It seems like most of the commenters don't realize there are two parts to this video. The first is showing what not to do.

@Darthsikk

7 жыл бұрын

Hey buddy, you shut up with all observational nonsense!

...ah! a conversation that sounded like happening today. Yet, appointments were mailed out by letter..... resistance to change, timeless! Thanks for presenting...very insightful

Very useful for clinicians like me (an orthopedist) who is dealing with lifestyle issues (obesity and diabetes) causing bone and joint pain and disabilities. Many people are failing orthopedic surgeries and physical therapy because of excess loading from high BMI and soft tissue problems from DM. We need to attack noncompliant patients head-on with every tool in the armamentarium.

Who is the author/organizer for this? I love this and want to cite it appropriately. Thank-you!

Hi, I am interested in using this video for training purposes. Is there anyone I can contact in regards to gaining permission for this?

People, medical staff do not have a lot of time to discuss options with patients. The first 6 minutes, her tone is bossy. Make me wonder how we sound when we only have a short amount of time with our employees or clients? At about 6.5 minutes into the video, she does start modeling OARS skills and the patient is engaged in the conversation.

I thought in MI, the patient, or client, does most of the talking. Is it different in medical settings?

Hello BoiseCoE, I am an Instructional Designer with Guidewell, a not-for-profit mutual holding company, which provides health insurance plans and solutions. We really enjoyed this video along with the effective and ineffective demonstrations of Motivational Interviewing. I am seeking your permission to use the two demonstrations as examples in a Motivational Interviewing course we are developing for nurses and other health coaches. This course would be only be used internally for our staff and organization and will not be used for profit. Please let me know if you are willing to grant permission for use as an educational tool. Thank you!

There are 2 scenerios. The second one is much better

2 liters of Coke!?!

It’s a little misleading, because in the second part of the video the patient is obviously more willing to learn at the very beginning. It’s not just because the doctor changed the approach.

@stacey7843

2 жыл бұрын

It can be. She’s being prompted. Also the nurse is reading a script…in vivo you wouldn’t be able to rely upon a script or looking at something to communicate effectively with a patient.

What does it say about me if I as a client I would prefer a transparent health care professional. I prefer to listen to the first example. I actually find motivational interviewing annoying.

The comments here are crazy. I imagine half of them are due to not being a counseling major and/or knowing anything about MI.

I'm learning about MI being used in addiction counseling, I'm not sure how that compares to how it was used here in medical counseling. Miss. Smith is a cutie though! I hope she's able to keep that diabetes in check :)

@thornphillips1565

6 жыл бұрын

Since MI is largely about lifestyle change it is important to notice its value in the medical field. Physical health is largely dependent on behavioral health. Lifestyle is an important factor which can make the difference between good and poor health especially in someone already suffering from a disease process. Consider genetics and the role it plays on health. Now consider epigenetics and how environment (i.e lifestyle) plays an important role on gene expression. Do you see where this is going?? MI in addictions is about exploring lifestyle change and how it can make a difference in SUDs.

... "Coke cup hiding in the background...

I agree with other commentators, this is inconsistent with MI. The presenter seems accusatory and argumentative with the patient. The nurse does not listen to the patients concerns and rather bypasses everything she says and continues to push her method of treatment rather than finding a way that fits the patient's lifestyle.

@EnnioPancho

7 жыл бұрын

LOL! It seems that you didn't watch the complete video.

@traceyrogovin5738

6 жыл бұрын

You should watch the whole video. The first part is what not to do. I agree that this video is problematic if someone just watches the first part.

@christinaireton3253

2 жыл бұрын

You need to watch the whole video. This shows the "don't" video and then the "do" video with a clear example of using OARS from MI.

Jesus christ, no wonder she has elevated A1C levels - also this is not great motivational interviewing. I'm a graduate student in addiction counseling

@81iceprincess

8 жыл бұрын

Thank you for confirming what my instincts were saying, I felt she needed more directive counseling, she doesn't appear to have the willingness to take an honest look at how serious her diabetic condition is, also she continues to make excuses for every attempt at what she can do to bring her A-1-C levels down.

@traceyrogovin5738

6 жыл бұрын

You should watch the whole video.

@thornphillips1565

6 жыл бұрын

So what your saying is, since you are a graduate student in Addiction Counseling, you are an expert on MI and on DM? Perhaps if you would watch the second half of the video you would realize the first half was a demonstration of not using MI. Perhaps working on your active listening skills could increase your ability to recognize this rather than jumping to conclusions. It will also help you in the long run in your career as an addictions counselor.

tell me how this is an empowerment perspective? This presenter is NOT using motivational interviewing!!!!

@christinaireton3253

2 жыл бұрын

Watch the WHOLE video.

Oh dear ... I am sorry to highlight the following. But you should not use this 'medical scenario' because it doesn't make sense for this slim young woman to be taking medication suitable for a Type 2 diabetic patient. This woman would be on insulin! Your credibility is damaged by this lack of medical knowledge

@thornphillips1565

6 жыл бұрын

All Type 2 diabetics are not obese. If you really knew about diabetes you would realize that genetics ...(family history) is a significant risk factor. If this lady had a significant family history of diabetes she is already at risk. Put that together with lack of exercise and poor diet habits increases the risk. For you to say this lady with diabetes needs to be on insulin just because she is not obese is very dangerous thinking. I hope you are not a physician. Also, this is just a staged scenario so........... I am going to be nice and leave off the rest of my comment.