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.
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I'm surprised at some of the negative comments. I have seen and participated in a lot of MI role plays, specifically in medical setting. This one is actually very well done.
"Boy do I love that OJ"
Be careful using the words "I understand," even if you do understand exactly what the patient is going through, try to use more reflective listening.
I feel his pain. "Boy, do I love that OJ!"... his face is priceless!
Even though 'the patient' offered a detailed response, 'how many servings of fruits and vegetables do you have per day?' isn't exactly an open-ended question. I'm also getting the sense that motivational interviewing in a medical context does not have the same purpose or flow as MI in a therapeutic context.
He shared information about fruit juice vs whole fruit without asking permission or asking if the patient knew about any differences in calories between fruit juice and whole fruit to see what the patient might have known. If he didn't know the doctor could then ask permission to share the information with the patient. Still a good video
This IS a terrible example of MI. The spirit of MI is totally out the window. He sounds judgmental, DOES NOT ask for permission when educating, the list goes on and on...
Sorry, this has some elements of MI, but many non-adherent MI elements and I agree with one of the comments from the UK- this conversation is much longer than needs to be and could have much higher MI adherent skills.
I think the idea of this is not to determine the validity of fruits and juice, but the process. Yes, too much fruit juice is not good. Also, yes, you can gain weight with too many fruits. They are all sugars and when you have any type of sugars, you release insulin. If you take in more than what the body can keep up with, then what is not stored will convert to fat. Also, he does focus entirely on the juice and not the other meals nor talking about exercise, stress, sleep, etc. See, there is a lot that needs to be covered but that's not the intent of the interview. The intent is to show how to use the MI techniques to evoke a response.
Great example of motivational interview, just wish the doctor was a bit more empathetic, he kinda comes off harsh at times and his body language could be better.
This is brilliant. Clear and Concise thank you both.
GREAT ! This is the format in a medical setting with regard to time! I loved it. Thank you!!
Wow the Physician did an awesome job! This helped a lot. Thanks!
definitely going to incorporate the grading scale into my next MI! gReat video, very practical!
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! :)
Good exemple. Always a good idea to increase motivation to change dysfunctional behaviour. Just be aware that M I is not a magic wand. Emotional eating is a strong motivational force.
this one really is pretty good.
Well done, great MI example.
OMG!! That was ssoooo coool!
Thanks for the post!