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Motivational Interviewing: Chronic Disease Management

Author: Noah Carpenter, MD, Abimbola Farinde, PhD., PharmD, Dana Bartlett, RN, BSN, MSN, MA, CSPI

CE: 2 hours
Rated 4.7 out of 5.0 based on 473 reviews

Course Summary

Motivational interviewing is a patient-centered counseling method for promoting behavior changes in patients. It can be used in many healthcare settings and other environments to foster improved health practices in challenging situations. By using principles of therapeutic communication, a health professional can act as a coach for patients to help them make better health choices. Motivational interviewing is a collaborative process that edifies patients and encourages them to make responsible decisions with regard to behavioral choices. Motivational interviewing is not necessarily a stand-alone type of therapy, but it can be incorporated into treatments and routine care for patients with various health issues, including physical, mental health. or substance use diagnoses. Motivational interviewing can be used along with other forms of therapy to help improve engagement between a patient and health clinician during treatment sessions. This engagement may help the patient resolve ambivalence when it comes to making decisions about needed healthy lifestyle changes. Fidelity to the process seems to be the distinguishing factor related to the effectiveness of motivational interviewing.

Course Format

Homestudy

Course Syllabus

I.         Introduction

II.         Motivational Interviewing in Healthcare

III.         Motivational Interviewing and the Concept of Ambivalence

IV.         Motivational Interviewing and Stages of Change

1. Precontemplation Stage
2. Contemplation Stage
3. Preparation Stage
4. Action Stage
5. Maintenance Stage
6. Termination Stage

V.         Motivational Interviewing and its Underlying Principles

1. Motivational Interviewing as an Evidence-based Approach
2. Four Key Principles of Motivational Interviewing
3. Components of Motivational Interviewing

VI.         Motivational Interviewing Techniques

1. Motivational Interviewing as an Evidence-based Approach
2. Facilitating the Process
3. Open-Ended Questions, Affirmations, Reflection, Summaries (OARS)
4. Informing or Advice Giving
5. DARN CAT
6. Elicit-Provide-Elicit
7. FRAMES
8. Pros and Cons
9. Non-verbal Communication

VII.         Motivational Interviewing Across Age Groups and Cultures

1. Children and Adolescents
2. Older Adults
3. Cultural Influences

VIII.         Motivational Interviewing in the Treatment of Chronic Diseases

1. Motivational Interviewing in the Treatment of Diabetes
2. Motivational Interviewing in the Treatment of Heart Disease

IX.         Summary

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