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Obesity behavior
Behavior/pyshosocial factors in obesity management
Question | Answer |
---|---|
What are 4 characteristics of motivational interviewing that differentiate it from the routine clinical interview? | Person-centered, directive, enhances intrinsic motivation, creates change by exploring and resolving ambivalence |
What are the 3 characteristics of the spirit of motivational interviewing in order to make MI successful? | Autonomy (honors patient's choice, patients responsible for change), Collaboration (partnership with patient), Evocation (elicit solutions from patient rather than educating them) |
What are the 4 principles of motivational interviewing? | Express empathy (through reflections), develop discrepancy, roll with resistance, and support self-efficacy |
What are the 4 strategies to resolve ambivalence in motivational interviewing? Note that these are done after patient assessment is already done. | OARS: Open-ended questions, Affirmations, Reflections, and Summaries |
How many reflections should be given to a patient for every open ended question we ask? | 2 reflections for every question asked |
What is an affirmation in motivational interviewing? | Emphasizing a strength of the patient in order to reinforce positive behavior (this helps a patient believe in themselves so they are successful in changing) |
What is a reflection in motivational interviewing? | Statements that are guesses of how the patient is feeling, used to express empathy. "You're committed to this change." "You are frustrated." |
What is a summary in motivational interviewing? | Strategy in which the important parts of the interview are reflected back to the patient, especially the change talk that you heard. |
What is change talk? | Statements patients make that signifies they are moving in the direction of change. E.g., "I will think about it," or "Yes, I can do that. I will start that today." |
What is an acronym for remembering the types of change talk? | DARN: Desire to change (I want to/wish I could/would like to do that), Ability to change (I can/could do that), Reasons to change (If I changed, then this would happen), Need to change (Need to do this for my health, kids, job, etc.) |
When should motivational interviewing be used? | When a patient is not ready to change to fix a problem. |