Motivational Interviewing

Question 1

what are the stages of change?

Answer 1

precontemplation
contemplation
preparation
action
maintenance

Question 2

precontemplation

Answer 2

patient is not considering change
physician’s goal is to increase awareness of why they should be considering a change
-build rapport, ask permission to talk about issue, express concerns

Question 3

contemplation

Answer 3

pt is considering possibility of making changes, but still uncertain
physician encourages making the change
-acknowledge change is hard
-talk about pros and cons
-reinforce pt’s ability to make the choice himself (free choice)

Question 4

preparation

Answer 4

pt committed to making a change in near future but still considering what to do
physician helps clarify goals and develop strategies
-offer advice
-consider barriers and ways to overcome
-what has worked in past
-encourage pt to leet friends and family know of plans for change

Question 5

action

Answer 5

pt is actively making change
physician’s goal to reinforce importance of remaining on track with realistic changes
-acknowledge difficulties
-identify high-risk situations

Question 6

maintenance

Answer 6

pt has made change
physician goal to reinforce and support changes
-give affirmations
-develop plan for any regression