In Part II of this two-part episode on the powerful tool that is MI, we’ll talk through the remaining 2 of the 4 core skills of MI and the 4 MI processes. As in the previous episode, I provide exercises to help you integrate and implement this information into the clinic (see below for a full list).
You can find the episode in blog form at www.AndrewHammondPT.com/post/motivational-interviewing
You can find the intention-setting infographic at www.AndrewHammondPT.com/post/clinical-reasoning
If you enjoy this episode, share the love! When you share this episode with your friends, throw me a tag so we can connect! I’m ALWAYS looking for fellow PTs to nerd out with. You can connect with me via:
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EXERCISES:
Exercise 4: Reflective Listening
Use 1-2 reflective statements with each patient the next time you’re in clinic.
You could reflect: the meaning of what the person said, the associated feelings, or what may be said next.
Remember, just make one guess and keep it simple.
*Notice how the person responds*
Exercise 5: Summarization
Use one summary with each patient the next time you’re in clinic.
You could link past and present information, you could summarize their aggs and eases during history-taking, you could summarize salient exam findings as they accumulate, or you could summarize someone’s ambivalence as it relates to a behavior they want to change.
*Notice what happens after the summary*
Exercise 6: Engaging
Think about your patients on your caseload right now.
Ask yourself, “Are there any that I need to re-engage with the next time they come in?”
Whoever comes to mind, ask yourself: “How is my rapport?” & “Do I have a clear understanding of the help that they seek?” & “Do I have a clear understanding of their hopes & expectations?”
Whichever area(s) seems deficient, spend a little extra energy on that at the next visit.
*Notice how the session goes*
Exercise 7: Focusing
Think about your patients on your caseload right now.
Ask yourself, “Are there any that I need to re-focus with the next time they come in?”
Whoever comes to mind, ask yourself: “Do we have a shared sense of direction?” & “Do we both agree on their goals?”
Whichever area(s) seems deficient, spend a little extra energy on that at the next visit.
*Notice how the session goes*
Exercise 8: Evoking
Think about someone on your caseload right now who hasn’t been very committed to the process so far, despite having clear goals.
At your next visit with this person: ask for change talk, using open-ended questions; reflect change talk; affirm change talk; or summarize change talk.
*Notice what happens next*
Exercise 9: Planning
Think about someone on your caseload right now who hasn’t followed through with the plan despite vocalizing commitment to the plan.
At your next visit with this person, get more specific with aspects of the change plan: time, place; where it fits into daily routines; how they will remember; dosage; and identifying (& solving) potential barriers.
*Notice what happens next visit*
