Safren is a recipient of the pioneer award for outstanding contributions to hiv adherence sciencepractice from the international association of providers of aids. Sometimes we feel responsible for our clients and the outcome and react by trying to ix the problem. Outcomes were adherence, depression, substance abuse, and risky sexual behaviors. The book elucidates the four processes of mi engaging, focusing, evoking, and planning and vividly demonstrates what they look like in action. Risk behaviors were assessed at baseline, 1, and 6 months postsession. Healthy choices, a foursession motivational interviewingbased intervention, reduces risk behaviors among us youth living with hiv ylwh.
He introduced motivational interviewing in a 1983 article in the journal behavioral psychotherapy and in the first edition of motivational interviewing. Motivational interviewing mi is a treatment approach that has been widely examined as an intervention for tobacco dependence and is recommended in clinical practice guidelines. This document overviews the key learnings ive gathered along the way specific to the process of teaching mi in group settings. Motivational interviewing, third edition by william r. This is the authoritative, bestselling guide that professionals and students turn to for a complete introduction to motivational interviewing mi, the powerful approach to facilitating change. Motivational interviewing is a fantastic introductory course on how to discuss behavioral change with patients in a way that is genuine, personcentered, and effective. Designed to enhance the patients own motivation to change using strategies that are empathic and nonconfrontational. Apr 12, 2002 the strength of this book lies in its reader friendly yet scholarly approach to the topic of motivational interviewing. Motivational interviewing involves no training of clients in behavioral coping skills, although the two approaches not incompatible. How and why it works for people with diabetes jan kavookjian, phd, mba associate professor of health outcomes research and policy harrison school of pharmacy auburn university marc steinberg, md, faap motivational interviewing trainer thegroup4qualitycare. Antiretroviral therapy art requires greater than 95% adherence to prevent hiv drug resistance and treatment failure. Jan 01, 2009 developing expertise in motivational interviewing mi takes practice, which is exactly the point of this engaging, userfriendly workbook. Each network has mi champions who are focused on supporting the continuing rollout of mi into the networks. We feel that mi may offer some useful resources for busy cf clinicians.
Motivational interviewing really can be used in the context of a short session, she said. This book is written in an easytoread fashion with numerous helpful examples, mnemonics, and comprehension questions. Developing expertise in motivational interviewing mi takes practice, which is exactly the point of this engaging, userfriendly workbook. Motivational interviewing mi is a collaborative, conversational form of counseling that focuses on strengthening patients motivation and commitment to change their behavior. The book elucidates the four processes of miengaging, focusing, evoking, and planningand vividly demonstrates what they look like in action. Motivational interviewing mi, a widely disseminated behavior change intervention, has demonstrated effectiveness in promoting behavior change among persons with hiv and has been utilized to target these co. Motivational interviewing, a brief, clientcentered yet goaloriented method of communication designed to increase motivation and boost confidence for behavior change while addressing ambivalence, 18 has been successful in reducing hiv risk behaviors.
The art of teaching motivational interviewing a resource for mi trainers a 20year retrospective of key learnings for the past two decades ive been guiding the learning of motivational interviewing mi. We searched the medline database for studies published from 1966. Using motivational interviewing in hiv field outreach with. Motivational interviewing in a brief encounter skills handbook. Motivational interviewing with adolescents and young adults by sylvie naar king. Motivational interviewing skills manual christopher bolling, md 2 definitions. Miller, stephen rollnick 2012 hardcover jan 1, 2012 5. Eight stages in learning motivational interviewing. But i would also like to point out that on that list is a book thats coming out this year. Motivational interviewing in health care by stephen rollnick, 9781593856120, available at book depository with free delivery worldwide. Motivational interviewing, second edition book depository. Miller, 9781572305632, available at book depository with free delivery worldwide.
Reducing risk, inspiring change august 2009 mountain plains aids education and training center university of colorado denver 303 7240867. Tnt manual 2014 d10 20150205 motivational interviewing. A very good book that provides clear information on the concept, principles, tools, and skills of the motivational interviewing in general, and its use within the health care context in particular. Helping people change applications of motivational interviewing by william r. Motivational interviewing is a participantcentered approach that intentionally directs participants to examine, explore, and resolve the. A collaborative, goaloriented style of communication with particular attention to the language of change.
Implementation of motivational interviewing in a multidisciplinary hiv clinic in an academic medical setting lucy ledesma a dissertation submitted to the graduate. With mi, counselors use specific techniques or tools, such as reflective listening, openended questions, and affirmations, as they collaborate with their patients in a spirit of compassion and. Motivational interviewing mi is an effective counseling method designed to. Most chapters have a mixture of practical case examples, research data, figures, models, and assessment instruments. Motivational interviewing improves medication adherence. Mi can decrease risky sexual behavior and increase adherence to hiv treatment. Hiv infection, motivational interviewing, adolescent, sexual behavior, thailand introduction the achievement in controlling the hiv epidemic in thailand could now be at risk as indicated by an increase in risky sexual behaviors and sexually transmitted infections in young persons and the plateau in the hiv prevalence among adults 1. Motivational interviewing mi is a directive, clientcentered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Motivational interviewing skills manual christopher bolling, md 3 asking open questions. Motivational interviewing a personcentered counseling method for addressing the common problem of ambivalence about behavior change. It defines motivational interviewing as a communicative strategy that is directive and patientcentered. Studies show that tacking 10 minutes onto a 15minute medical evaluation is worth while, said dr. Cook, phd program evaluator, mountain plains aetc associate professor, college of nursing university of colorado anschutz medical campus marla a. Utilizing motivational interviewing to engage or reengage.
Miller, phd, is emeritus distinguished professor of psychology and psychiatry at the university of new mexico. Motivational extra step that would facilitate client involvement, active participation, increase motivation, and provide coaching to achieve desirable, measurable behavioral change. This study examines the prevalence of such behaviors and their association with patient intentions to reduce highrisk sexual behavior. Primary care physicians and practitioners can enrich their professional work and improve patient outcomes by learning about mi. Motivational interviewing and the prevention of hiv among. Implementation varied by different number of sessions and types of interventionists. And the book that we use most frequently is motivational interviewing and healthcare. Reducing risk, inspiring change it defines motivational interviewing as a communicative strategy that is directive and patientcentered. Motivational interviewing by hiv care providers is. People living with hiv plwh struggle with medication adherence. This pamphlet provides an overview of motivational interviewing strategies in the context of the stages of change model to reduce risk and support persons living with hiv in the pursuit of healthy behaviors.
Corwin, lcsw, cac iii clinical education coordinator, mountain plains aetc instructor, school of medicine. Helping people change 3rd edition is an essential text for any clinician who hopes to use the intervention in their practice. One of the key points the book stressed is the importance of eliciting from patients their own good motivation for making healthrelated behavior. He has worked in diverse fields, with special interests in mental health and long term health conditions like diabetes, heart disease, and hivaids. Motivational interviewing in health care book depository. The pamphlet describes how to get started, explains the stages in the change process, and advises the counselor how to approach each stage. Nov 05, 2007 a very good book that provides clear information on the concept, principles, tools, and skills of the motivational interviewing in general, and its use within the health care context in particular. Changing risky behaviors can prevent infection, and people living with hiv plwh have better outcomes when they are able to change behaviors to improve their health. Motivational interviewing manual 2017 1 overview of motivational interviewing motivational interviewing mi was developed by william miller and stephen rollnick and is defined as a collaborative, personcentered, directive method for addressing the common problem of ambivalence uncertainty about behavior change. Helping people change, 3rd edition applications of motivational by william r. Improving adherence could markedly affect hiv and the healthcare system. Motivational interviewing is a theorybased communication skills set with an established evidence base for its potential to affect patient outcomes in comprehensive disease management, even during brief encounters.
Cant be answered with yes or no allow for a fuller, richer discussion are nonjudgmental. Motivational interviewing is a counseling style that is directive and. Helping people change, written with stephen rollnick, in 1991. Motivational interviewing mi, a widely disseminated behavior change intervention, has demonstrated effectiveness in promoting behavior change among persons with hiv and has been utilized to target these cooccurring. Little is known about the use of miconsistent behavior among untrained providers. Motivational interviewing mi is a method that assists in asking the questions that will elicit deeper responses and results from your clients and patients. Motivational interviewing targeting risk behaviors for. Preparing people to change addictive behavior 9780898624694. Motivational interviewing mi can promote behavior change, but hiv care providers rarely have training in mi. Findings from the nida clinical trials network ctn protocol documented that motivational interviewing mi resulted in higher retention rates during the first 28 days of treatment compared to standard interventions.
To evaluate the impact of mi and of the mi delivery format, fidelity assessment, fidelitybased feedback, counselors background and mi exposure time on adherence. The operational assumption in motivational interviewing is that ambivalence or lack of resolve is the principal obstacle to be overcome in triggering change. The volume is packed with realworld examples from a range of clinical settings, as well as sample interactions and handson learning activities. Motivational interviewing mi is a patientcentered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. Motivational interviewing in health care by stephen rollnick. Motivational interviewing began from applications in the addiction and substance abuse fields. Motivational interviewing mi is a therapeutic strategy for facilitating behaviour change. More of the participants in the motivational interviewing intervention requested hiv counseling and testing and wanted to know their status 49% versus 20% and returned for test results 98% versus 72%.
It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons own reasons for change within an atmosphere of acceptance and compassion motivational interviewing. The book adds substance, breadth, clarity, and evidence to the clinical and training processes, and will add momentum to mainstreaming motivational approaches to behavior change in health care. When this happens, it is easy for any of us to try to persuade or even argue with clients. Randomized clinical trials rcts, mostly conducted among minority populations, have reported that motivational interviewing mi can improve medication adherence. Aug 14, 2012 due to the cooccurrence of sexual risk behaviors and substance use among hiv positive individuals, there is often a need for hiv prevention efforts to target multiple behaviors. Effectiveness of motivational interviewing in a wic clinic. Motivational interviewing in the treatment of psychological problems, second. Rosof, project director for the center for hivaids educational studies and.
Findings from the nida clinical trials network ctn. We analyzed studies use of motivational interviewing in persons living with hiv. Motivational interviewing targeting risk reduction for people. Due to the cooccurrence of sexual risk behaviors and substance use among hivpositive individuals, there is often a need for hiv prevention efforts to target multiple behaviors.
One physician explains an approach to help make behavioral change a reality by shannon firth, washington correspondent, medpage today may 11, 2016. Nowhere is the need to change behaviors more important than in hiv infection. Miller, 9780898624694, available at book depository with free delivery worldwide. Motivational interviewing targeting risk reduction for. Motivational interviewing, third edition, william r miller. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Miller, 9781609182274, available at book depository with free delivery worldwide.
Mi and hiv care using motivational interviewing in hiv field outreach with young african american men who have sex with men. Motivational interviewing, third edition book depository. Jan 10, 2008 motivational interviewing in health care by stephen rollnick, 9781593856120, available at book depository with free delivery worldwide. A core skill in building a collaborative relationship is asking open questions.
Its the one that i use as the textbook in the mi elective courses that i teach at the pharm d and graduate levels, and also one that i recommend when i do a training. Numerous studies have illustrated the efficacy of mi as a promising strategy to encourage positive health behavior change around substance abuse, oral health and diet and exercise. We searched the medline database for studies published from. The pamphlet describes how to get started, explains the stages in. The first part of this manual provides an overview of motivational interviewing concepts and skills which can be used as a framework for offering case management. We randomized 110 thai ylwh 1625 years to receive either healthy choices or timematched health education control over 12 weeks. Motivational interviewing mi has been shown to effectively improve selfmanagement for youth living with hiv ylh and has demonstrated success across the youth hiv care cascade. Motivational interviewing targeting risk behaviors for youth.
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