Intro to motivational interviewing lecture 2 Flashcards Preview

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Flashcards in Intro to motivational interviewing lecture 2 Deck (15):
1

What are the consequences of advice that isnt being followed?

-Tune you out
-increase the sense that change is difficult
-less likely to be honest if you think youll not approve
-Lack of response leading to frustration

2

What we know about change?

-we make resolutions to change
-Often fail
-Know how difficult it is to change
-Relapse is common

3

What are 3 ways we can illicit change? examples of each?

-Direct ( Teach, lead)
- Guide ( coach and motivate)
-Follow (Listen and go along)

4

What type of change iliciting methods is MI (motivational Interviewing)?

- a refined form of follow

5

What is MI?

Person centered, goal oriented approach for facilitating change by exploring and resulting ambivalence.

6

What are the advantages of MI?

-Enhances relationship w/ patient
-Less frustration
-better response
-increase motivation
-better prognosis

7

What are the stages of change? which stage most patients are found?

-Pre contemplation
-contemplation
-preparation
-Action
-maintenance

Relapse can happen at any stage.

Most patients are in the contemplation stage

8

Where can you apply stages of change?

-Smoking
-substance abuse
-HIV risk reduction
- Cancer prevention

9

What does MI assumes of change?

-Change happens in small steps
-Relapse is normal
-motivation is a continuum
-PATIENT VALUE BASED CHANGE NOT YOURS

10

What is the spirit of MI?

-Express empathy
-develop discrepancy
--Watch for change talk
-Roll with resistance and dont let the righting reflex affects you
-Support self efficacy

11

What are the MI technique OARS?

-Open ended questions
-Affirmation
-Reflective listening
-Summerization

12

What is Affirmation in Oars?

Must include direct reference to patient not just "Great", "Good shit" and "Nice"

-reinforce patients strengths
-convey support

13

What are the benifets of reflective listening>

Deepens conversation, helps patients understand themselves better.

-Simple amplified and double sided reflection.

14

What is the readiness rule?

How important is it to make change? How confident are you?

Why didnt you say (1-2 points lower)?

15

What are the overall goals of MI?

Reduce resistance
-avoid arguing
-acknlowedge patients POV
-Help patients discover their own motivation