Motivational Interviewing in Health Care Helping Patients Change Behavior

The definitive guide to motivational interviewing (MI) for health care practitioners has been completely revised to reflect important developments and make the approach even more accessible. When it comes to helping patients manage chronic and acute conditions and make healthier choices in such areas as medication adherence, smoking, diet, and preventive care, good advice alone is not enough. This indispensable book shows how to use MI techniques to transform conversations about change. Even the briefest clinical interaction can serve to build trust, clarify patients' goals as well as reasons for ambivalence, and guide them to take positive steps. Vivid sample dialogues, tips, and scripts illustrate ways to incorporate this evidence-based approach into diverse health care settings.
 
New to This Edition
*Most of the book is entirely new.
*Restructured around the current four-process model of MI (engaging, focusing, evoking, and planning).
*Incorporates lessons learned from the authors' ongoing clinical practice and practitioner training workshops.
*Chapters on advice-giving, brief consultations, merging MI with assessment, MI in groups, and making telehealth consultations more effective.
*Additional practical features--extended case examples, "Try This" activities, and boxed reflections from practitioners in a range of contexts.

This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

 

Stephen Rollnick, PhD, is Honorary Distinguished Professor in the School of Medicine at Cardiff University, Wales, United Kingdom. He is a cofounder of motivational interviewing, with a career in clinical psychology and academia that focused on how to improve conversations about change, and helped to create the Motivational Interviewing Network of Trainers (www.motivationalinterviewing.org). He has worked in diverse fields, with special interests in mental health and long-term health conditions like diabetes, heart disease, and HIV/AIDS. Dr. Rollnick has published widely in scientific journals and has written many books on helping people to change behavior. He is coauthor (with William R. Miller) of the classic work Motivational Interviewing: Helping People Change, now in its third edition. He has traveled worldwide to train practitioners in many settings and cultures, and now works as a trainer and consultant in healthcare and sports. His website is www.stephenrollnick.com.
 
William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Fundamentally interested in the psychology of change, he is a cofounder of motivational interviewing and has focused particularly on developing and testing more effective treatments for people with alcohol and drug problems. Dr. Miller has published over 400 scientific articles and chapters and 60 books, including the groundbreaking work for professionals Motivational Interviewing, Third Edition. He is a recipient of the international Jellinek Memorial Award, two career achievement awards from the American Psychological Association, and an Innovators in Combating Substance Abuse Award from the Robert Wood Johnson Foundation, among many other honors. The Institute for Scientific Information has listed him as one of the world’s most highly cited researchers.
 
Christopher C. Butler, MD, is Professor of Primary Care at the Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom, and Professorial Fellow at Trinity College. He is Clinical Director of the University of Oxford Primary Care Clinical Trials Unit, and chairs the Longitude Prize Advisory Panel. Dr. Butler practiced for many years as a general practitioner in South Wales. He was named the Wales Royal College of General Practitioners patient-nominated GP of the Year in 2019 and received the Royal College of General Practitioners Research Paper of the Year Award in 2020. His main research interests are in common infections, and health care communication and behavior change. He has led, or helped lead, over 30 clinical trials and published over 400 peer-reviewed papers.
 
 
 

 
Prologue
I. Introduction to Motivational Interviewing
1. Good Practice: The Compassionate Guide  
2. Motivational Interviewing
II. Skills
3. Asking
4. Listening
5. Affirming
6. Summarizing
III. Motivational Interviewing in Practice
7. Connecting with a Person: Engaging
8. Finding Direction: Focusing
9. Addressing the Why and How of Change: Evoking
10. Heading into Action: Planning
IV. Everyday Challenges
11. Offering Advice and Information
12. MI Briefly
13. MI and Assessment
14. MI in Groups
15. MI Remotely
16. MI for Administrators and Managers
V. Inside Motivational Interviewing
17. Vaccine Hesitancy: A Case Study
18. MI in Depth: What Would You Say Next?
Appendix. A Practitioner’s Guide to Motivational Interviewing Research
References
Index