Motivational Interview

Question 1

How do you open the consultation in a motivational interview?

Answer 1

appropriate introduction
check patients details
establish purpose of consultation – e.g. start Hx

Question 2

What do you do for screening in an alcohol motivational interview?

Answer 2

CAGE qs

Question 3

How do you assess intake in a motivational interview? (generally then specifically for alcohol)

Answer 3

What? and pattern e.g. amount per week
Assess the biological and sociopsychological impact of alcohol dependence (or smoking, or obesity)
on health, jobs, relationships
assess patients insight into alcohol dependence problems / smoking / obesity

Question 4

What communication skills should be used in a motivational interview?

Answer 4

• Elicit and address patients Ideas, Concerns, expectations?
  [e.g. anything you think this might be/ anything particularly concerning you, is there anything you would like to get out of the consultation
• Use open ended questions
  Assess patients readiness to change -> draw out a linear scale
• from 1-10 what is your desire to quit alcohol / smoking / change diet
  from - 1-10 how confident are you in being able to do so?
• use decision making box [draw] on the benefits/downsides of drinking behaviour
• use of FEEDBACK [personalised information]
• use of RESPONSIBILITY [ freedom of choice, individuals responsibilities for their own health]
  Use of ADVICE [appropriate and gentle suggestions to promote change]
  Use of MENU [formulate appropriate strategies to enable the change]
  Use of EMPATHY [show empathy and reflective listening]
  Use of SELF-EFFICACY [reflect that in order for changes to occur - patient must believe in themselves]
  RE-ASSESS readiness to change (linear scale, after)
  Desire to quit alcohol, how confident are you to do so

Question 5

How do you close the consulation?

Answer 5

summary and thank patient

offer leaflet/brochure/reliable help - support groups, CBT, pharmalogical therapy. Check patients understanding

Question 6

What should you make “use” of in an alcohol history?

Answer 6

use of FEEDBACK [personalised information]
- use of RESPONSIBILITY [ freedom of choice, individuals responsibilities for their own health]
Use of ADVICE [appropriate and gentle suggestions to promote change]
Use of MENU [formulate appropriate strategies to enable the change]
Use of EMPATHY [show empathy and reflective listening]
Use of SELF-EFFICACY [reflect that in order for changes to occur - patient must believe in themselves]

Question 7

What do you assess a scale of for a motivational interview?

Answer 7

Their DESIRE to quit XYZ
how CONFIDENT they are in being able to do so?
Scale of 1-10
asses before and after interview then go to close

Question 8

What should the table look like?

Answer 8

benefits and downsides on the top WIDTH

then alc/no alc or smoke/no smoke lifestyle;diet/no change on VERTICAL