motivational interviewing Flashcards
what are influences on human behaviour?
biological: genetics, viruses, bacteria, lesions
psychological: beliefs, emotions, stress, coping mechanisms
social: socio-economic, status, family, culture
what is motivational interviewing?
Resisting the righting reflex: telling them how to change –> avoid!
Understand your patient’s motivations: evoke and explore their perceptions; open ended questions
Listening to your patient: showing empathetic interest, non-verbal and verbal
Empowering your patient: how they can make a difference and what they need to do
assessing motivation: what is it when someone feels 2 ways about something?
ambivalence
behaviours - ultimately choices
role of MI in behaviour change
useful when there is ambivalence/resistance to change
CBT based
Open ended questions: build rapport, explore previous attempts
Affirmations: acknowledge, appreciate
Reflective listening: show them
Summary: recap
assessing motivation: what is DARN CATS? what does it encourage?
Desire to change
Ability to change
Reasons (specific) to change
Need to change (importance)
Commitment
Actuation
Taking Steps: actions
DARN CATS encourages CHANGE TALK!!!
what does successful change involve? (3 points)
realising the need
believing it can be successful
believing one is capable of change
what are the 2 key aims of MI?
build a patient’s intrinsic motivation to adopt health recommendations
resolve a patient’s ambivalence about behaviour change
what are the benefits of encouraging change talk?
acknowledges undesirable aspects of current behaviour
improves the adv of behaviour change: what do you see as the benefits of taking meds?
ability to change - gage confidence
intention to change: what support do they need?
what are the SMART objectives?
why are they important?
Specific - what will they do?
Measurable - success?
Achievable - build on successes
Relevant - what does it mean to them?
Timely - is it the right time for this?
these are important for goal setting and action planning
