Flashcards in Intro to motivational interviewing lecture 2 Deck (15):
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
What we know about change?
-we make resolutions to change
-Know how difficult it is to change
-Relapse is common
What are 3 ways we can illicit change? examples of each?
-Direct ( Teach, lead)
- Guide ( coach and motivate)
-Follow (Listen and go along)
What type of change iliciting methods is MI (motivational Interviewing)?
- a refined form of follow
What is MI?
Person centered, goal oriented approach for facilitating change by exploring and resulting ambivalence.
What are the advantages of MI?
-Enhances relationship w/ patient
What are the stages of change? which stage most patients are found?
Relapse can happen at any stage.
Most patients are in the contemplation stage
Where can you apply stages of change?
-HIV risk reduction
- Cancer prevention
What does MI assumes of change?
-Change happens in small steps
-Relapse is normal
-motivation is a continuum
-PATIENT VALUE BASED CHANGE NOT YOURS
What is the spirit of MI?
--Watch for change talk
-Roll with resistance and dont let the righting reflex affects you
-Support self efficacy
What are the MI technique OARS?
-Open ended questions
What is Affirmation in Oars?
Must include direct reference to patient not just "Great", "Good shit" and "Nice"
-reinforce patients strengths
What are the benifets of reflective listening>
Deepens conversation, helps patients understand themselves better.
-Simple amplified and double sided reflection.
What is the readiness rule?
How important is it to make change? How confident are you?
Why didnt you say (1-2 points lower)?