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Motivational Interviewing in Health Care: Helping Patients Change Behavior

(Applications of Motivational Interviewing )

4.04  ·  Rating details ·  396 ratings  ·  27 reviews
Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking ...more
Paperback, 210 pages
Published November 7th 2007 by The Guilford Press (first published November 5th 2007)
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Sher Free
Oct 07, 2018 rated it really liked it
Probably 4.5. Really great info, suggestions and usable techniques. I just wish they had tied it all together with an outline, flowchart, something. I know every interview is going to be different and need to ebb and flow, but still, a little help on that guys and it might be a perfect little book. I had to take hours I don't have after reading this to put together my own modest outline for a little more usable and practicable structure, which I am inspired to use I have to say.
I read this mostly to help me improve my Motivational Interviewing skills at work. I found some areas in which I need to improve. For example, sometimes I end a reflective statement with a higher tone of voice, almost like I'm asking a question. I also tend to follow an open ended question immediately with a closed ended question, causing the patient to only focus on my closed ended question. I need to work on my summarizing too-it's not my favorite thing to do. I'm going to try and read more ...more
أبو فاطمة 14
Apr 16, 2018 rated it really liked it
قرأت النسخة العربية من الكتاب التي كانت بإشراف و تحرير د.فلاح بن محروت البلعاسي العنزي والصادرة عام هـ تحت عنوان: المقابلة الدافعية في الرعاية الصحية الأولية؛ مساعدة المرضى على التغير السلوكي.

في الجزء الاول يتبين أن المقابلة الدافعية هي أسلوب عيادي ماهر لاثارة الدافعية الإيجابية لدى المرضى لإحداث التغيرات السلوكية التي تحسن صحتهم، وتعتمد على الشراكة التعاونية وإعطاء المرضى ما ينقصهم مع احترام إستقلالية المريض.
هنالك أربعة مبادئ إرشادية:
- مقاومة نزعة التصحيح
- فهم واستكشاف دوافع المريض الذاتية
Emily Blasik
Feb 27, 2018 rated it liked it
Shelves: health, nta-reads
Have you ever left your doctor's office feeling as if your observations/concerns/questions about your health weren't fully heard or answered? That's our modern healthcare system for you: quick, efficient, and sorely lacking in empathy. While the basic problem-solution approach is great for emergency situations (when time is of the essence!), chronic sufferers and preventative care patients would greatly benefit from just a few minutes of every day, old-fashioned conversation with their medical ...more
MS. Balcilar
Jun 24, 2017 rated it really liked it
Although the primary purpose of this book is to define and describe an approach to one-to-one health care consultations, it is also usefull for reader whose aim is just gain some personal development abilities like me. In addition to learn how to motivate people and make them change, personally, I found an opportunity to evaluate the medical doctors behaviours. After that book, I undestood why I like some doctors more than others. It is not just depends on their professionality but also their ...more
Jamie Fuller
Aug 12, 2018 rated it really liked it
Shelves: professional
This wasn't a fascinating read, but the lessons were important. I actually feel like they apply pretty broadly - any time you're talking to someone who is trying to make a change, needs to change or is coming at a subject from a different perspective than you are. Being aware of your automatic reflexes, how they come across and what that does to the dynamics makes a huge difference. There is particularly a lot be said for the section on really listening to the other person's motivations and ...more
Jun 25, 2018 rated it it was amazing
While this was written for health care workers, it also simply lays out the information and practical tools to use Motivational Interviewing, which is a way to engage with people through honoring their autonomy and letting them guide the question. It is incredibly useful for anybody who has to work with people in their day-to-day job.
Tristan Roxburgh
Jul 11, 2018 rated it really liked it
Great book but I wish they would put their sources at the back of the book. There are literally half page paragraphs containing 2 actual sentences mixed alongside a bunch of sources, make it hard to follow at times.
Nov 29, 2018 rated it really liked it
Finally read this one, I've owned it for months.

I'm a medical social worker, so I will definitely be using it at work.

Recommended for medical clinicians of all types, anyone who can positively influence patient outcomes.
Matt Bucklin
Aug 24, 2017 rated it really liked it
Really good explanation of techniques of Motivational Interviewing in healthcare practice.
Mar 01, 2017 rated it really liked it
A good, manageable introduction into Motivational Interviewing for those working in a healthcare setting. Having never read the main book or gotten extensive training in MI, I cannot say whether or not this cut out too much of it to be successful. However, after reading it I definitely thought it reinforced important skills and provided a good jumping off point. I particularly liked the consultation examples provided near the end of the book. I don't think reading this book is enough to really ...more
Mar 06, 2011 rated it liked it  ·  review of another edition
Recommends it for: medical clinicians and aides.
There was a bit of a mismatch here for me. I am a health counselor, but it is a counselor type of position. This book is much more aimed for the clinical setting, especially where time with each client is very limited. They are directing this book much more to Doctors, Nurses and their aids than to someone like me.

That said, as a Holistic Health Coach, the concepts set forth are extremely helpful. Since my job is to actually coach people through the changes that doctors are guiding them to make,
Maan Kawas
Jul 20, 2013 rated it it was amazing
A very good book that provides clear information on the concept, principles, tools, and skills of the ‘Motivational Interviewing” in general, and its use within the health care context in particular! One of the key points the book stressed is the importance of eliciting from patients their own good motivation for making health-related behavior change, using various strategies and tools. The books explain the overall spirit of the approach in the following points: “collaborative, evocative, and ...more
Cyndie Courtney
For every medical professional who has ever wanted to bang their head into a wall due to patient non-compliance despite strong patient understanding of their condition and its risks.

This book explains so many phenomenon we experience in practice, especially why patients resist making health changes more the more evidence for the importance of those changes we present. Using case based examples this book presents an alternative listening, problem-solving based approach that still is fueled by
This book tries to do basically what the title says, present motivational interviewing techniques geared toward a healthcare (really primary care) setting. The information is good and I am a believes in the techniques it was just oversimplified for someone who's already been to trainings and read the original Miller & Rollnick book. I would recommend this to people who think they need what the title says, but for someone at more of an intermediate level with MI, just go back to the original ...more
Oct 30, 2013 rated it really liked it
Shelves: non-fiction
This book describes how a social worker, MD, RN or other health care professional can talk to a patient about behavioral changes necessary for improving their health in such a way that the patient is motivated to change. This is done through enouraging the person to identify why, how much, and how they'd want to make changes, rather than the professional trying to argue, persuade, or guilt them into it. The authors, (and now I) are convinced that this is most effective way to encourage adult ...more
Mar 08, 2016 rated it liked it
I had to read this for one of my classes and the information is helpful. However, it rambled and really got hard to follow in the last 1/4 of the book. Maybe my motivation was waning and the book was fine...I don't know. In any case, I learned about motivational interviewing and guidelines on how to do it. The examples helped. I think the content could have been organized a little better to make it easier to grasp. Probably could have cut 50 pages out, too, and not even noticed.
Becky Webb
Mar 03, 2013 rated it it was amazing
This book is amazing! Although the technique takes some practice it can be used in so many parts of life, not just in a medical practice. For anyone who wants to improve their communication skills I recommend it!
Surprisingly good book if you are looking to improve your communication skills. While this book was written for the healthcare provider, I can see it's application across many interactions, including anyone with kids. It's a quick and easy read. Very informative.
Jay Gottschalk
Jan 09, 2017 rated it it was amazing  ·  review of another edition
An essential guide for clinicians in every healthcare environment

MI is a tool that has been around for some time, but little taught in academic or clinical settings. Do yourself and you patients a favor and read this book.
Aug 06, 2012 rated it really liked it
Interesting...I can think of a lot of different ways and circumstances in which this would be useful. I would especially recommend it to anyone in social services or medicine.
Feb 22, 2014 rated it really liked it
Very useful.nNeed to reread and apply knowledge.
Nov 27, 2013 rated it really liked it
Shelves: counselling
Great reference for revisiting the principles of motivational interviewing specifically in relation to health care. Easy to read and understand, well set out.
Apr 22, 2016 rated it really liked it
Good introductory piece. Very accessible to anyone who is considering implementing this technique.
Apr 01, 2008 rated it it was amazing  ·  review of another edition
Great resource if you work with people on behavior change.
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Kelli Saginak
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Barbara Iles
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Jul 21, 2012
Crystal Ann
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Aug 28, 2015
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Applications of Motivational Interviewing (6 books)
  • Building Motivational Interviewing Skills: A Practitioner Workbook
  • Motivational Interviewing with Adolescents and Young Adults
  • Motivational Interviewing in Social Work Practice
  • Motivational Interviewing in the Treatment of Psychological Problems, First Ed
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