RE: Re: Motivational Interviewing INSPIRES

[Guest guest]

Thanks Pamela. I am not sure I can make my hosptial library buy anything,

but I will google it.

Actually, I think we should have our own little library on the list serve.

I have the AAFP book (I think, unless I gave it away) " Building your

practice from the ground up " and would like to pass it on to someone else.

I will be done with the Motivational Interviewing book at some time and

would not mind sending it out to circulate later. I wonder how we could do

this.

Lynn

>

>Reply-To:

>To:

>Subject: Re: Motivational Interviewing " INSPIRES "

>Date: Fri, 29 Dec 2006 15:26:12 -0000

>

>you can get your library at the hospital to purchase a DVD set on

>motivational interviewing. I forget the name of the one I got but it

>was a 6 DVD set or something like that. Just google and look around.

>If you are not successful I'll try to dig up the one I got.

>

>Pamela

>

>

>

> >

> > Thanks Pamela! I think it was your post on the listserve about 700

>posts

> > ago that got me thinking about motivational interviewing as a technique.

> > I'm now reading the and Rollnick book MOTIVATIONAL INTERVIEWING,

>but

> > it seems hard to me to know when to switch from lecturing: " behavior X

>is

> > not good because of blah blah blah " to the more collaborative approach

> " how

> > important is it to you to change behavior X? " " how confident are you

>that

> > you can change behavior X? " I guess it will get smoother with practice

>and

> > integration. Are there some other resources that you've found helpful?

> > Lynn

> >

> >

> > >

> > >Reply-To:

> > >To:

> > >Subject: Motivational Interviewing " INSPIRES "

> > >Date: Thu, 28 Dec 2006 22:09:14 -0000

> > >

> > >I made this into a pink laminated card and passed it out to docs

> > >in the class I taught....

> > >

> > > (front of card)

> > >

> > >Motivational Interviewing

> > >Health Behavior Change Strategy

> > >

> > >A patient-centered, non-confrontational

> > >communication that encourages change

> > >through empathy and negotiation.

> > >

> > >* Speak slowly

> > >* Open ended questions

> > >* Active listening (pt. does most of the talking)

> > >* Reflective listening (repeat what pt. says)

> > >* Summarize patient concerns

> > >

> > >MY DOCTOR INSPIRES BEHAVIOR CHANGE

> > >

> > > I (identify behavior)

> > > N (non-confrontation)

> > > S (scaling importance/confidence)

> > > P (pros/cons)

> > > I (information exchange)

> > > R (roll with resistance)

> > > E (explore extremes best/worst)

> > > S (solution brainstorming)

> > >

> > >

> > > (back of card INSPIRES - more detail on how)

> > >

> > >Identify Behavior

> > > * patient selects behavior to work on.

> > > * narrow focus (quit TOB, no salt, bike 2d/wk)

> > >Non-confrontation

> > > * remember " SOARS "

> > >Scaling Questions

> > > * from 0- 10 how important is it for you to quit smoking?

> > >

> > > * from 0-10 how confident are you in being able to quit?

> > > THEN... what would take you from a 1 to a 2??

> > >Pros & Cons (no change vs. change)

> > > * ask patient to discuss the pros & cons under both the current

> > > behavior and change. Start with the pros of current behavior.

> > >Information Exchange

> > > * when patient specifically asks your opinion.

> > > * frame advice as " other " people have had success with...

> > >Roll with Resistance

> > > * don't " take the bait. "

> > > * dance with patient rather than wrestle!

> > >Explore Extremes

> > > * looking 5 years ahead what would be the worst case scenario

> > > if you did not make the change?

> > > * looking ahead what would be the best case scenario if you

> > > did make the change?

> > >Solution Brainstorming

> > > * allow patient to lead in creating list.

> > > * which one suits you best?, what makes the most sense to you?

> > >

> > >

> > >

> > >HAVE FUN!!!

> > >

> > >Pamela

> > >

> > >Pamela Wible, MD

> > >Family & Community Medicine, LLC

> > >3575 st. #220

> > >Eugene, OR 97405

> > >

> > >roxywible@...

> > >www.idealmedicalpractice.org

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> >

> > _________________________________________________________________

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> >

>

>

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