Motivational Interviewing - Weber Flashcards
What are the components of motivational interviewing?
- COLLABORATE (NOT CONFRONT)
- EVOKE (NOT LECTURE)
- ENCOURAGE AUTONOMY (NOT AUTHORITY)
- ELICIT VALUES, FEARS, HOPES, AND EXPECTATIONS, FEELINGS
What are the goals of motivational interviewing?
Managing chronic conditions => lifestyle behavior changes
Foster Autonomy => Activate patient’s own motivation for change and adherence to treatment
What are the barriers to change?
Social – social norms, secondary gain Spiritual – suffering/deserved Psychological – depressed/anxious Biology – exercise hurts Stages of Change
What motivates people?
- Feelings
- People change when they see the change as relevant to something important to them => Recreation, Relationship, Sex, Work, Family
- Identities That Motivate People to Change => Good parent, Spiritual, Good Christian, Good spouse/partner, Responsible
- Values That Motivate People to Change => Considerate, Independent, Disciplined, Strong, Successful, Good community member
What are practitioner struggles with motivational interviewing?
-Closed questions
DO NOT
Be too directing
Try to rescue the patient
Follow the patient and get lost – set agenda
Overload the patient
Pursue problems or weaknesses
-Make sure the patient’s agenda and your agenda match.
-Personal bias
-Physicians tend to present a biased viewpoint based on their experiences.
Why do people not change?
- ambivalence (feel uncomfortable with change)
- reistance
- personal struggles
What components of a conversation with a patient will most likely lead to change?
- LISTEN TO THE PATIENT
- EDUCATE AND GUIDE
- FIND OUT WHAT MOTIVATES THEM
- GET THEM TO SUGGEST A PLAN OF ACTION
- BE SUPPORTIVE AND EMPATHIC
Why don’t the patients hear you?
- Bewildered
- Overwhelmed
- High emotion
- Mood
- Distractions
- White coat syndrome
- Want’s to look good for you
