3005 – Beyond the Acronym: Motivational Interviewing to Improve Adherence
Motivational interviewing is an evidence-based approach to improving adherence. However, acronym-based approaches to motivational interviewing have often caused problems for health care professions (HCPs). HCPs often have difficulty remembering what each letter of each acronym stands for and, specifically, when to use that letter in the acronym. Moreover, the acronym-based approach was originally developed for clinical psychologists whose training is substantially different than HCPs. This session will assist attendees in knowing what specific motivational interviewing (MI) skills should be used to improve the chance of health behavior change. Our sense making approach (based on our book, Berger BA, and Villaume WA., Motivational Interviewing for Healthcare Professionals” A Sensible Approach, American Pharmaceutical Association, Washington, DC, August, 20013) to motivational interviewing will be reviewed and then very specific applications of new MI skills we have developed for HCPs will be presented with case examples. Participants will be able to distinguish between when to use empathy and reflections, when to use open ended questions, when to provide information and education, how to assess patient understanding, and when to summarize and plan for change. Audience members will participate in the reasoning processes needed to choose appropriate skills and the appropriate combination of skills. Distinctions will be made between skills used for patients who are resistant or ambivalent for various reasons.
1. Apply knowledge gained for improving adherence with health behaviors.
2. Distinguish between the appropriateness and effectiveness of various motivational interviewing skills.
3. Critically evaluate case examples and respond with appropriate skills and solutions