Motivational interviewing

Motivational interviewing is predicated on

-belief that pts are responsible for their own actions and health and, consequently, for changing health behaviors

motivational interviewing epitomizes

-pt autonomy

-self-determination

motivational interviewing is an effective counseling method that

-enhances motivation through the resolution of ambivalence

ambivalence is

-a conflicted state where opposing attitudes/feelings coexist in a pt

-stuck btwn want to change and not wanting to change

3 critical elements of motivation

-ready

-willing

-able

Motivational interviewing occurs in 2 phases

-building motivation to change

-strengthening commitment to change

-(also includes reflection)

Motivational interviewing follows 4 key counseling principles

-express empathy

-develop a discrepancy: pts become aware of btwn current unhealthy behaviors and goals

-roll w/ resistance

-support self-efficacy:support belief that pts are able to effect change

Basic skills of motivational interviewing

-ask open-ended questions

-make affirmations

-use reflections

-use summarizing

Change talk

-disadvantage of status quo

-advantages of change

-optimism for change

-intention to to change

spirit of motivational interviewing

-collaboration

-evocation

-autonomy

collaboration

-partnership btwn practitioner and pt

-joint decision making

-practitioner acknowledges pts expertise about themselves

evocation

-practitioner activates pts own motivation for change by evoking reasons for change

-connects health behavior change to thing pt cares about

honoring pts autonomy

-practitioner informs and advises pt

-pt has right and freedom not to change