Developed by the Outreach Worker Training Institute (OWTI)
of Central Massachusetts Area Health Education Center, Inc.
Outreach Worker Training Institute
(OWTI)
Patient Navigator
Certificate Course
November-March, 2010-2011
Healthy Weight Competencies
Basics of Motivational Interviewing (MI)
Part Two
Class Objectives
1.
2.
Conduct a “guiding” counseling style interview to assist patients in
resolving ambivalence
Develop and present a 30 second message evoking patients’ own
motivation to change in support of patients’
patients ability to change
Class Outline
1.
2
2.
3.
4.
5.
6
6.
7.
8.
9.
Welcome, Class Overview and Goals
R i ti the
Resisting
th Righting
Ri hti R
Reflex
fl
Recognizing Change Talk
Rolling with Resistance
Structured Networking and Break
C
Core
C
Communication
i ti Skill
Skills off MI
Your Message to Your Patient
Questions and Answers
Class Evaluation
OWTI of CM AHEC, Inc.
The Righting Reflex
What is the Righting Reflex?
Health
H
l h care workers
k
h
have a powerful
f ld
desire
i to fifix
things
Why is this a Problem?
People have a tendency is to resist persuasion
persuasion,
especially when ambivalent
OWTI of CM AHEC, Inc.
Examples of the Righting Reflex
Large Group Activity
• What are some examples of the Righting Reflex?
• How might the Righting Reflex come up while discussing
healthy weight?
• Why might it be difficult to resist the Righting Reflex?
OWTI of CM AHEC, Inc.
Resisting the Righting Reflex
How can you resist the righting complex?
By recognizing:
• Client ‘s Role is to argue and provide
reasons for change
Worker’s
s Role is to guide them
• HC Worker
through ambivalence and understand their
motivations
OWTI of CM AHEC, Inc.
Recognizing Change Talk
Getting that DARN Commitment:
•
•
•
•
Desire for change: “I want to…”
Ability to change: “I know I can…”
Reasons to change: “It will help me to...”
g “I have to because…”
Need to change:
Commitment Language Terms:
Vow, promise, will, plan to, consider, may
OWTI of CM AHEC, Inc.
Rolling with Resistance
Two opposite views of resistance:
• The client is behaving defiantly
• The client views the situation differently
OWTI of CM AHEC, Inc.
Structured Networking
•
Recall a time someone you knew (at work,
school, family) resisted making a change in their
b h i regarding
behavior
di achieving
hi i a h
healthy
lth weight.
i ht
•
Write down
do n possible reasons that person had
to resist making behavior change.
Compare your list with as many
other p
participants
p
as yyou can in
the next five minutes.
OWTI of CM AHEC, Inc.
Basics of Motivational Interviewing (MI)
Part Two
Break
10 Minutes
OWTI of CM AHEC, Inc.
Core Communication Skills of MI
• Asking: to understand client’s
client s problems
• Listening: to understand the meaning of
their problem correctly
• Informing: educating the client
Must balance these skills; be flexible
OWTI of CM AHEC, Inc.
Review: Definition of
Motivational Interviewing
What is Motivational Interviewing?
• Client
Cli t centered
t d
• Directive Method
• Aims to enhance motivation to change by
addressing client’s ambivalence
(
(Source:
Miller W & Rollick S “Motivational Interviewing:
g Preparing
p
g
People for Change” 2006)
OWTI of CM AHEC, Inc.
Your Message to Your Patient
•
Pair up and select the role of PN or patient
•
Conduct a “guiding” counseling style interview to
assist your “patient” in resolving ambivalence
about achieving a healthy weight
•
Switch roles
•
Develop a 30 second message using patients’
own motivation to change in support of patients’
ability to change
•
Present your message to the group
OWTI of CM AHEC, Inc.
Questions and Answers
We welcome your questions!
W thank
We
th k you for
f your answers!!
OWTI of CM AHEC, Inc.
13
Basics of Motivational Interviewing (MI)
Part Two
Class Objectives
1.
2.
Conduct a “guiding” counseling style interview to assist patients in resolving
ambivalence
Develop and present a 30 second message evoking patients’ own
motivation to change in support of patients’ ability to change
Class Outline
1.
2.
3
3.
4.
5.
6.
7.
8.
9.
Welcome, Class Overview and Goals
Resisting the Righting Reflex
R
Recognizing
i i Ch
Change T
Talk
lk
Rolling with Resistance
Structured Networking and Break
Core Communication Skills of MI
Your Message to Your Patient
Questions and Answers
Class Evaluation
OWTI of CM AHEC, Inc.
14