{"id":226,"date":"2017-09-12T10:12:15","date_gmt":"2017-09-12T00:12:15","guid":{"rendered":"http:\/\/homebaserehab.net\/?page_id=226"},"modified":"2023-06-16T11:12:15","modified_gmt":"2023-06-16T01:12:15","slug":"mi-method","status":"publish","type":"page","link":"https:\/\/homebaserehab.net\/program\/motivational-interviewing\/mi-method\/","title":{"rendered":"MI Training and Method"},"content":{"rendered":"\t\t
Clinicians involved in home based pulmonary rehabilitation programs can learn the technique of Motivational Interviewing online or by attending a course, preferably designed for health professionals.<\/p>
An example of an online course can be found at the\u00a0Pacific Centre for Motivation & Change<\/a> –\u00a0<\/strong>MI in Healthcare Online<\/em>\u00a0is an introductory level course suitable for medical and allied health practitioners working in healthcare settings with patients who have chronic conditions.<\/p> To become skilled at this technique, practice and feedback is very important. Interview a colleague and discuss the process afterwards.<\/p> Once a course is completed, the following guidelines will assist with the weekly telephone calls with the patients.<\/p> Structured telephone modules<\/a> are used, with written prompts for the interviewer to explore and build motivation for change, then move towards commitment and action.<\/p> Core Communication Skills <\/strong><\/p> Asking<\/p> Listening<\/p> Informing<\/p><\/blockquote> ASKING<\/strong><\/p> Ask open ended questions and try not to ask two questions in a row.<\/p> Open questions:<\/em><\/p> allow more room to respond<\/p> invites relationship<\/p> perceived as showing interest and caring<\/p> allows patient more active involvement in and influence over the course of the consult<\/p><\/blockquote> See Interview Examples<\/a> for “asking” questions.<\/p> LISTENING<\/strong><\/p> By listening a clinician is more likely to be be present with the patient and understand their perspectives and experiences.<\/p> Allow time for silence.<\/p> See Interview Examples<\/a> for “Listening”.<\/p> Reflection<\/em><\/strong><\/p> A period of listening is followed by reflection:<\/p> a short summary of what you think is happening at that moment<\/p> patient confirms or disagrees with your hypothesis<\/p> statements (not questions) so that patient feels more comfortable and keeps talking<\/p><\/blockquote> INFORMING<\/strong><\/p> The aim of informing <\/em>is to improve information exchange with the patient.<\/p> It is important that:<\/p> The clinician asks the patient’s permission to be informed<\/p> Messages are phrased in a positive fashion<\/p> The patient isn’t overloaded with information<\/p> Management options are provided<\/p><\/blockquote>Motivational Interviewing method<\/h3>