Motivational Interviewing Flashcards Preview

Social/Behavioral > Motivational Interviewing > Flashcards

Flashcards in Motivational Interviewing Deck (21):
1

Basic principles of motivational interviewing

collaborate -> don't confront
evoke --> don't lecture
encourage autonomy -> not authority
elicit values, fears, hopes, expectations

2

Fostering autonomy

Honor autonomy
Ask, Inform, Listen
Activate patient's own motivation

3

Barriers to change

Social -> norms
Spiritual -> suffering/deserved
Psychological -> depressed/anxious
Biology -> exercise hurts

4

Stages of change

Pre-contemplation
Contemplation
Preparation
Action
Maintenance
- need to know what stage patient is at -> may not be ready for a different stage yet

5

Closed questions

Yes/No --> patients expect you to have answer after they ask the question

6

Open questions

more productive and engaging with the patient

7

Direct, guide, follow questions

ASK questions
- good way to gather info
- develops rapport
- unhealthy behaviors tend to cluster
- chance to ask other questiosn

8

?s to elicit change talk

Desire?
Ability?
Reasons?

9

3 productive questions to ask

How important is change to you?
How confident are you that you can do this?
How has this behavior kept you from moving forward?

10

LISTEN!!!!

eye contact, reflect, silence is ok, be honest, listen to tone

11

Change talk

Desire
Ability
Reasons
Need
Commitment
Taking steps

12

Informing

don't overwhelm patient
consider priorities
offer choices
talk about what others do
ask permission

13

Why does patient hear you?

Bewildered
Overwhelmed
High emotion
Mood
Distractions
White coat syndrome
Wants to look good

14

Motivators for change

Make it personal to patient --> relevant to something important to them

15

Identities that motivate

Good parent
Spiritual
Good christian
Good spouse/partner
Responsible

16

Values that motivate

considerate
independent
disciplined
strong
successful
good community member

17

Why people DON'T change

ambivalence
resistance
personal struggles

18

Ambivalence

more people WANT to be healthier but feel UNCOMFORTABLE with change

19

Resistance

natural human tendency to resist coercion
- pushing for adherence can decrease adherence

20

Sources of resistance

rigid
see no benefit
undesired change or consequences
think its not possible
no support
cost
not ready

21

Medication adherence

helpful --> patient accepts condition
hinders --> unpredictable condition, negative S.E., fears, stigma