Motivational Interviewing In Health Care: Helpi... !FULL!
Perhaps the most useful sections of the book are the 2 appendices. Both provide extensive bibliographies of additional resources on motivational interviewing training (Appendix A) and of various populations and disease states where motivational interviewing can be used (Appendix B). There is also an index to key terms within the book.
Motivational Interviewing in Health Care: Helpi...
Care management programs are most successful when patients are deeply engaged in their own care. Using the motivational interviewing technique, care managers work with patients to identify personal care goals and motivators to follow the care management program.
Ten strategies guide the motivational interviewing process, each focusing on patient-centered insights (e.g., pros and cons to following care management and barriers to adherence). With mobile technology to support these interactions, motivational interviewing can become a seamless, and vital, part of the care management workflow.
The heart of motivational interviewing is the ability to sustain empathy with patients during conversations, rather than being directive. With motivational interviewing care managers can also identify the type of talk that well best serve patients and encourage them to follow their care plans.
The heart of motivational interviewing is the ability to sustain empathy with patients during conversations, rather than being directive. With motivational interviewing, care managers can also identify the type of talk that well best serve the patient and encourage them to follow their care plan.
With the ten motivational interviewing strategies in place, care managers are prepared to help patients find their own motivation to follow their care management plans. To further strengthen motivational interviewing, care managers can use technologies specifically developed to support care management. The Health Catalyst Care Management Suite, for example, hosts applications that can support the motivational interviewing process and help care managers optimize patient engagement.
In addition, other care management tools can survey patients to capture patient-reported outcome measures and assess patient perception of their functional well-being and health. These surveys can encourage patients to think about new questions and look at their health in a different way. Throughout the motivational interview process, the care manager can use a patient channel on the care coordination application to monitor patient progression and provide positive feedback and education.
Patients also remain engaged in the motivational interviewing process with care management applications and can communicate with their care teams in real-time. For example, by using the Health Catalyst Care Companion, a mobile app available on a smart phone, patients can securely message their care team and access their health-related content. With the assistance of these tools and applications, the care manager can optimize the motivational interviewing process and partner with the patient to achieve positive behavioral change.
By following a 10-step strategy for motivational interviewing and leveraging technologies that facilitate and sustain patient engagement, care managers can help patients become true partners in their own care, empowering them to make changes to achieve better health.
The righting reflex describes the tendency of health professionals to advise patients about the right path for good health. This can often have a paradoxical effect in practice, inadvertently reinforcing the argument to maintain the status quo. Essentially, most people resist persuasion when they are ambivalent about change and will respond by recalling their reasons for maintaining the behaviour. Motivational interviewing in practice requires clinicians to suppress the initial righting reflex so that they can explore the patient's motivations for change.
Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions.
There is evidence that patient-centred approaches to health care consultations may have better outcomes than traditional advice giving, especially when lifestyle change is involved. Motivational interviewing (MI) is a patient-centred approach that is gathering increased interest in health settings. It provides a way of working with patients who may not seem ready to make the behaviour changes that are considered necessary by the health practitioner. The current paper provides an overview of MI, with particular reference to its application to health problems.
Note: The "Talking to Clients" training module in this toolkit contains a section with more information about using motivational interviewing techniques with clients and can be helpful for both counselors and front desk staff -- anyone who interacts with clients regularly at your treatment agency.
Northwest Addiction Technology Transfer Center (for trainings on MI): The NWATTC, now located at the Alcohol & Drug Abuse Institute at the University of Washington, offers training for providers and organizations in Washington, Oregon, Alaska, and Idaho on using motivational interviewing with individuals and in groups. See Trainings & Events page for upcoming MI events. NEW!
Stephen Rollnick's official web site Stephen Rollnick is a co-founder of Motivational Interviewing. He provides consultancy and training on the subjects of motivation, change and motivational interviewing. He is the co-author of Motivational Interviewing: Helping People Change (Miller and Rollnick, 1991; 2001 & 2012), Health Behavior Change: A Guide for Practitioners (Rollnick, Mason & Butler, 1999 & 2010) and Motivational Interviewing in Health Care: Helping Patients Change Behavior (Rollnick, Miller & Butler, 2008).
With chronic disease on the rise, physicians have more reasons than ever to help patients adopt healthy habits that can lead to better health outcomes. But simply telling patients to change their behavior rarely has lasting effects, says Lawrence Greenblatt, MD, an internist at the Duke Outpatient Clinic and professor of Medicine in the Duke Department of Community and Family Medicine. Greenblatt says he finds the motivational interviewing technique to be more effective.
www.motivationalinterviewing.org . The Motivational Interviewing Page: Resources on motivational interviewing, including general information, links, discussion board, training resources, and information on reprints and the latest in MI.
Stephen Rollnick, PhD, is a clinical psychologist and Professor of Health Care Communication in the Department of Primary Care and Public Health at Cardiff University, UK. He practiced in a primary care setting for 16 years and then became a teacher and researcher on the subject of communication. Dr. Rollnick has written books on motivational interviewing and health behavior change, has published widely in scientific journals, and has taught practitioners and trainers in many countries throughout the world. ?
William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico, where he joined the faculty in 1976. He served as Director of Clinical Training for UNM's American Psychological Association-approved doctoral program in clinical psychology and as Codirector of UNM's Center on Alcoholism, Substance Abuse, and Addictions. Dr. Miller's publications include 35 books and more than 400 articles and chapters. He introduced the concept of motivational interviewing in a 1983 article. The Institute for Scientific Information names him as one of the world's most cited scientists.
Well, it does take more time. It's not that I don't attempt to spend quality time with my patients, but there are just so many things that need to be accomplished in a visit these days. But time likely isn't the major barrier. Many aspects of motivational interviewing can be included in a visit with only a small increase in time. I believe a larger barrier is my own sense of identity as a physician. Motivational interviewing consists of interesting sounding techniques like OARS, SMART goals, Ask-Tell-Ask, change talk, and scaling questions, but more importantly, it requires an entirely different perspective on the nature of the physician's role. As a practitioner of motivational interviewing, your goal isn't to heal, but to help. It isn't to solve your patients' problems, but to help them solve their own problems. This is a tough mental shift from the more comfortable expert-teacher role. It goes against our natural tendency to just want to fix things.
I'd really like to be a healer in the broadest sense and help my patients overcome unhealthy lifestyle choices, so I'm not about to give up on motivational interviewing. I guess I'll just keep practicing and trying harder to incorporate a motivational interviewing perspective into my patient encounters. Maybe eventually I can become both a healer and a self-help guru.
The definitive guide to motivational interviewing (MI) for health care practitioners has been completely revised to reflect important developments and make the approach even more accessible. When it comes to helping patients manage chronic and acute conditions and make healthier choices in such areas as medication adherence, smoking, diet, and preventive care, good advice alone is not enough. This indispensable book shows how to use MI techniques to transform conversations about change. Even the briefest clinical interaction can serve to build trust, clarify patients' goals as well as reasons for ambivalence, and guide them to take positive steps. Vivid sample dialogues, tips, and scripts illustrate ways to incorporate this evidence-based approach into diverse health care settings. New to This Edition *Restructured around the current four-process model of MI (engaging, focusing, evoking, and planning). *Incorporates lessons learned from the authors' ongoing clinical practice and practitioner training workshops. *Chapters on advice-giving, brief consultations, merging MI with assessment, MI in groups, and making telehealth consultations more effective. *Additional practical features--extended case examples, "Try This" activities, and boxed reflections from practitioners in a range of contexts. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers. 041b061a72