Motivational Interviewing Flashcards
4 general techniques of motivational interviewing
Mnemonic: OARS
- open ended questions
- affirmations
- reflective listening
- summaries: recap then offer another OEQ
What are the 5 stages of change in order?
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance
Describe the pre-contemplation stage
patient is NOT considering change
Physician’s goal at the pre-contemplation stage
Done by?
Increase awareness of why pt should make change
Done by:
- establish rapport & build trust
- ask permission to talk about issue
- offer facts
- examine discrepancies
- express concern
Describe the contemplation stage
patient is considering possibility of making change but still unsure
Physician’s goal at the contemplation stage
Encourage making change
Done by:
- acknowledging discomfort w/ making change
- weigh pros and cons
- reinforce patient autonomy (his/her free choice)
Describe the preparation stage
Committed to making change in near future, but considering what to do
Physician’s goal at the preparation stage
Done by?
Clarify goal and strategies
Done by:
- offer advice/expertise about tx options
- consider barriers & how to overcome
- discuss what has worked in past
- encourage pt to let family/friends know about plans
Describe the action stage
Actively making change
Physician’s goal at the action stage
Done by?
Reinforce importance of staying on track w/ realistic changes
Done by:
- acknowledge difficulties
- identify high risk situations
- identify new + reinforcers for making this change
Describe the maintenance stage
Change made!
Physician’s goal at the maintenance stage
Done by?
Reinforce & support change
Done by:
- giving affirmations
- develop plan in case of regression
