DocWire News Editors

DocwireNews

Motivational interviewing is a direct, patient-centered conversational method that elicits positive change by helping patients explore and resolve ambivalence. The goal is to increase a person&rsquo;s intrinsic motivation so that change arises from within rather than being imposed. Motivational interviewing can impact quality and value measures, create healthcare value for patients, and contribute to reducing costs.During a presentation at AMCP Annual Meeting 2018,&nbsp;Maureen Hennessey, PhD, CPCC,&nbsp;andElizabeth Oyekan, PharmD, FCSHP, CPHQ,&nbsp;both of Precision for Value, discussed real-world evidence and best practices for using this tool.A study found that motivational interviewing improved adherence by 17% using 15- to 20-minute interventions at three- and six-month follow-up. Another study found that motivational interventions do not need to exceed 15 minutes, and just one intervention per patient can increase the likelihood of a positive outcome. In a randomized, controlled clinical trial, patients in a group receiving motivational interviewing had a statistically and clinically significantly lower proportion of interferon beta-1a treatment discontinuation (1.2%) compared with a standard care group (8.7%). This reduction in treatment discontinuation represented a potential cost savings of more than $93 million per year.The philosophy of motivational interviewing includes the following ideas and implications:<ul>
<li>Patient resistance is a product of the environment, not an intrinsic behavior</li>
<li>The patient and provider relationship should be cooperative and congenial</li>
<li>Motivational interviewing centers around overcoming ambivalence</li>
<li>The practitioner keeps options open</li>
<li>Responsibility rests on the patient</li>
<li>Self-efficacy is paramount</li>
</ul>Motivational interviewing includes four steps: engage, focus, evoke and plan. The four principles of motivational interviewing are roll with resistance, express empathy, develop discrepancy, and support self-efficacy. The four core skills of motivational interviewing are open-ended questions, affirmations, reflections, and summarizations.The speakers gave an example of the use of motivational interviewing for a patient recently diagnosed with diabetes. The key points to convey include:<ul>
<li>Express an understanding of the patient&rsquo;s worries or concerns about the diagnosis or disease-related event</li>
<li>Assess the patient&rsquo;s understanding of the diagnosis and factors that may have contributed to it</li>
<li>Assess the patient&rsquo;s understanding of the necessary lifestyle changes and their impact on overall health (i.e., diet and exercise)</li>
<li>Encourage any positive changes that have occurred</li>
<li>Emphasize the importance of lifestyle changes and medication adherence for better health</li>
</ul>Challenges of effective motivational interviewing&mdash;despite strong evidence supporting its clinical efficacy&mdash;include training costs, sustaining the practice of motivational interviewing skills, and maintaining an evidence-based approach.Some best practices to improve the operations of motivational interviewing are:<ul>
<li>Gain executive support and team buy-in</li>
<li>Develop and support champions</li>
<li>Identify goals and collect baseline data on processes and outcomes</li>
<li>Develop a plan and start with a pilot program</li>
<li>Study the results and adjust the program based on the findings</li>
<li>Celebrate any success and build for sustainability</li>
</ul>Presentation M7: Motivational Interviewing: Improving Outcomes Through Enhanced Motivation. AMCP Annual Meeting 2018.

Jordana Jampel

Mechanism of Positive Association Between Parkinson’s Disease and Melanoma Revealed in New Research

Melanoma

Hatem Soliman, MD

Using Dendritic Cell Vaccines to Boost Neoadjuvant Therapy in HER2+ Breast Cancer

HER2 Breast Cancer

Kathleen Liu, MD

Joel M. Topf, MD, FACP

AKI Approaches and ASN Kidney Health Guidance

NKF Spring Clinical Meetings 2025

Latest News

The Case for Motivational Interviewing

AMCP 2018

Motivational interviewing is a direct, patient-centered conversational method that elicits positive change by helping patients explore and resolve ambivalence. The goal is to ...

About Us

Editorial Policy

Advertising

Contact Us

eNewsletters

Contribute

Career Center

MashupMD

Blood Cancers Today

Cancer Nursing Today

GU Oncology Now

Urban Health Today

Bile Duct Cancer

Colorectal Cancer

Gastroesophageal Cancer

Gastric Cancer

GEP-NETs

GIST

Liver Cancer

Pancreatic Cancer

GI Oncology Now

Anemia

Deep Vein Thrombosis

Essential Thrombocythemia

Hemophilia

Immune Thrombocytopenic Purpura

Myelodysplastic Syndromes

Myelofibrosis

Myeloproliferative Neoplasms

Polycythemia Vera

Pulmonary Embolism

Sickle Cell Disease

Thrombocytopenia

Thrombophilia

Thrombosis

Thrombotic Thrombocytopenic Purpura

Venous Thromboembolism

von Willebrand Disease

Heme Today

Acute Kidney Injury

ADPKD

Anemia and Kidney Disease

Chronic Kidney Disease

COVID-19 and Kidney Disease

Diabetes and Hypertension

End-Stage Renal Disease

Gout

Hyperkalemia

IgAN

Kidney Transplantation

Metabolic Acidosis

Nephrology Times

HR Breast Cancer

Triple-Negative Breast Cancer

Genetics & Breast Cancer

Breast Cancers Today

Atherosclerotic Disease

Atrial Fibrillation

Heart Failure

Hypertension

Interventional Cardiology

Lipid Management

Practice Tips With Dr. Lichaa

Preventive Cardiology

Stroke

Cardiology

Breast Cancer

Gynecologic Cancer

Head and Neck Cancer

Skin Cancer

Oncology

Sleep

Urology

Diabetes

Ophthalmology

— Demodex Blepharitis

Neurology

Rheumatology

Gastroenterology

Pulmonology

Infectious Diseases

— HIV

Health and Wellness

Lupus

Future of Medicine

Orthopedics

Pharmacology

Career News

More

Conferences

CardioNerds

The Sleep Source With Dr. Morse

Rheumatology Rounds With Dr. Maheswaranathan

Partners

Expert Interviews

Subscribe