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Motivational Interviewing in Health Care: Helping Patients Change Behavior Paperback – Nov 7 2007
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"At the heart of rehabilitation are two central tenets: First, the patient is a key member of the rehabilitation team. Second, the rehabilitation process requires patients to learn and utilize new adaptive behaviors. How do we make these two key notions come alive in our interactions with patients? This text is the answer to that question. It provides useful theory, evidence-based methods, and clinical examples. The material is accessible and does not assume advanced knowledge of psychology. The message and skills in this book should be part of the practice of every rehabilitation professional."--Stephen T. Wegener, PhD, ABPP, Director, Division of Rehabilitation Psychology, Department of Physical Medicine and Rehabilitation, Johns Hopkins University
"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, PhD, Executive Director, The Bridge of Central Massachusetts
"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, PhD, Department of Psychiatry, University of Arizona; member, Motivational Interviewing Network of Trainers (MINT)"This book delivers what it promises: practical, effective, and efficient strategies for producing more productive interactions with patients about behavior change. The authors, who are largely responsible for originating and refining MI, have translated this powerful evidence-based intervention into a set of core competencies and skills that can be easily understood, learned, practiced, and, most importantly, integrated into real-world clinical practice."--Michael G. Goldstein, MD, Associate Director for Clinical Education and Research, Institute for Healthcare Communication, and Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University
"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, MD, PhD, Executive Director, Penn State Hershey Diabetes and Obesity Institute
"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. I see this as a useful resource for physicians, nurses, physician assistants, and other clinicians, as well as clinician educators involved in training students and residents."--Carol R. Schermer, MD, MPH, Department of Surgery, Division of Trauma, Loyola University Medical Center
"Packed with practical pearls of wisdom for guiding patients in the process of changing many types of unhealthy behaviors, 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. Too many of us in health care get discouraged and give up hope too soon when patients are not compliant with our advice, when we really should be trying a different way to approach the issues. This book's 'can-do' and 'no-blame' orientation helps the busy clinician regain satisfaction in relationships with patients and become more effective in facilitating change."--Edward Bernstein, MD, 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
"The authors highlight the underpinnings of effective communication and demonstrate how the spirit, philosophy, and principles of MI can actually enhance patient-provider relationships. This book is a 'must read' for health care practitioners across disciplines, from novice clinicians searching for practical advice to expert providers seeking professional refueling. Faculty will find this book invaluable for teaching future health care providers, as the information on MI is evidence based and the case examples are drawn from real-world clinical experiences. 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, PhD, RN, Division of Adolescent Medicine, Boston Children's Hospital
"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 undergraduates and graduate students who are interested in motivational interviewing within the world of health care practice."--Judith Carpenter, registered dietitian, Derbyshire County Primary Care Trust, UK
About the Author
Stephen Rollnick, PhD, is Honorary Distinguished Professor at the Cochrane Institute of Primary Care and Public Health at Cardiff University, United Kingdom. A clinical psychologist with many years of experience and a codeveloper of MI, he provides consultancy and training on the subjects of motivation, change, and MI. His research and guidelines for good practice have been widely published, and his work on implementation continues, with a current focus on children with HIV/AIDS in Africa, pregnant teens in deprived communities, and MI for schoolteachers and sports coaches.
William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico, where he joined the faculty in 1976. He served as Director of Clinical Training for UNM's American Psychological Association-approved doctoral program in clinical psychology and as Codirector of UNM’s Center on Alcoholism, Substance Abuse, and Addictions. Dr. Miller’s publications include 35 books and more than 400 articles and chapters. He introduced the concept of motivational interviewing in a 1983 article. The Institute for Scientific Information names him as one of the world's most cited scientists.
Christopher C. Butler, MD, is Professor of Primary Care Medicine and head of the Department of Primary Care and Public Health at Cardiff University, UK. He trained in medicine at the University of Cape Town and in clinical epidemiology at the University of Toronto. For his doctoral work, under the direction of Stephen Rollnick, he developed and evaluated behavior change counseling and conducted qualitative research into patients’ perceptions of advice against smoking from clinicians. Dr. Butler has published more than 70 papers, mainly on health behavior change and common infections. He has a general medical practice in a former coal-mining town in south Wales.
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Different options given on approaching ways to implement effective guidelines to assist clients and assist them to come to their own decisions.
Most Helpful Customer Reviews on Amazon.com (beta)
As an experienced neurologist (read 'old')I have spent decades and read many books about interviewing: neurological, psychiatric, difficult, challenging, etc., etc. In serial publications over 20 years or more, Dr. Miller and others have refined the process of how to converse to effectively motivate patients to do what (you think) they should do.
Doctors know that figuring out what a patient needs is only the beginning of the overall process. Selling the patient is important in medicine if optimum results are to be attained. This book is a communication guide. This book shows you how to convince the patient he needs and really wants to buy your product for his own good.
In an intelligent and logically organized fashion, this thin book (2-3 hours max to get through, but then more time later to restudy and refine technique) provides a matrix from which to work to induce your patient to internalize wanting and needing to do what he should do for optimal health. It shows physicians or counselors how to begin therapy after making a diagnosis and reinforces a teamlike approach where resistance or escapism can often show up.
If you recall the book The House of God, one of the first rules proferred was that the patient is always the one with the problem. This book guides the doctor to show the patient why he needs to take on his problem and be motivated to handle his part optimally for his own good.
As I improve my use of these straightforward techniques, I am considering jettisoning the ballpeen hammer I used to use for the same purpose. There is nothing earth shattering here. I have and likely we all have used these techniques at times, but this book puts it together as I suspect few of us have done as concisely independently.
I recommend this book strongly, and I would not buy any of the preceding ones (not that I have read them all, but it seems this book must be the denoument). This would be excellent reading in medical school and any time after. There is nothing this old dog likes better than learning and improving efficiency. Counseling is a big part of our job and one cannot help but improve technique and outcomes with these insights. My patients will fare better because I read this book and, well, what else is there?
Edward Bernstein, MD
Board Certified in Emergency Medicine and Family Medicine
Professor and Vice Chair for Academic Affairs
Department of Emergency Medicine
Boston University School of Medicine
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