RE: Motivational Interviewing INSPIRES

[Guest guest]

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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[Guest guest]

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

> >

> >

> >

> >

> >

> >

> >

> >

> >

>

> _________________________________________________________________

> Get FREE Web site and company branded e-mail from Microsoft Office Live

> http://clk.atdmt.com/MRT/go/mcrssaub0050001411mrt/direct/01/

>