Promoting health behavior change

Brief motivational interviewing techniques for primary care

Motivational interviewing (MI) supports health behavior change by helping individuals explore and resolve their ambivalence about change without evoking resistance. MI techniques can be incorporated into routine patient care. HealthTeamWorks offers online demonstration videos, study materials and onsite Rapid Improvement Activity trainings on MI for practices. These resources are intended for the whole practice team and introduce basic MI techniques into busy healthcare settings. Also, please contact HealthTeamWorks for information about guideline implementation trainings for healthcare practices at info@healthteamworks.org.  Please note that there may be a cost for some services or materials. 

Video 1: Evoking Commitment to Change (5 minutes)

The physician works with the patient to develop a specific focus. The provider asks open-ended questions, provides affirmation to the patient, uses reflective listening and summarizes the discussion for the patient (OARS). He also helps the patient measure the issue's importance with a 10-point scale and asks the patient to estimate his confidence level for making the change using the same scale.

Video 2: Adolescent Follow-Up on Positive Alcohol Screen (3 minutes)

The adolescent patient has screened positive for alcohol use, The medical assistant works with him to identify his risk for alcohol abuse by asking permission and using an affirmation approach.

Video 3: Linking Behaviors (4 minutes)

We meet a patient who has just been screened as “at risk” for alcohol use and pregnancy. The nurse works with the patient to link the two issues and uses the patient’s responses to elicit change talk and action planning toward change behavior.

Resources:

Questions?

For questions and additional information, please contact the HealthTeamWorks office at (720) 297-1681.