Motivational interviewing is a counseling approach that attempts to engage an individual away from a state of indecision or uncertainty and towards finding motivation to making positive decisions and accomplishing established goals. The predominant thought was that lack of motivation needed to be addressed in therapy through confrontation. During this process, the therapist would first express empathy; both accept and understand the patient’s mindset. Second, develop discrepancies; list reasons why a change was needed; state the negatives associated with lack of change, and pressure the person to change as means to gain motivation. Third, Avoid Escalating Resistance; health care providers can unwarily come off as judgmental, diminish feelings and argue with the patients. Fourth, Roll with Resistance; …show more content…
John is uncomfortable with change and needs to address the reasons why. John has to be able to analyze why his need to hesitate and should not overthink the negatives, instead, John needs to focus on the reasons why to change and the benefits that come along with this change. For example, John tends to concentrate on family and should make decisions based on what is best for his family.
Health behavior change method
This theory recognizes that individuals act based on “spirit” and emphasizes induce behavior governed by two principles: the power of the individual’s perception of the importance of change and the confidence they have to start that change. This applies to John because John knows that including change is overall beneficial for his health and for his ability to work. However, John lacks confidence to make certain changes in his life that would affect his work schedule.
Health belief model
The health belief model states that individuals will take health related actions based on six types of factors and associated beliefs:
Perceive they are susceptible to the
Coronary heart disease is a common term for the build-up of plaque in the heart’s arteries that could lead to heart attack (Coronary Heart Disease, 2017). Furthermore, there are many known coronary heart disease factors that can be controlled. These are high blood cholesterol, high blood pressure, diabetes and pre-diabetes, obesity, smoking, lack of physical activity, unhealthy diet and stress (Coronary Heart Disease Factors, n.d). The techniques of motivational interviewing are more persuasive than coercive and more supportive than argumentative. The motivational interviewer must advance with a firm sense of purpose, clear methods and skills for seeking that purpose, and a sense of timing to mediate in specific ways at quick brief periods of time (Miller and Rollnick, 1991). The clinician uses motivational interviewing on account of four general principles in mind. The key principles are to express empathy, avoid argument, roll with resistance and support self-efficacy (Treatment, C. for S. A.,
As facilitators, we used motivational interviewing skills such as open-ended questions so that participants could engage in the discussion and share their experiences. Reflective listening and summary were used to recap some of the points discussed by the participants after each question. The group plan was very helpful in helping us keep up with the time. Many of the group members were able to point out these strengths as well. Also, we had a good icebreaker activity so that participants could get more comfortable in the group. The participants found the topic for discussion relatable as health care professionals as this added to their knowledge of the importance of Cognitive-Behavioural Therapy in assisting patients to achieve a behavioural change. We showed appreciation to the participants for sharing their experiences. In addition to the above strengths, our instructor pointed out that we had a good closure at the end of the
The Motivational Interviewing film was very informative. I was able to get a clear understanding of what is to be expected by the therapist during a session. The film explained the therapist should engage in reflective listening, develop a growing discrepancy, avoid arguing with clients, roll with resistance and support self-advocacy. Miller believed that this approach was far more effective than traditional methods, where the therapist pushed for change. In contrast, Miller explained that motivational interviewing focused on empowerment and helping clients to become motivationally driven to change. Also, Miller stressed the importance of working alongside clients, a term he referred to as dancing. The process in which the client leads
233). From this, clients should want to change as well as believe in their capacity for change. For Jim, he can benefit from motivational interviewing since it can be used to help him overcome ambivalence to change. A collaborative, and nonconfrontational relationship are part of motivational interviewing. This is important for the client Jim in order to respect and encourage his self-determination. Motivational interviewing gives clients like Jim the opportunity to discover their own reasons for making change. One of the principles for motivational interviewing is expressing empathy where it gives clients the chance to freely explore their values, perceptions, goals and the implications of their present situation without being judged. The counsellor who is working with Jim can use active listening skills for expressing empathy in order for Jim to feel like he is being heard. The second principle is developing
Rebecca Kreman, Bernice C. Yates, Sangeeta Agrawal, Kathryn Fiandt, Wayne Briner, Scott Shurmur, The effects of motivational interviewing on physiological outcomes, Applied Nursing Research, Volume 19, Issue 3, August 2006, Pages 167-170, ISSN 0897-1897, DOI: 10.1016/j.apnr.2005.10.004.
What is Motivational Interviewing? Motivational interviewing (MI) is a patient-centered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. What will be discussed is how can organizations help the patients change negative behavior to a positive behavioral change, diminishing the lack of motivational behavior. (Miller & Rollnick, 2002) states that we have to help clients overcome their ambivalence or lack of motivation toward changing their behavior in positive way. Also, figuring out a solution on how to overcome this negative behavioral challenge of lack of intrinsic motivation to change. How will we overcome it? by focusing on the MI (Motivational Interviewing) approach, and finding
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
The most important aspect of motivational interviewing is collaboration. The collaboration approach is when the counselor listens to the patient and determine how motivated they are to change their behavior. Most times the counselor chooses to agree with the patient’s choice because they believe that they will realize that they are making the wrong decisions eventually. There are a few ingredients that makes up the spirit of motivational interviewing and they are collaboration, evocation, and autonomy. Ambivalence is the biggest hurdle that patients must get over. This causes many problems such as being uncomfortable, and being uncomfortable causes up to stop doing the things you know you is
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
The various constructs of the HBM are based on the theory that behavior depends mainly on two variables; the value placed on a health goal and the perceived probability that an action will achieve that goal when applied to health-related behaviors (Janz & Becker, 1984). These values translate into the desire to avoid illness (or if ill, to get well) and the belief that a certain action will prevent or cure illness (Janz & Becker, 1984). Although the HBM is the most commonly used theory in health education and promotion, the model does have its limitations. First, the model does not account for individual attitudes and beliefs that determine health behavior. It does not take into account habitual behaviors such as smoking. The HBM does not account for economic or environmental factors nor does it consider behaviors performed for non-health reasons. Additionally, there are assumptions that the same health information is readily available to everyone (Boston University School of Public Health, 2013). Finally, the Health Belief Model does not suggest a strategy for changing behaviors; it is more descriptive than explanatory (BUSPH, 2013).
Motivational interviewing is an important technique and counseling style that was created by William Miller and Stephen Rollnick in the 1980’s. The brief definition of motivational interviewing (MI) that is provided by Miller and Rollnick in their influential text is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2013). Motivational interviewing is considered to be a style that evolved from client-centered therapy. The style is considered to be empathic but requires the counselor to consciously directive so that they may help their client resolve the ambivalence they are experiencing and direct them towards change. The important thing to note is that client autonomy is key to the process (Hettema, Steele, & Miller, 2005). However, despite being able to currently give a definition of MI, one that could be considered a working definition, motivational interviewing is “a living, evolving method” (Miller & Rollnick, 2009). It will continue to evolve as times change and it is implemented in use with other maladaptive behaviors. MI is a relatively new style that it still has the ability to undergo changes to adapt to what purpose it is serving (Miller & Rollnick, 2009).
The theory of planned behavior attempts to link health beliefs directly to behavior. Health beliefs take some time in predicting when people will change their health habits. According to Taylor a health behavior is the direct result of a behavioral intention done by the person. Behavior intentions are made up of three different components. The first one would be attitudes towards the specific action, then subjective norms regarding the action, and finally perceived behavioral control. Attitudes refers to actions that are performed and delivers outcomes, subjective norms refer to what the person believes others think they should do, and perceived behavior refers to the person acknowledging that they can perform the intended action.
The health belief model is a very common prevention approach. This approach says that a person will engage themselves in a positive health related behavior if they feel that a certain negative behavior can be avoided such as avoiding getting STDs, and also when they expect a positive outcome when avoiding that negative behavior and finally when the individual feels as if they are successful at the positive health behavior.
Change should be seen as a challenge and embraced with enthusiasm (Marquis & Huston, 2012). In my professional and personal life, I view and respond to change as a way to make improvements to existing regulations and circumstances. I embark upon the quest with determination to succeed at whatever task is presented to me. Life without change can become unchallenging and stagnant (Marquis & Huston, 2012). As society and technology advance, you must incorporate the necessary transformations that arise with it.
Motivational interviewing has significant implications for teaching and learning. Moreover, motivational interviewing is client-centered counseling technique client-centered for creating change, expanding desirable behaviors and reducing unhelpful behaviors. Also, this method depends on a student’s intrinsic motivation and interest in change, using a non-confrontational methodology to structure goals in a workable, achievable manner. Moreover, academic advisors that employ motivational interviewing expand their listening and problem-solving skills to become more effective communicators and as a consequence form better relationships with their students. Through this technique, academic advisors can guide students in developing the ability