Test 2 Motivational Interviewing Flashcards
What is motivational interviewing used for?
- to treat patients with substance dependence, addiction to gambling, mental disorders, and diseases requiring behavioral change
- can also be for personnel management, sales, or marketing
define motivational interviewing
- collaborative, patient-centered form of guiding to elicit and strengthen motivation for change
- “a therapeutic style intended to help clinicians work with patients to address the patient’s fluctuation between opposing and behaviors and thoughts”
What does motivational interviewing focus on?
- empathetic understanding
- movement towards belief in self-efficacy
What are the components of a patient’s motivation to change?
- willingness
- self-efficacy
- readiness
define self-efficacy
a patient’s perception of their ability or their self-confidence in their ability to initiate and maintain behavioral change
How is readiness assessed?
related to the priority a patient gives to needed behavioral changes to improve health
How is willingness assessed?
by the amount of discrepancy patients perceive between their current health status and goal they have for themselves
What are the results of empathetic understanding?
- your patients are free from fear of being judged
- creates a safe and trustful environment
- sets the stage for patients to make decisions needed to change
- allow pharmacists ability to resolve patient’s feelings of ambivalence
What is the key to successful behavior change?
persistence
What are the stages of the Transtheoretical Model of Change?
- Stage 1: Pre-contemplation
- Stage 2: Contemplation
- Stage 3: Preparation
- Stage 4: Action
- Stage 5: Maintenance
Pre-contemplation
- not yet ready to change
- lack of recognition of the problem
- denies serious risks
Pre-contemplation communication approaches
- raise awareness
- provide information
- convey empathy
- encourage pt to think about it
- express willingness to help
- avoid arguing
Contemplation
- thinking about change
- aware of consequences
- express willingness to change within 6 months
Contemplation communication approaches
- ask pt to list pros and cons
- provide information benefits of change
- reinforce positive statements
- acknowledge ambivalence
- show empathy
- identify discrepancy between goals and behaviors
- encourage small steps
Preparation
- commitment to change in < a month
- understand that benefits outweigh the changes
