Motivational interviewing is an approach, focusing on the patient, to change a behavior. It was started in the realm of addiction, but has been steadily moving in to the mainstream of healthcare for the past few years. Motivational interviewing (MI) uses different techniques to build a rapport between the provider and the client. Techniques used include empathy, collaboration, and encouragement of autonomy. The concept of motivational interviewing allows the provider to be seen more as a person and less as an authority figure. This allows the provider and the patient to take the journey toward healthcare improvement together. Motivational interviewing can be a positive tool for health promotion. However, the lack of use and understanding, makes it ineffective for long term changes in a patient’s healthcare. …show more content…
According to Dr. Morton, et. al. (2014), there was a 50% increase in physical activity among client’s in a primary care setting when motivational interviewing was utilized. This shows a significant impact on the health potential that could be gained by using the motivational interviewing process. This clearly shows that motivational interviewing can be beneficial when dealing with a client in a one to one primary care setting by including them in the planning and implementation of their healthcare. It is important that a person feel that they are the ones making the ultimate decision in what is going on. In a study to improve physical activity among reproductive aged women, Dr. Mahmoodabad, et. al (2015) found that introducing a motivational approach, promoted physical activity amongst the 70 women that participated in the study. These results further solidify that the motivational interviewing would be successful in encouraging health promotion among
All clinical interviewing is embedded in a system of values and beliefs that shape the clinical work we do (Dillion, 2003).When adapting to the world we all become familiar with what we believe in and value as a person. These keynotes, determine who we are as an individual. When considering
Motivational interviewing (MI) is a patient-centered technique that is associated with positive behavioral outcomes. This approach necessitates the building of rapport between you and the patient through non-judgmental discussions, engaging the patient, eliciting change talk, and evoking motivation to make positive behavioral changes. This communication style is different from the previous authoritarian model, where the care team member was responsible for making all the health decisions and the patient simply followed what was advised.
Motivational interviewing (MI) is a counseling technique in which the therapist empowers the client. Instead of direct confrontation or pinpointing client’s weaknesses, MI is an empathetic and supportive counseling style that provides conditions under which positive change can occur. Often people are ambivalent for change. In MI, the therapist expresses acceptance of his/her client and become a supporter in the change process, highlighting the positive sides of a change. The key points of MI are empathy, support, trust, and belief in the client. MI benefits from optimism, humanism and client’s intrinsic motivations. It exercises free choice facilitating change through a process of self-actualization. MI’s relationship is a collaborative partnership between client and therapist. In essence, MI activates the capability for beneficial
Social Cognitive Theory (SCT) is another theoretical model that has been used to design health coaching programs. SCT predicts, explains and facilitates change. The SCT model describes that environment, behavior and personal (cognitive and biology) influence behavior. These factors influence each other and can promote or be a barrier to change. Like motivational interviewing, self –efficacy is a central construct of the model. Behavior change is facilitated by observing other people’s behavior and setting short term, incremental
Motivational Interviewing is a method that is used to assist and engage clients to change their behavior by using intrinsic motivation. It is a counseling style that is goal-oriented and client-centered counseling, which encourages behavior change. There are four general processes that should be established when a helper wants to succeed at motivational interviewing. The four general processes involve engaging, focusing, evoking, and planning (Sarah A. Suzuki).
Miller W. & Rollnick S. (2002) Motivational Interviewing. 2nd edn. The Guilford Press, New York.
Performed motivational interviewing methods that allowed me to help 10 patients per day to set nutrition
In addition, attempting certain behavior changes will be influenced by the patient’s definition of health. Likewise, the patient’s perception of their current health status will influence the odds that health-enhancing behaviors will be initiated. If the gains are perceived as achievable, patient will be more likely to either begin or to continue health-enhancing behaviors. Finally, patients are to be less empowered to attempt health-enhancing behaviors if the belief is present that the behavior is difficult or the necessary resources unavailable. Barriers to learning can also result from personal values, beliefs, attitudes, lack of motivation, poor self-concept or inadequate comprehension. In addition to the comprehending factors, which Dr. Pender believes have direct effect on expression of behavior, the theorist hypothesizes that a number of what are term “modifying factors” influence behavior expression in an indirect fashion. (Pender, 1995). These factors include such characteristics as biological traits, interpersonal factors, situational factors, and finally, behavioral factors. Examples include such traits as sex and age, or the expectations of a significant other. Primary motivational techniques and the modifying factors help predict the degree to which patients will be empowered to participate in health-promoting behavior. Finally action is predicted to be prompted by certain internal and external
Behavior specific cognition variables have a major impact on the individual’s thoughts beliefs, and motivational status. It affects how the individual views their illness and problems. This view affects them their daily lives because it can either impede their everyday routine or facilitate health-promoting behavior. “These variables constitute a critical “core” because they can be modified through interventions” (Pender et al., 2014, p. 36). The variables include, “perceived benefits, perceived barriers, perceived self-efficacy, activity-related affect, interpersonal influences, and situational influences” (Pender et al., 2014, p.36). These variables provide measurements that allow us as health care professionals
These internal and external factors greatly influence lifestyle choices and behaviors of individuals. Examples of influential factors include perceived benefit of action, perceived barrier to action, interpersonal influences, and situational influences (Sakraida, 2014). All of Pender’s identified factors influencing health promoting behaviors lead to a commitment to a plan of action, and then a health promoting behavior (Sakraida,
Dr. Phil is a doctor and has a Ph.D. in psychology but is not a licensed psychologist. He does not actually practice psychology on his popular television show (Mattiuzzi, 2008). Type in Dr. Phil to any web-based search and view the results. Dr. Phil likes to give “advice” on weight loss, relationships, money, love, marriage, good parenting, and so much more.
From others' responses I have learned that everyone has a different opinion. Each of us live different lives and have undergone different life experiences. It was quite interesting to read about those understanding and for some, their personal involvements. I read about creating unique goal setting tools. I heard different treatment plans that I think would be beneficial to the clients overall well-being, as well as the clients short-term and long-term health. Such as, evaluating the needs of the patients. Making sure that the patience receive the proper examination and the correct provision. I also read about how important it is to be intentional about checking the patient general progress. And, how vital it is to support the patients. After reflecting on the responses, I could take my personal background, and views out of the equation and understand the situation from others beliefs and concepts.
This process begins with each individual expert prepared to engage half of the interviewees by providing a supplemental overview and seeking permission to record the interview. With a foundation rooted in qualitative research best practices, semi structured interviews will take place that meets our identified topical trajectory with the ability to diverge. Deviation may momentously occur when the interviewee reveals new approaches and/or recommendations that challenge disparities in the delivery of care. These incidents are gravely invaluable to data collection and additionally supports the significance of capturing each interview by recording. Researchers that do not record or have a secondary route to capturing their interviews have to focus on taking their own notes during the process which often produces unreliable summaries and diminishes the affinity between the interviewee-researcher. Both aspects in qualitative research are necessary when it comes to fostering an environment that allows interviewees to extend our knowledge while preserving the integrity of the data being collected. Semi structured interviews are less controlled but still warrants uniformity in information obtained. Moreover, this method sustains replication for enhancing the matrix while significantly reducing limitations on what is captured. This is often a challenge
The researchers’ goal is to identify factors that contribute to individuals dropping out of an exercise program, before developing a lasting behavior change. Random controlled trials (RCT) have served as the traditional research method used by psychological research studies, in regards to the topic of positive psychology. To effectively evaluate an intervention’s effect, on an individual’s psychosocial factors, the utilization of qualitative research protocol is necessary.
Regular physical activity (PA) is vitally important for the health and well-being of individuals of all ages. Research has shown that PA is a key factor in reducing the risk of numerous diseases including cardiovascular diseases, type 2 diabetes, hypertension, and depression and helps in reducing the morbidity and mortality of these chronic conditions (Kulavic et al, 2013). Many people don’t realize the importance of physical activity and therefore don’t engage in it. Knowing that being fit can limit the chances of developing chronic diseases motivated me to participate in physical activity. In a study examining the frequency and type of self-reported physical activity behavior in postsecondary students, those who received information on physical activity engaged in more