Motivational Interviewing: Evoking Commitment to Change

In this video clip, the Physician works together with the patient to develop a specific focus. The provider does this by asking open-ended questions, providing affirmation, using reflective listening and summarizing for the patients (OARS). He also helps the patient to scale the importance of the issue and the patients confidence level for change behavior.

Category:

Nonprofits & Activism

Tags:

• Colorado
• Clinical
• Guidelines
• Collaborative
• CCGC
• Motivational
• Interviewing
• Evoking
• Commitment
• to
• Change

[ThePsychology2010]

2 weeks later..

[julial1114]

This might not be a very realistic scenario, but I have to say, it's very helpful because I get to see how the questions are framed and the techniques. Thank you, I am more confident about how to deal with one of my clients now.

[sexybutterflybabe]

@Tyrtle12 But they can. This falls under patient education and is reimbursable by insurance companies. Under the new changes to health care there is going to be much more accountability for outcomes and you will see more of this.

[katec1]

Thank you thank you!! I know it's hard to "role play" MI skills - but I've been practicing, and this helps give me more ideas for wording some good questions. I hope to find some more vids! :)

[zarglox]

he is larger because he is eating too much meat not oranges, and children.

[Tyrtle12]

not sure this scenario is realistic, perhaps during a therapy visit, but not for a physician (primary doc) visit. docs do not spend this much time with patients.

[RussABryan]

Funny that they only focused only on drinking fruit juice and not the fact that he needed to continue exercising or he won't lose wait no matter what he eats or drinks



[xaniaris]

@Ricordato88 Pray tell how they are bad for your body? If he is at risk of NIDDM (and considering his age, sex, lifestyle it seems to be highly possible), then sugar free drinks are the way to go.

[petille007]

In real life, the patient is not so collaborative or may say yes to please the physician but will feel burden by what he has to do and remain unsure as which strategy would really work for him. Resulting on skipping the next appointment if failed. Also, in this example the physician dismissed muscle building (patient increased walking) as weight gain factor That could have been encouraging.. Could also have suggested water with lemon; also propose support or accountability partner/group

[Ricordato88]

Great Example of MI but drinking sugar free drinks should not be encouraged because they are bad for your body!