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Motivational Interviewing in Health Care

Helping Patients Change Behavior

• By Stephen Rollnick, William R. Miller, Christopher C. Butler

Please order this title fromGuilford Press

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• Binding: Paperback (also available in Hardback)
• Pages: 210
• Published by: Guilford Press
• Publication Date: 2nd January 2008
• ISBN: 978-1-59385-612-0

About the Book

Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions.

Reviews

"I highly recommend this book for any practitioner dealing in health behavior change. In a conversational style with numerous helpful examples, the authors translate complex psychological concepts into easy-to-understand terms that will support and guide health care practitioners in improving their consultations with patients. The book is also a 'must' for the shelves of undergraduates and graduate students alike who are interested in motivational interviewing within the world of health care practice." - Judith Carpenter, registered dietitian, Derbyshire County Primary Care Trust, UK

"Many of today's leading causes of death are significantly related to modifiable health behaviors. This book provides a critical approach for helping patients change their behavior. Motivational interviewing (MI) provides a new alternative to the outdated direct persuasion approach, bringing a breath of fresh air to the conversation between health care providers and those with chronic diseases like diabetes and obesity. Practical examples and exercises make this book a powerful tool for use in educating medical students, nurses, and other health care professionals about encouraging patients to make healthy choices." - Robert Gabbay, Executive Director, Penn State Diabetes and Obesity Institute, Pennsylvania State College of Medicine, Milton S. Hershey Medical Center, Hershey, PA, USA

"This practical guide moves motivational interviewing (MI) into the realm of everyday health care practice. Specifically, the book addresses the 'why' and the 'how-to' aspects of having conversations about behavior change. It helps clinicians learn to hear what their patients are really saying, and how to guide them through resolving ambivalence about behaviors. Relevant examples from various fields of medicine are provided. The chapter featuring extended examples of how to integrate MI into everyday interactions is particularly helpful." - Carol R. Schermer, Department of Surgery, Division of Trauma, Loyola University Medical Center, USA

"This easy-to-read book is a gift to all health care providers. The authors use real-life cases and believable dialogue to illustrate how to use listening skills to elicit the patient's perspective and build toward change." - Edward Bernstein, Department of Emergency Medicine, Boston University School of Medicine; Director, Brief Negotiated Interview and Appropriate Referral to Treatment (BNI-ART) Institute, Boston University School of Public Health, USA

"A 'must read' for health care practitioners across disciplines, from novice clinicians searching for practical advice to expert providers seeking professional refueling... In today's fast-paced health care industry, providers may feel daunted by encroaching technology or hamstrung by requisite documentation. Therefore, enjoying meaningful interactions with patients becomes even more of a challenge. Fortunately, MI can help providers connect with their patients. After reading this book, one cannot help but feel empowered to change behavior." - Pam Burke, Division of Adolescent Medicine, Boston Children's Hospital, USA

"This is an immensely useful text for teaching students and professionals how to help patients adopt health-promoting behaviors; for example, dieting, exercising, or attending follow-up appointments. Most such education concentrates on what to tell patients; this text concentrates on how to guide patients so that they will hear and implement the 'what.' As an MI trainer, I will be using this resource with a range of health care providers." - Robert G. Rhode, Department of Psychiatry, University of Arizona, USA

"In this era of evidence-based practices in health care, practitioners still face the vexing question: Will my patient actually follow the procedures known to be efficacious? This book assists health care professionals in maximizing their effectiveness. An evidence-based practice in its own right, MI facilitates cooperation and compliance with treatment regimens. If you are a health care professional or a mental health professional consulting in a medical setting, and have ever wondered what to do with a seemingly 'unmotivated' patient, this is the book for you." - Barent Walsh, Executive Director, The Bridge of Central Massachusetts, USA

"As pharmacists take an increasingly active role in health care and medication counseling, we now recognize that many 'medication problems' are, in essence, communication problems. Motivational interviewing allows pharmacists to communicate with their patients in a clear, concise, and structured way. Pharmacists and pharmacy students in any practice setting will benefit from implementing the tools and techniques in this book." - Ernest J Dole, Health Partners, Albuquerque, New Mexico, and University of New Mexico College of Pharmacy, USA

Table of Contents

Part I: Behavior Change and Motivational Interviewing. Motivational Interviewing: Principles and Evidence. How Motivational Interviewing Fits into Health Care Practice. Part II: Core Skills of Motivational Interviewing. Practicing Motivational Interviewing. Asking. Listening. Informing. Part III: Putting it all Together. Integrating the Skills. Case Examples of a Guiding Style. Getting Better at Guiding. Beyond the Consultation. Epilogue: A Map to Guide You. Appendix A: Learning More About Motivational Interviewing. Appendix B: A Topical Bibliography of Research on Motivational Interviewing.

About the Author(s)

Stephen Rollnick, PhD, Department of Primary Care and Public Health, Cardiff University, Wales, UK; William R. Miller, PhD, Department of Psychology (Emeritus), University of New Mexico, USA and Christopher C. Butler, MD, Department of Primary Care and Public Health, Cardiff University, Wales, UK

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