attack toolkit webinar on motivational interviewing
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ATTACK Toolkit Webinar on Motivational Interviewing
7-21-11
www.ATTACKtobacco.net
ATTACK Toolkit OverviewNavigating ToolkitMotivational Interviewing
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Motivational Interviewing/ Motivational Enhancement
Therapy
Cyndra Krogen-Morton, MA
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Poll 1: Which do you find most motivational? (Choose 1)
• Support of family/friends• Listing positives of achieving my goal• Listing negatives of not achieving my goal• Intermittent rewards during process• Other
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Street Team Project Overview• High school and college
students conducted one-on- one tobacco cessation interventions
• Community venues such as malls, music events and cultural festivals
• 10 minutes• Participant given quit kit• 61% quit rate among
participants
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“People do not care how much you know until they know how
much you care.”
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What is Motivational Interviewing?
A directive, client‐centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.
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Characteristics of MI
•
Directive, client‐centered
•
Elicits behavior change by helping clients explore and resolve ambivalence
•
Increases discrepancy between client’s current behaviors and desired goals
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Poll 2:
I have successfully incorporated a healthy lifestyle change recently (i.e. exercise, meditate, etc.).
Yes No
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What MI is not…•
Argues that the person has a problem and needs to
change•
Offers direct advice or prescribes solutions
•
Uses an authoritative/expert stance leaving the client in a passive role
•
Does most of the talking, or functions as a unidirectional information delivery system
•
Imposes a diagnostic label•
Behaves in a punitive or coercive manner
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Stages of Change
•
Pre‐contemplation•
Contemplation
•
Preparation•
Action
•
Maintenance
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Four Principles of MI•
Expressing Empathy
•
Developing Discrepancy
•
Rolling with Resistance
•
Supporting Self‐ Efficacy
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Fundamental Techniques of MI•
Open Ended Questions
•
Affirmations
•
Reflective Listening
•
Summarizing
•
Self‐Motivational Statements
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Open Ended Questions
•
Requires more than a ‘yes’
or ‘no’
answer
•
Allows client’s exploration of actions and behaviors
•
“What, how, why”
questions
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Poll 3:
• Which of the following goals would you like to incorporate in your life? – Eat healthier– Exercise more– Watch less TV– Manage stress better– Other
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Reflective Listening
•
Considered one of the most important elements
•
Reflecting what is being said for clarity and to help move forward
•
Do not merely repeat what is said, elaborate–
“I don’t want to quit smoking.”
–
“You enjoy it.”
•
Be aware of overstating/understating
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Affirmations
•
Positive reinforcement of client
•
No need to be excessive
•
“Thank you for coming/being on time today.”
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Other Tools
•
Importance/Confidence Ruler• On a scale of 1‐10 , how important is it for you to ‐change?• On a scale of 1‐10, how confident are you that you could
make this change?• Why are you at a 6 and not a 7? What would it take for you
to go from a 6 to a 7?
•
Querying Extremes• Suppose you continue smoking, what do you think could
be the worst thing that could happen?• What would be the best thing that could happen if you
quit?
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Summary•
MI is a nonjudgmental approach to facilitating change in a person
•
MI allows the person to explore their behavior, how it is working for
them and what about it is not•
Facilitators elicit warmth, empathy and respect while assisting the
client in their exploration•
MI relies on the person’s ambivalence to help motivate them to change
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Resources
• Street Team in the ATTACK Toolkit: Street Team & Motivational Interviewing.
• Motivational Interviewing website: http://motivationalinterview.org/
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Kimberly Bankston-Leeklee@sacbreathe.org916-444-5900 x211
Alex Tyannikovatyannikov@sacbreathe.org916-444-5900 x206
ATTACK Toolkit Project – www.ATTACKtobacco.netBreathe California of Sacramento-Emigrant TrailsSacramento, CAwww.SacBreathe.org
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