New from Quality Insights: WISEWOMAN - Motivational Interviewing
Quality Insights is pleased to release the February 2021 WISEWOMAN educational module, Motivational Interviewing: Communication to Facilitate Behavior Change. The module has been developed to introduce providers to this patient-centered form of communication intended to assist with addressing patient behavior change.
Features in the module include:
- Introduction to Motivational Interviewing (MI)
- MI in primary care medical homes
- Benefits to providers
- Evidence supporting MI
- Using MI with populations at risk
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Helping patients to change unhealthy behaviors represents one of the most challenging tasks faced by healthcare providers. Motivational Interviewing (MI) is a patient-centered manner of communication that has been shown to be effective in increasing the efficacy of clinicians to address the health behaviors of patients.
MI is defined as:
“...a collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.”
- Miller & Rollnick, 2013, p. 29
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Since its development in the 1980s, clinical experience and empirical research have studied the fundamental principles and methodologies of MI in varying settings and with different patient behaviors. A number of published studies have evaluated the effectiveness of MI on patient outcomes, including a 2004 systematic review and meta-analysis that noted an overall effect of a statistically significant advantage for MI, including body weight, alcohol and tobacco use, sedentary behavior, confidence to change, and approach to treatment.
Recent studies have determined that MI is useful to promote behaviors in populations at risk, such as underserved immigrants, Hispanic, and Native Americans. MI has been well accepted and shown effective among varying cultures, with emerging research being tested at the patient, provider, organizational, and community levels.
For more detail on evidence supporting MI, please refer to the module and supporting workflow modifications to improve care for your patients.
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Get Started with MI in 7 Easy Steps
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Busy providers can easily adopt a few core communication techniques to get started implementing motivational interviewing strategies.
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Once you have begun to integrate the core skills into patient interactions, you may want to learn more. Here are some resources for further learning.
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Quality Insights/EDISCO E-Learn: Introduction to Motivational Interviewing
FREE! As a participant in one or more Quality Insights’ initiatives funded by the Delaware Division of Public Health, you are eligible for FREE e-learning from EDISCO. Use code DEPHS when registering. Motivational Interviewing (MI) is an evidence-based approach that can help clinicians streamline the care planning process by engaging patients from the start. This interactive course introduces the four processes of Motivational Interviewing and then illustrates examples and supportive tools with multimedia patient scenarios and interactive activities. FREE nursing CNE credits available.
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Motivational Interviewing: A Brief Introduction
This presentation by Bill Matulich, PhD, Clinical Psychologist and member of the Motivational Interviewing Network of Trainers, covers the Spirit of MI, the four basic OARS (open questions, affirmations, reflective listening, and summary reflections) skills, and the “processes” of MI.
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Motivating Health Behavior Change in Medical Settings: Clinical Applications of Motivational Interviewing
FREE from Medscape CME/Education. This Clinical Update focuses on motivational interviewing as a method to improve patients' intrinsic motivation for change and engage them as active collaborators in their own health behavior changes. Specifically, this update discusses: MI philosophy and rationale, basic principles of MI, patient-practitioner communication strategies, MI strategies to enhance motivation for change, how to handle patient resistance, and how to incorporate MI into primary care settings. In addition, there is a review of the evidence for the effectiveness of MI.
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Website: Motivational Interviewing Network of Trainers
The MINT website is dedicated to motivational interviewing including general information about the approach, as well as links, training resources, and information on reprints and recent research.
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App for Health Care Providers: MI Skillset
Available for both iPhone and Android, this free app offers assistance with developing your skill set, including concrete examples of basic skills, learning more advanced skills, advice for challenging cases, and tips to make MI easier to use.
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This publication was supported by the Cooperative Agreement Number CDC-RFA-DP18-1816 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention. Publication number DEDPH-WW-012921
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