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Stephen Rollnick - One of the best experts on this subject based on the ideXlab platform.
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Motivational Interviewing: A Guide for Medical Trainees - Learning and Experiencing Motivational Interviewing
Motivational Interviewing in HIV Care, 2019Co-Authors: Antoine Douaihy, William R Miller, Thomas M. Kelly, Melanie A. Gold, Joshua T. Morra, Stephen RollnickAbstract:Training in Motivational Interviewing (MI) has increasingly become more innovative. In this chapter, the authors review the necessary components and key requirements to learning MI. The chapter discusses the fundamental importance of feedback and coaching in the learning and practice processes. Complementary to the feedback, modeling from mentors is incredibly helpful in learning MI. The chapter emphasizes the approach of practicing MI mindfully, which requires focus and attunement toward rough areas and improvement. MI advances a skill set that draws on a certain conversational mindset and “heartset.” The authors review the stages in learning MI, which include adopting the spirit of Motivational Interviewing; using open-ended questions, affirmations, reflections and summarizations (OARS); encouraging “change talk”; allowing and accepting “sustain talk”; developing a change plan; consolidating commitment; and integrating MI with other modalities.
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Group Motivational Interviewing in Schools: Development of a Health Promotion Intervention.
Health Education Journal, 2016Co-Authors: Jemma Hawkins, Stephen Rollnick, Paulina Bravo, Nina Gobat, Gabrielle Sophia Jerzembek, Sarah Whitehead, Sue Chanon, Mark Kelson, Orla Adams, Simon MurphyAbstract:Objective: In the light of the shortcomings of curriculum-based health promotion in secondary schools, group Motivational Interviewing provides a potential alternative approach. This two-phase study set out to establish the key components, feasibility and acceptability of a group Motivational Interviewing intervention, focused on alcohol consumption. Methods:In phase one, focus groups with 12 students and 8 teachers explored issues with existing health education. Phase two involved the development of a one-hour group Motivational Interviewing session to address the issues raised. The session was delivered to two classes of students aged 13-15 years, facilitated by two Motivational Interviewing practitioners. Sessions were observed and audio-recorded and coded by two researchers using the Assessment of Motivational Interviewing Groups Observer Scale (AMIGOS). Student acceptability of the session was captured using a satisfaction questionnaire. Results: Sessions were consistent with Motivational Interviewing principles, providing empathic and focused discussion while maximising participants’ autonomy and strengths. The majority of students felt listened to during the session, considered it was helpful and felt that they could learn more from this kind of experience. Conclusion: A group Motivational Interviewing session, developed based on key components identified during focus groups, was shown to be acceptable to students and feasible to deliver in secondary schools. The approach requires further research to establish sustainable delivery mechanisms.
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Motivational Interviewing helping people change
2013Co-Authors: William R Miller, Stephen RollnickAbstract:Part I: What Is Motivational Interviewing? Conversations about Change. The Spirit of Motivational Interviewing. The Method of Motivational Interviewing. Part II: Engaging: The Relational Foundation. Engagement and Disengagement. Listening: Understanding the Person's Dilemma. Core Interviewing Skills: OARS. Exploring Values and Goals. Part III: Focusing: The Strategic Direction. Why Focus? Finding the Horizon. When Goals Differ. Exchanging Information. Part IV: Evoking: Preparation for Change. Evoking the Person's Own Motivation. Responding to Change Talk. Responding to Sustain Talk and Discord. Evoking Hope and Confidence. Counseling with Neutrality. Developing Discrepancy. Part V: Planning: The Bridge to Change. Developing a Change Plan. Strengthening Commitment. Supporting Change. Part VI: Motivational Interviewing in Everyday Practice. Experiencing Motivational Interviewing. Applying Motivational Interviewing. Integrating Motivational Interviewing. Part VII: Evaluating Motivational Interviewing. Research Evidence and the Evolution of Motivational Interviewing. Evaluating Motivational Conversations. Appendix A: Glossary of Motivational Interviewing Terms. McLouth, Appendix B: A Bibliography of Motivational Interviewing.
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Motivational Interviewing in the treatment of psychological problems
2008Co-Authors: Hal Arkowitz, William R Miller, Henny A. Westra, Stephen RollnickAbstract:Arkowitz, Miller, Learning, Applying, and Extending Motivational Interviewing. Westra, Dozois, Integrating Motivational Interviewing into the Treatment of Anxiety. Murphy, Enhancing Combat Veterans' Motivation to Change Posttraumatic Stress Disorder Symptoms and Other Problem Behaviors. Tolin, Maltby, Motivating Treatment-refusing Patients with Obsessive-Compulsive Disorder. Zuckoff, Swartz, Grote, Motivational Interviewing as a Prelude to Psychotherapy of Depression. Arkowitz, Burke, Motivational Interviewing as an Integrative Framework for the Treatment of Depression. Zerler, Motivational Interviewing and Suicidality. Treasure, Schmidt, Motivational Interviewing in the Management of Eating Disorders. Hodgins, Diskin, Motivational Interviewing and the Treatment of Problem and Pathological Gambling. McCracken, Corrigan, Motivational Interviewing for Medication Adherence in Individuals with Schizophrenia. Martino, Moyers, Motivational Interviewing with Dually Diagnosed Patients. Farbring, Johnson, Motivational Interviewing in the Correctional System: An Attempt to Implement Motivational Interviewing in Criminal Justice. Arkowitz, Miller, Westra, Rollnick, Motivational Interviewing in the Treatment of Psychological Problems: Conclusions and Future Directions.
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Motivational Interviewing for pediatric obesity: Conceptual issues and evidence review.
Journal of the American Dietetic Association, 2006Co-Authors: Ken Resnicow, Rachel E. Davis, Stephen RollnickAbstract:Counseling by health care professionals represents a potentially important intervention for the prevention and treatment of pediatric obesity. One promising approach to weight-control counseling in pediatric practice is Motivational Interviewing. This article explores conceptual issues related to the application of Motivational Interviewing for the prevention and treatment of pediatric obesity. Given the paucity of studies on Motivational Interviewing and pediatric obesity, we examine what is known about the application of Motivational Interviewing to modify diet, physical activity, and other behaviors in children and adolescents. We begin with a brief overview of Motivational Interviewing, describe some nuances of applying this approach to pediatric overweight, and conclude with research and clinical recommendations.
William R Miller - One of the best experts on this subject based on the ideXlab platform.
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Motivational Interviewing: A Guide for Medical Trainees - Learning and Experiencing Motivational Interviewing
Motivational Interviewing in HIV Care, 2019Co-Authors: Antoine Douaihy, William R Miller, Thomas M. Kelly, Melanie A. Gold, Joshua T. Morra, Stephen RollnickAbstract:Training in Motivational Interviewing (MI) has increasingly become more innovative. In this chapter, the authors review the necessary components and key requirements to learning MI. The chapter discusses the fundamental importance of feedback and coaching in the learning and practice processes. Complementary to the feedback, modeling from mentors is incredibly helpful in learning MI. The chapter emphasizes the approach of practicing MI mindfully, which requires focus and attunement toward rough areas and improvement. MI advances a skill set that draws on a certain conversational mindset and “heartset.” The authors review the stages in learning MI, which include adopting the spirit of Motivational Interviewing; using open-ended questions, affirmations, reflections and summarizations (OARS); encouraging “change talk”; allowing and accepting “sustain talk”; developing a change plan; consolidating commitment; and integrating MI with other modalities.
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Motivational Interviewing helping people change
2013Co-Authors: William R Miller, Stephen RollnickAbstract:Part I: What Is Motivational Interviewing? Conversations about Change. The Spirit of Motivational Interviewing. The Method of Motivational Interviewing. Part II: Engaging: The Relational Foundation. Engagement and Disengagement. Listening: Understanding the Person's Dilemma. Core Interviewing Skills: OARS. Exploring Values and Goals. Part III: Focusing: The Strategic Direction. Why Focus? Finding the Horizon. When Goals Differ. Exchanging Information. Part IV: Evoking: Preparation for Change. Evoking the Person's Own Motivation. Responding to Change Talk. Responding to Sustain Talk and Discord. Evoking Hope and Confidence. Counseling with Neutrality. Developing Discrepancy. Part V: Planning: The Bridge to Change. Developing a Change Plan. Strengthening Commitment. Supporting Change. Part VI: Motivational Interviewing in Everyday Practice. Experiencing Motivational Interviewing. Applying Motivational Interviewing. Integrating Motivational Interviewing. Part VII: Evaluating Motivational Interviewing. Research Evidence and the Evolution of Motivational Interviewing. Evaluating Motivational Conversations. Appendix A: Glossary of Motivational Interviewing Terms. McLouth, Appendix B: A Bibliography of Motivational Interviewing.
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Motivational Interviewing in the treatment of psychological problems
2008Co-Authors: Hal Arkowitz, William R Miller, Henny A. Westra, Stephen RollnickAbstract:Arkowitz, Miller, Learning, Applying, and Extending Motivational Interviewing. Westra, Dozois, Integrating Motivational Interviewing into the Treatment of Anxiety. Murphy, Enhancing Combat Veterans' Motivation to Change Posttraumatic Stress Disorder Symptoms and Other Problem Behaviors. Tolin, Maltby, Motivating Treatment-refusing Patients with Obsessive-Compulsive Disorder. Zuckoff, Swartz, Grote, Motivational Interviewing as a Prelude to Psychotherapy of Depression. Arkowitz, Burke, Motivational Interviewing as an Integrative Framework for the Treatment of Depression. Zerler, Motivational Interviewing and Suicidality. Treasure, Schmidt, Motivational Interviewing in the Management of Eating Disorders. Hodgins, Diskin, Motivational Interviewing and the Treatment of Problem and Pathological Gambling. McCracken, Corrigan, Motivational Interviewing for Medication Adherence in Individuals with Schizophrenia. Martino, Moyers, Motivational Interviewing with Dually Diagnosed Patients. Farbring, Johnson, Motivational Interviewing in the Correctional System: An Attempt to Implement Motivational Interviewing in Criminal Justice. Arkowitz, Miller, Westra, Rollnick, Motivational Interviewing in the Treatment of Psychological Problems: Conclusions and Future Directions.
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how does Motivational Interviewing work therapist interpersonal skill predicts client involvement within Motivational Interviewing sessions
Journal of Consulting and Clinical Psychology, 2005Co-Authors: Theresa B. Moyers, William R Miller, Stacey M L HendricksonAbstract:Although many studies have shown that Motivational Interviewing (MI) is effective in reducing problem behaviors, few have investigated purported causal mechanisms. Therapist interpersonal skills have been proposed as an influence on client involvement during MI sessions and as a necessary precursor to client commitment language. Using the Motivational Interviewing Skills Code (MISC; Version 1.0) rating system, the authors investigated 103 unique MI sessions for substance abuse and found that therapist interpersonal skills were positively associated with client involvement as defined by cooperation, disclosure and expression of affect. An unexpected finding indicated that behaviors inconsistent with MI enhanced the impact of therapist interpersonal skills upon client involvement. Drawbacks to the study include a potential sampling bias and uneven reliability of the variables measured.
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Motivational Interviewing: preparing people for change.
2002Co-Authors: William R Miller, Stephen RollnickAbstract:Part I: Context. Why Do People Change? Ambivalence: The Dilemma of Change. Facilitating Change. Part II: Practice. What is Motivational Interviewing? Change and Resistance: Opposite Sides of the Coin. Phase 1: Building Motivation for Change. Responding to Change Talk. Responding to Resistance. Enhancing Confidence. Phase 2: Strengthening Commitment to Change. A Practical Case Example. Ethical Considerations. Part III: Learning Motivational Interviewing. Reflections on Learning. Facilitating Learning. Part IV: Applications of Motivational Interviewing. DiClemente, Velasquez, Motivational Interviewing and the Stages of Change. Burke, Arkowitz, Dunn, The Efficacy of Motivational Interviewing and its Adaptations: What we Know So Far. Resnicow, DiIorio, Soet, Borrelli, Ernst, Hecht, Thevos, Motivational Interviewing in Medical and Public Health Settings. Rollnick, Allison, Ballasiotes, Barth, Butler, Rose, Rosengren, Variations on a Theme: Motivational Interviewing and its Adaptations. Wagner, Sanchez, The Role of Values in Motivational Interviewing. Zweben, Zuckoff, Motivational Interviewing and Treatment Adherence. Baer, Peterson, Motivational Interviewing with Adolescents and Young Adults. Ginsburg, Mann, Rotgers, Weekes, Motivational Interviewing with Criminal Justice Populations. Burke, Vassilev, Kantchelov, Zweben, Motivational Interviewing with Couples. Handmaker, Packard, Conforti, Motivational Interviewing in the Treatment of Dual Disorders. Walters, Ogle, Martin, Perils and Possibilities of Group-Based Motivational Interviewing.
Rachna Begh - One of the best experts on this subject based on the ideXlab platform.
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Motivational Interviewing for smoking cessation
Cochrane Database of Systematic Reviews, 2015Co-Authors: Nicola Lindsonhawley, Tom P Thompson, Rachna BeghAbstract:Background: Motivational Interviewing is widely used to help people to stop smoking. It is a counselling style which helps people to explore and resolve their uncertainties about changing their behaviour. It tries to avoid an aggressive or confrontational approach and instead steer people towards choosing to change their behaviour, and encouraging their self belief. The aim of this review is to discover whether Motivational Interviewing helps more people to quit than brief advice or usual care, when used to help people to stop smoking. Study characteristics: We searched for new studies to add to this review in August 2014 and found 14 new studies. Twenty-eight randomized or cluster-randomized controlled trials are now included in this review. Studies were included if participants were tobacco users; provided participants were not pregnant women or adolescents; if the intervention being tested was based on Motivational Interviewing principles; if the study included some kind of monitoring of the Motivational Interviewing intervention, such as staff training or a measure of the quality of counselling delivered, or both; if the control/comparison condition was brief advice or usual care; and if the study reported smoking abstinence at least six months after the start of the programme. Between them these studies recruited 16,803 tobacco users. Two of the studies recruited smokeless tobacco users, and the rest recruited cigarette smokers. The majority of studies provided Motivational Interviewing support face-to-face; however seven studies delivered the support by telephone only. Key findings: Our review found that Motivational Interviewing appears to help more people to quit smoking than brief advice or usual care when provided by general practitioners and by trained counsellors. Motivational Interviewing carried out by general practitioners appeared to be more successful than when carried out by nurses or counsellors. Shorter Motivational Interviewing sessions (less than 20 minutes per session) were more effective than longer ones. A single session of treatment appeared to be marginally more successful than multiple sessions, but both delivered successful outcomes. The evidence for the value of follow-up telephone support was unclear, and face-to-face counselling did not help more people to quit than telephone counselling. Both approaches were more successful than brief advice or usual care. Quality of evidence: We have assessed the evidence presented in this review as of moderate quality. Our results should be interpreted with caution, due to variations in study characteristics and how the treatment was delivered. In a number of cases it was difficult to assess the quality of included studies due to a lack of reporting of study details. Finally there is some evidence that studies which did not find an effect of Motivational Interviewing were less likely to be published and therefore this may impact upon our results.
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The Cochrane Library - Motivational Interviewing for smoking cessation
The Cochrane database of systematic reviews, 2010Co-Authors: Nicola Lindson-hawley, Tom P Thompson, Rachna BeghAbstract:Background: Motivational Interviewing is widely used to help people to stop smoking. It is a counselling style which helps people to explore and resolve their uncertainties about changing their behaviour. It tries to avoid an aggressive or confrontational approach and instead steer people towards choosing to change their behaviour, and encouraging their self belief. The aim of this review is to discover whether Motivational Interviewing helps more people to quit than brief advice or usual care, when used to help people to stop smoking. Study characteristics: We searched for new studies to add to this review in August 2014 and found 14 new studies. Twenty-eight randomized or cluster-randomized controlled trials are now included in this review. Studies were included if participants were tobacco users; provided participants were not pregnant women or adolescents; if the intervention being tested was based on Motivational Interviewing principles; if the study included some kind of monitoring of the Motivational Interviewing intervention, such as staff training or a measure of the quality of counselling delivered, or both; if the control/comparison condition was brief advice or usual care; and if the study reported smoking abstinence at least six months after the start of the programme. Between them these studies recruited 16,803 tobacco users. Two of the studies recruited smokeless tobacco users, and the rest recruited cigarette smokers. The majority of studies provided Motivational Interviewing support face-to-face; however seven studies delivered the support by telephone only. Key findings: Our review found that Motivational Interviewing appears to help more people to quit smoking than brief advice or usual care when provided by general practitioners and by trained counsellors. Motivational Interviewing carried out by general practitioners appeared to be more successful than when carried out by nurses or counsellors. Shorter Motivational Interviewing sessions (less than 20 minutes per session) were more effective than longer ones. A single session of treatment appeared to be marginally more successful than multiple sessions, but both delivered successful outcomes. The evidence for the value of follow-up telephone support was unclear, and face-to-face counselling did not help more people to quit than telephone counselling. Both approaches were more successful than brief advice or usual care. Quality of evidence: We have assessed the evidence presented in this review as of moderate quality. Our results should be interpreted with caution, due to variations in study characteristics and how the treatment was delivered. In a number of cases it was difficult to assess the quality of included studies due to a lack of reporting of study details. Finally there is some evidence that studies which did not find an effect of Motivational Interviewing were less likely to be published and therefore this may impact upon our results.
Bruce A. Berger - One of the best experts on this subject based on the ideXlab platform.
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Motivational Interviewing and Specialty Pharmacy
Journal of managed care & specialty pharmacy, 2015Co-Authors: Bruce A. Berger, Carl T. BertramAbstract:It is well documented in substance abuse and health care literature that Motivational Interviewing is an evidenced-based and effective intervention for influencing patient behaviors and associated positive health outcomes. The introduction of Motivational Interviewing training in specialty pharmacy has great potential to increase patient and pharmacist satisfaction, maximize adherence rates, and improve health outcomes. This commentary examines the need for effective approaches for improving patient adherence and outcomes and briefly describes the history and efficacy of Motivational Interviewing. Case studies using traditional approaches to patient care and Motivational Interviewing are analysed, and real-world experience using Motivational Interviewing is presented in the form of a specialty pharmacy case study.
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Learning Motivational Interviewing: Scripting a Virtual Patient
American Journal of Pharmaceutical Education, 2006Co-Authors: William A. Villaume, Bruce A. Berger, Bradford N. BarkerAbstract:Objectives. This article describes a written assignment for a first-year professional communication course to facilitate the understanding and mastery of Motivational Interviewing in dealing with patient ambivalence and resistance. The goal was to immerse students in how Motivational Interviewing differs from traditional biomedical counseling with regard to phrasing individual responses to the patient and managing the flow of interaction. Methods. Students were required to write a script for a working prototype of the Auburn University Virtual Patient. The script had to specify the text for the virtual patient's comments, 2–5 possible responses for the student pharmacist to choose from, and multiple interactional paths representing Motivational Interviewing, biomedical counseling, and a mix of the 2. Results. Student feedback and test results are reported. Qualitative analysis of written student feedback indicated that (1) the project took too much time because of the complexities of the computer procedur...
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INNOVATIONS IN TEACHING Learning Motivational Interviewing: Scripting a Virtual Patient
2006Co-Authors: William A. Villaume, Bruce A. Berger, Bradford N. BarkerAbstract:Objectives. This article describes a written assignment for a first-year professional communication course to facilitate the understanding and mastery of Motivational Interviewing in dealing with patient ambivalence and resistance. The goal was to immerse students in how Motivational Interviewing differs from traditional biomedical counseling with regard to phrasing individual responses to the patient and managing the flow of interaction. Methods. Students were required to write a script for a working prototype of the Auburn University Virtual Patient. The script had to specify the text for the virtual patient’s comments, 2-5 possible responses for the student pharmacist to choose from, and multiple interactional paths representing Motivational Interviewing, biomedical counseling, and a mix of the 2. Results. Student feedback and test results are reported. Qualitative analysis of written student feedback indicated that (1) the project took too much time because of the complexities of the computer procedures resulting from the Virtual Patient being a prototype, and (2) the computer procedures deflected attention from the critical thinking involved in writing the script. Quantitative item analysis of final examination results indicated that students scored an average one full-letter grade better on the questions about Motivational Interviewing than on the questions covering other topics. Conclusion. The scriptwriting assignment is a challenging exercise in assimilating the verbal skills necessary for using Motivational Interviewing in patient counseling. Many students exhibited greater interest in Motivational Interviewing, greater knowledge of why Motivational Interviewing is successful, greater facility with wording responses, and greater confidence in their ability to use Motivational Interviewing in the future. Because almost all students had negative reactions to the difficulty and time involved in making their scripts actually work with the virtual patient prototype, future assignments should delete this requirement.
Kjetil Karlsen - One of the best experts on this subject based on the ideXlab platform.
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Motivational Interviewing for substance abuse
Cochrane Database of Systematic Reviews, 2011Co-Authors: Geir Smedslund, Rigmor C Berg, Karianne Hammerstrom, Asbjorn Steiro, Kari Ann Leiknes, Helene Marie Dahl, Kjetil KarlsenAbstract:There are 76.3 million people with alcohol use disorders worldwide and 15.3 million with drug use disorders. Motivational Interviewing (MI) is a client-centred, semi-directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. The intervention is used widely, and therefore it is important to find out whether it helps, harms or is ineffective.The objective of this review is to assess the effectiveness of Motivational Interviewing for substance abuse on drug use, retention in treatment, readiness to change, and number of repeat convictions.