Physio Network [Physio Explained] Motivational interviewing essentials: a guide for clinicians to inspire change with Dr Tim Anstiss
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Nov 20, 2024 Dr. Tim Anstiss, a medical doctor and educator specializing in motivational interviewing, shares invaluable insights for clinicians. He breaks down the essential microskills of motivational interviewing, highlighting the importance of empathy and active listening. Tim discusses the stages of change model, offering strategies to motivate patients effectively. He also addresses unhelpful beliefs that impact patient pain and provides practical tips for integrating these techniques into busy practices, aiming to enhance patient engagement and inspire lasting behavior change.
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Origins of Motivational Interviewing
- Motivational interviewing (MI) originated in the drug and alcohol field, challenging the confrontational approach.
- A non-judgmental, curious approach elicits "change talk" from patients, revealing their intrinsic motivation.
Balancing Technique and Relationship
- Combine behavioral change techniques with strong relational factors like empathy and warmth.
- Avoid excessive unsolicited advice, especially when addressing behavior change.
Key Techniques in MI
- Use the acronym DARNCAT to identify change talk in patients (Desire, Ability, Reasons, Need, Commitment, Activation, Taking Steps).
- Employ the OARS micro-skills: Open questions, Affirmations, Reflections, and Summarizing.