Introduction: Motivational Interviewing Strategies to Improve Patients Compliance (02:06)
Objectives include identifying office routines that can impair communication and learning how to apply motivational interviewing into a practice. Personal biases can damage effective discourse.
Methods of Assessment (03:34)
Patients might not disclose something freely if other individuals are present. Types of assessment include medical history, physical assessment, labs, and patient interview.
Behavior Change: Stages of Change (08:46)
Stages include precontemplation, contemplation, preparation, action, and maintenance. Individuals have different belief systems and values. Ask permission before weighing a person; encourage realistic goals.
Behavior Change: SMART Goals (03:44)
SMART goals are specific, measurable, attainable, realistic, and timely. Set a small objective that is easy and quick to attain.
Behavior Change: Challenging Situations (06:28)
Ask what is important to the patient and help them achieve it; build self-confidence and motivation. Utilize listening techniques and repeat back what the patient says.
Behavior Change: Elicit "Change Talk" (09:50)
Ask open-ended questions that are patient-centered. Employ empathetic techniques and show compassion to establish a connection.
Behavior Change: Reinforcement (04:45)
Create a reward system for meeting goals. Consider using apps and new technology to help patients. Employ the Importance and Confidence Ruler by Johnson and Johnson with patients.
Behavior Change: Dealing with Emotions (08:17)
In general most people repeat the same things. Saying "never" or "ever" makes patients stop listening, hurt, angry, and depressed. Learn how to cope with individuals who feel overwhelmed or embarrassed.
Behavior Change: Learning Styles (19:37)
Children learn differently than adults. Listen, ask open ended questions, and empower patients. Adults learn best when they repeat information and perform a task; Children learn best using three dimension.
Consider demographic, biologic, psycho-social, environment, economic, and cultural differences when advocating for change. Childproof containers can be difficult for seniors. If the health care provider is open and friendly, a patient will be more willing to divulge embarrassing conditions and situations.
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