Week 6: Interviewing in Health Psychology
Motivational interviewing (MI) is a patient-centered approach to behavior change where the interviewer guides the interviewee in exploring and resolving ambivalence (Miller & Rollnick, 2013). During a collaborative conversation, the interviewer helps the client strengthen his or her own motivation and commitment to change. William Miller and Stephen Rollnick developed this style of interviewing in the addiction field in the 1980s. Today it is used in both clinical and non-clinical populations. In non-clinical primary care settings, it is used to increase physical activity, improve diet quality, and adhere to a medication regimen.
The underlying spirit of MI includes creating a partnership between the client and coach, accepting the client and what he or she brings to the session, being compassionate by giving priority to the other’s needs and evoking ideas and strengths from the client. Motivational interviewing involves several processes: engaging the client, focusing, evoking, and planning. The first process, engaging, is characterized by establishing a secure connection and a working relationship. Focusing helps clarify the direction and goals. Evoking involves eliciting the client’s motivation to change. Last, planning can occur once the client is motivated and ready to make a change. In this process, the client develops a commitment to change and identifies a plan of action. The core communication skills involved in the four processes include asking open questions, affirming, reflective listening, summarizing, and informing and advising.
Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York, NY: The Guilford Press.
Be sure to review this week’s resources carefully. You are expected to apply the information from these resources when you prepare your assignments.
DiClemente, C. C., Corno, C. M., Graydon, M. M., Wiprovnic, A. E., & Knoblach, D. J. (2017). Motivational interviewing, enhancement, and brief interventions over the last decade: A review of reviews of efficacy and effectiveness. Psychology of Addictive Behaviors, 31(8), 862-887. doi: 10.1037/adb0000318
Kiene, S. M., Bateganya, M. H., Lule, H., & Wanyenze, R. K. (2016). The effect of motivational interviewing-based counseling during outpatient provider initiated HIV testing on high-risk sexual behavior in rural Uganda. AIDS and Behavior, 20(9), 1928-1936. doi: 10.1007/s10461-016-1337-y
Landry, A., Madson, M., Thomson, J., Zoellner, J., Connell, C., & Yadrick, K. (2015). A randomized trial using motivational interviewing for maintenance of blood pressure improvements in a community-engaged lifestyle intervention: HUB city steps. Health Education Research, 30(6), 910-922. doi: 10.1093/her.cyv058
Rehman, H., Karpman, C., Douglas, K. V., & Benzo, R. P. (2017). Effect of motivational interviewing-based health coaching on quality of life in subjects with COPD. Respiratory Care, 62(8), 1043-1048.
Week 6 – Assignment: Create a Health Interview Transcript (11 Points)
Imagine that you are working at a community health center as a health coach and a physician asks you to speak with a 15-year old female who has recently had difficulty taking her asthma medication as prescribed. According to the physician, her parents always administered her medication when she was a child, but they started involving her more in her self-management care about 2 years ago. She was doing well adhering to the regimen, but she reports that she has been forgetting over the past few months and doesn’t feel like taking the medication anymore. The doctor notes she has some symptoms of wheeziness, but otherwise, she seems to be fine.
Write a transcript of a conversation you might have with her during the Engaging part of the process. Create comments in the margins to explain, using the track change feature in Word. For example:
Health coach: You tried really hard to take your medication as prescribed.
Support your assignment with at least five scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including seminal articles, may be included.
Length: 3-5 pages, not including title and reference pages
Your assignment should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to Northcentral University’s Academic Integrity Policy.
Upload your document and click the Submit to Dropbox button.
Learning Outcomes: 1, 3
- Select interview techniques for various purposes of psychology.
- Portray human communication skills used in professional settings.