Motivational Interviewing in Health Care, Second Edition
Helping Patients Change Behavior
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The definitive guide to motivational interviewing (MI) for health care practitioners has been completely revised to reflect important developments and make the approach even more accessible. When it comes to helping patients manage chronic and acute conditions and make healthier choices in such areas as medication adherence, smoking, diet, and preventive care, good advice alone is not enough. This indispensable book shows how to use MI techniques to transform conversations about change. Even the briefest clinical interaction can serve to build trust, clarify patients' goals as well as reasons for ambivalence, and guide them to take positive steps. Vivid sample dialogues, tips, and scripts illustrate ways to incorporate this evidence-based approach into diverse health care settings.
New to This Edition
*Restructured around the current four-process model of MI (engaging, focusing, evoking, and planning).
*Incorporates lessons learned from the authors' ongoing clinical practice and practitioner training workshops.
*Chapters on advice-giving, brief consultations, merging MI with assessment, MI in groups, and making telehealth consultations more effective.
*Additional practical features--extended case examples, "Try This" activities, and boxed reflections from practitioners in a range of contexts.
This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.
Table of Contents
I. Introduction to Motivational Interviewing
1. Good Practice: The Compassionate Guide
2. Motivational Interviewing
III. Motivational Interviewing in Practice
7. Connecting with a Person: Engaging
8. Finding Direction: Focusing
9. Addressing the Why and How of Change: Evoking
10. Heading Into Action: Planning
IV. Everyday Challenges
11. Offering Advice and Information
12. MI Briefly
13. MI and Assessment
14. MI in Groups
15. MI Remotely
16. MI for Administrators and Managers
V. Inside Motivational Interviewing
17. Vaccine Hesitancy: A Case Study
18. MI in Depth: What Would You Say Next?
Appendix. A Practitioner’s Guide to Motivational Interviewing Research
Stephen Rollnick, PhD, is Honorary Distinguished Professor in the School of Medicine at Cardiff University, Wales, United Kingdom. He is a cofounder of motivational interviewing, with a career in clinical psychology and academia that focused on how to improve conversations about change, and helped to create the Motivational Interviewing Network of Trainers (www.motivationalinterviewing.org). He has worked in diverse fields, with special interests in mental health and long-term health conditions like diabetes, heart disease, and HIV/AIDS. Dr. Rollnick has published widely in scientific journals and has written many books on helping people to change behavior. He is coauthor (with William R. Miller) of the classic work Motivational Interviewing: Helping People Change, now in its third edition. He has traveled worldwide to train practitioners in many settings and cultures, and now works as a trainer and consultant in health care and sports. His website is www.stephenrollnick.com.
William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Fundamentally interested in the psychology of change, he is a cofounder of motivational interviewing and has focused particularly on developing and testing more effective treatments for people with alcohol and drug problems. Dr. Miller has published over 400 scientific articles and chapters and 60 books, including the groundbreaking work for professionals Motivational Interviewing, Third Edition. He is a recipient of the international Jellinek Memorial Award, two career achievement awards from the American Psychological Association, and an Innovators in Combating Substance Abuse Award from the Robert Wood Johnson Foundation, among many other honors. The Institute for Scientific Information has listed him as one of the world’s most highly cited researchers.
Christopher C. Butler, MD, is Professor of Primary Care at the Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom, and Professorial Fellow at Trinity College. He is Clinical Director of the University of Oxford Primary Care Clinical Trials Unit, and chairs the Longitude Prize Advisory Panel. Dr. Butler was for many years a general practitioner in South Wales. He was named the Wales Royal College of General Practitioners patient-nominated GP of the Year in 2019 and received the Royal College of General Practitioners Research Paper of the Year Award in 2020. His main research interests are in common infections, and health care communication and behavior change. He has led, or helped lead, over 30 clinical trials and published over 400 peer-reviewed papers.
"Whether you are a health care professional-in-training or an experienced practitioner, this book is for you! The second edition is chock-full of information on current everyday challenges in a busy practice, including medication adherence, pain management, vaccine hesitancy, weight loss, addressing multiple behavior changes, working with hostile patients, and using MI remotely. The book weaves together the spirit of MI and micro-skills with newer processes of engaging, focusing, evoking, and planning, which are essential to facilitating behavior change. Highlights include practitioners’ reflections, practical exercises, annotated clinical scenarios, and sample open-ended questions for each process. This book can help you rediscover the joys of clinical work and prevent burnout by using MI to create more satisfying, efficient, and effective patient conversations."--Melanie A. Gold, DO, DMQ, Professor of Pediatrics and Population and Family Health, Columbia University Irving Medical Center
"We use this book as one of the texts in our Advanced Health Promotion and Disease Prevention course, which introduces MI skills to advanced practice registered nurses. The students learn to see patients as people first, and to achieve better outcomes by using partnership, acceptance, compassion, and empowerment. The text has simple instructions with practical tools for application. This book fits into the classroom and practice setting as a resource for many health care disciplines."--Melanie Markham, MSN-ED, RN, Adjunct Faculty, School of Nursing, Regis College
“Health care has been stuck in the ‘righting reflex,’ trying to fix patients by projecting science onto them. But to truly shift towards healthy outcomes, patients want our hearts and our ears before our science. This book guides us toward a process of care that is more effective for those we serve and more rewarding for ourselves. The second edition thoroughly updates this classic resource for delivering value-based care."--David Rakel, MD, Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health
“Full of helpful tips to help clinicians guide their patients to achieve better health outcomes. I have been using the principles of MI since I first had the pleasure to learn this impactful approach more than 20 years ago. Each section of the book describes a step in the journey of helping people change their behavior by having constructive conversations during brief clinical visits. The second edition revisits and refines MI techniques in a practical, teachable format. All providers should become familiar with these critical elements of behavior change.”--Robert A. Gabbay, MD, PhD, FACP, Chief Scientific and Medical Officer, American Diabetes Association; Associate Professor of Medicine, Harvard Medical School
"Rollnick, Miller, and Butler do a terrific job of breaking down MI skills for students and practitioners using MI for health behavior change. The case examples are a wonderful tool to help the reader understand key concepts. In all aspects of health care, we come across clients who could benefit from changing behaviors, and this book is instrumental as a guide. In the second edition, I especially enjoyed the new chapter on MI for administrators and managers and the case study on vaccine hesitancy."--Toby Spiegel, PsyD, School of Health Sciences, California Southern University of Health Sciences
"An essential handbook for any practitioner who strives to have a positive impact on people's health and well-being. Written with the busy clinician in mind, this second edition guides you through the spirit and skills in a way that makes MI feel accessible and easy to implement in high-pressure environments. I will keep this book by my side in every meeting with clients. I cannot think of a single area in health care where this book would not be needed."--Orla Adams, MSc, primary care dietitian, Cardiff and Vale University Health Board, United Kingdom; member, Motivational Interviewing Network of Trainers (MINT)
"As an internist, when I first learned MI, a colleague suggested that I try it with patients who had uncontrolled diabetes or hypertension, the bread and butter of my practice. Only then did I see the opportunity to sprinkle MI into every primary care interaction. This wonderful book provides scenarios relevant to diverse medical specialties and settings, helping clinicians to immediately apply the spirit, processes, and powerful skills of MI. It provides timely insights into using MI remotely, in groups, and to address vaccine hesitancy. The case studies in the final section pull it all together and challenge learners to think about how they would respond and what they would say, thus preparing them to hit the ground running with their own patients."--Damara Gutnick, MD, Departments of Family and Social Medicine; Psychiatry and Behavioral Sciences; and Epidemiology and Population Health, The Albert Einstein College of Medicine
"In its second edition, this is a 'must-have' text for graduate health and human services students who want to communicate effectively with their patients/clients for positive outcomes. The text will be especially helpful for interprofessional education courses on communication skills, as there are various health care setting examples along with sample dialogue and practice exercises. The book is also for experienced practitioners who want to stay abreast of the current thinking and practice of MI. Rollnick, Miller, and Butler have written a book that is delightful to read, clear, concise, and addresses current topics such as using MI remotely and MI and vaccine hesitancy."--Melinda Hohman, PhD, MSW, School of Social Work (Emeritus), San Diego State University-