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Motivational Interviewing in Health Care: Helping Patients Change Behavior

by Stephen Rollnick, William R Miller and Christopher C Butler Guilford Publications
Pub Date:
11/2007
ISBN:
9781593856120
Format:
Pbk 210 pages
Price:
AU$75.00 NZ$77.39
Product Status: Available in Approx 7 days
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Available as eBook
AU$75.00 | NZ$85.13

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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.

KEY FEATURES
> Fills a huge, unmet need: applies MI—an effective technique developed in mental health care—to medical settings.
> From the creators of MI and authors of the bestselling Motivational Interviewing (ISBN-13: 978-1-57230-563-2).
> Tailor-made for the busy practitioner: concise, affordable, and eminently practical.
> Grassroots sales support: an extensive network of MI trainers use and promote MI titles internationally.

AUDIENCE
Physicians in all specialties, nurses, and a broad range of other health care professionals.

COURSE USE
May serve as a supplemental text in such courses as Introduction to Clinical Medicine and Medical Interviewing.

CONTENTS
I. Behavior Change and Motivational Interviewing
1. Motivational Interviewing: Principles and Evidence
2. How Motivational Interviewing Fits into Health Care Practice
II. Core Skills of Motivational Interviewing
3. Practicing Motivational Interviewing
4. Asking
5. Listening
6. Informing
III. Putting It All Together
7. Integrating the Skills
8. Case Examples of a Guiding Style
9. Getting Better at Guiding
10. 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

''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. 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 Diabetes and Obesity Institute, Pennsylvania State College of Medicine, Milton S. Hershey Medical Center, Hershey, PA

''This practical guide moves 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, MD, MPH, Department of Surgery, Division of Trauma, Loyola University Medical Center

''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.''/m-/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

''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, 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

''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, PhD, RN, Division of Adolescent Medicine, Boston Children's Hospital

''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.''/m-/Ernest J Dole, PharmD, ABQ Health Partners, Albuquerque, New Mexico, and University of New Mexico College of Pharmacy

''This book provides a well-organized, thoughtful discussion about how to develop a set of interpersonal skills that can promote the betterment of patient care and health behaviors. Pharmacy practice faculty would be well advised to incorporate these powerful methods and examples into courses that address health behaviors and/or patient counseling.''/m-/Douglas J. Pisano, PhD, Professor and Dean, School of Pharmacy, Massachusetts College of Pharmacy and Health Sciences

''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.''/m-/Stephen T. Wegener, PhD, ABPP, Director, Division of Rehabilitation Psychology, Department of Physical Medicine and Rehabilitation, Johns Hopkins University

“Rollnick, Miller, and Butler adroitly describe the spirit and practice of MI through richly annotated case examples and incisive metaphors to help the learner remember and understand key principles....The book provides an excellent description of state-of-the-art patient-centered communication for both newbies and established practitioners who are looking for a refresher in MI spirit.”
- American Journal of Lifestyle Medicine (Belinda Borrelli, Vol. 3, No. 1, January/February 2009)

''Provides practical guidance on how clinicians in health care settings can apply MI to promote change in a range of health-related behaviors, such as smoking, exercise, diet, use of new aids or medications, and uptake of services....The book reads like a practice guide, clearly aimed at the time-constrained clinician, with useful short summary statements stressing the main point of each section for the reader....Has the potential to make
an important long-term impact on both the individual and population health outcomes.''
- Drug and Alcohol Review (Dana Wong, Vol. 28, May 2009)

''The authors are leading authorities in motivational interviewing, having founded, developed, and written extensively on the topic over the past 25 years....For a broad range of frontline clinicians, including those who work in various medical specialties, the book gives useful insights that can have an immediate impact by making one's practice more productive and more enjoyable. For those with special interest in human behavior, particularly those in the mental health field, this book is a concise, highly readable introduction to motivational interviewing and will likely pique interest for further study of this powerful tool for promoting
change.''
- Psychiatric Services (Jeffrey L. Geller, Vol. 60, No. 9, September 2009)

I. Behavior Change and Motivational Interviewing

1. Motivational Interviewing: Principles and Evidence

2. How Motivational Interviewing Fits into Health Care Practice

II. Core Skills of Motivational Interviewing

3. Practicing Motivational Interviewing

4. Asking

5. Listening

6. Informing

III. Putting It All Together

7. Integrating the Skills

8. Case Examples of a Guiding Style

9. Getting Better at Guiding

10. Beyond the Consultation

Epilogue: Some Maps to Guide You

Appendix A. Learning More about Motivational Interviewing

Appendix B. A Topical Bibliography of Research on Motivational Interviewing

“The book will be of interest to any community health nurse who interacts with patients, in particular those who try to help clients manage chronic illnesses such as diabetes and high blood pressure. The authors provide a detailed framework for guiding behavioral change and offer a map for shifting interview styles with comfort, so that the practitioner can adopt the appropriate style for the client situation. This title is also suitable for adoption in classes and clinical labs that are focused on teaching students about helping relationships and about strategies for assisting patients to make a positive lifestyle change.”
Stephen Rollnick, PhD, is a clinical psychologist and Professor of Health Care Communication in the Department of Primary Care and Public Health at Cardiff University, UK. He practiced in a primary care setting for 16 years and then became a teacher and researcher on the subject of communication. Dr. Rollnick has written books on motivational interviewing and health behavior change, has published widely in scientific journals, and has taught practitioners and trainers in many countries throughout the world. 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.