Motivational Interviewing Flashcards
(9 cards)
1
Q
Four key STEPS of MI
A
- Focussing - what to change?
- Evoking - why change?
- Engaging - work together
- Planning - how to change?
2
Q
Five Principles of MI
A
Empathy
Two minds
Avoid arguing
Do not resist
Can do: self-efficacy
3
Q
Express Empathy - Key concepts
A
- Listen and show understanding
- Do not suggest how to change
- Accept all responses !
4
Q
Develop Two Minds - Key concepts
A
- Ambivalence is normal
- Allow client to express arguments BOTH for and against change
- Listen for CHANGE TALK + amplify
- Avoid ‘righting reflex’
5
Q
How can you amplify change talk ?
A
- Draw out intrinsic motivation
-Affirmations: identify strengths and past successes - Reflect: paraphrase or highlight patient’s ‘why’
6
Q
Encourage Self-Efficacy
A
- Affirm strengths
- Offer options
- Encourage consideration of past successes
- Assist in planning and address obstacles !
7
Q
Drivers of motivation
A
Importance: do I want to?
Confidence: am I able to?
8
Q
Benefits of MI
A
- Patient autonomy in decision making
- Change talk
- Sense of competence
9
Q
Four pillars of client centered communication
A
- Affirmations
- Open ended questions
- Reflective listening
- Summaries
