Providers will inevitably encounter patients who do not follow their treatment plan. They may not fill their prescriptions; take medications as instructed, change diet, or exercise. Motivational interviewing is a technique that, when used proficiently, has shown itself to be an effective way of helping patients to become active in their self-care.
Principles of Motivational Interviewing
There are four guiding principles of motivational interviewing (Motivational Interviewing, n.d.):
Using Motivational Interviewing
One technique for successful motivational interviewing is the OARS approach (Hall, Gibbie, & Lubman, 2012; Miller & Rollinick, 2002):
Ask Open-Ended Questions
Use Reflective Listening
Summarize the Conversation
It is critical to become proficient in motivational interviewing, if one is to use it effectively. Training resources can be found through the Motivational Interviewing Network of Trainers, by visiting motivationalinterviewing.org/.
Hettema, J., Steele, J., & Miller, W.R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1 91-111
Hall, K., Gibbie, T., & Lubman, D.I. (2012). Motivational interviewing techniques: facilitating behaviour change in the general practice setting. Australian Family Physician, 41(9), 660-667
Miller & Rollinick. (2002). Motivational Interviewing: Preparing People for Change. Guilford Press. Information retrieved fromhttp://www.amhd.org/About/ClinicalOperations/MISA/Training/MI%20H2%20Strategies%20and%20Principles.pdf
Motivational Interviewing. (n.d.). An Overview of Motivational Inverviewing. Retrieved from http://www.motivationalinterview.org/quick_links/about_mi.html