Motivational Interviewing Flashcards
What is Motivational Interviewing (MI)?
A collaborative, goal-oriented style of communication designed to strengthen personal motivation for change
Focuses on exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.
What are the main objectives of Motivational Interviewing?
- Improve health treatment adherence
- Bring about health behavioral change
MI is used in medical practice to enhance patient motivation.
What are the OARS Principles in MI?
OARS stands for:
* Open questions
* Affirmation
* Reflective listening
* Summarizing
These are core skills used in Motivational Interviewing.
What does the ‘R’ in the READS principles stand for?
Roll with resistance
This principle helps reduce the likelihood of a patient continuing in a resistant state.
What does ‘E’ in the READS principles represent?
Express empathy
It demonstrates understanding and helps prevent creating extra resistance to change.
What is the purpose of ‘A’ in the READS principles?
Avoid argumentation
This principle increases awareness between where the client is and where they want to be.
What does ‘D’ in the READS principles signify?
Develop discrepancy
It highlights contradictions between a patient’s beliefs and their behaviors.
What does ‘S’ in the READS principles stand for?
Support self-efficacy
This involves helping patients believe in themselves and their ability to change.
What is ‘Change Talk’ in Motivational Interviewing?
Statements reflecting desire, perceived ability, need, readiness, reasons, or commitment to change
Examples include expressions of wanting to lose weight or stick to a medication regimen.
True or False: Motivational Interviewing is a confrontational approach to behavior change.
False
MI is designed to be empathic and non-confrontational.
What is the role of a doctor in health behavior change?
To understand why a person is not making optimal health behavior changes and to help motivate them
This involves more than just telling patients what to do.
What is the Stages of Change model used for?
To gain an accurate understanding of where patients’ barriers to change lie
It is an important tool for engaging in effective ‘change talk’.
Identify two relevant behaviors for improving health outcomes.
- Increased physical activity
- Improved diet
Other behaviors may include managing weight and improving medication adherence.
Fill in the blank: Motivational Interviewing is designed to enhance the patient’s own motivation to change using _______.
[strategies that are empathic and non-confrontational]
What is one example of expressing empathy in MI?
“You sound frustrated. You have been asked to make a lot of changes…”
This demonstrates understanding of the patient’s feelings.
What is a common reason for patient resistance in behavior change?
Fear of change
Rolling with resistance can help address this fear.
What was AB’s first priority in his case study regarding diabetes?
Referral to a dietitian
This was agreed upon by AB and his partner.
What is a sample exam question related to Motivational Interviewing?
Describe how your use of motivational interviewing might help a patient change their health behavior
This assesses understanding of MI application in practice.
