make a difference
Patients are the ones who know how they can successfully build a change into their lives
Explore ways to make things work
