Advertisement

Motivational Interviewing: Enhancing Patient Motivation for Behavior Change

  • Robert J. Shannon

Abstract

Despite our telling the client about the need to change his behavior, he just wouldn’t do it.

The success of many therapies depends to a large degree on the extent to which patients engage with their treatment and adhere to the lifestyle changes that are recommended to them. However, this usually requires a high degree of effort and motivation on the part of the patient, and poor adherence is a common problem. A key task for occupational therapists (OTs), therefore, is enhancing motivation for behavior change. This is especially important given the increasing emphasis on helping patients to take more responsibility for their own care (Department of Health, 2004; Pill et al., 1998). Motivational interviewing has been shown to be an effective and efficient method for building motivation for behavior change in a number of problem areas (Hettema et al., 2005).

Keywords

Behavior Counseling Motivation 

References

  1. Amrhein, P.C., Miller, W.R., Yahne, C.E., Palmer, M., and Fulcher, L. (2003). Client commitment language during motivational interviewing predicts drug use outcomes. J Consult Clin Psychol, 71(5), 862–878.PubMedCrossRefGoogle Scholar
  2. Bem, D.J. (1972). Self-perception theory. In: Berkowitz, L., ed. Advances in Experimental Social Psychology, Vol. 6 (pp. 1–62). New York: Academic Press.Google Scholar
  3. Burke, B.L., Arkowitz, H., and Menchola, M. (2003). The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Consult Clin Psychol, 71, 843–861.PubMedCrossRefGoogle Scholar
  4. Department of Health [Richmond, England] (2004). Publications policy and guidance: choosing health: making healthy choices easier. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4094550. Retrived 10/03/2009.Google Scholar
  5. Festinger, L. (1957). A Theory of Cognitive Dissonance. Stanford, CA: Stanford University Press.Google Scholar
  6. Hettema, J., Steele, J., and Miller, W.R. (2005). Motivational interviewing. Annu Rev Clin Psychol, 1(1), 91–111.PubMedCrossRefGoogle Scholar
  7. Miller, W.R. (1983). Motivational interviewing with problem drinkers. Behav Psychother, 11(2), 147–172.CrossRefGoogle Scholar
  8. Miller, W.R. (2004). Art of health promotion: motivational interviewing in service to health promotion. Am J Health Promot, 18(3), 1–10.Google Scholar
  9. Miller, W.R., Benefield, R.G., and Tonigan, J.S. (1993). Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. J Consult Clin Psychol, 61, 455–461.PubMedCrossRefGoogle Scholar
  10. Miller, W.R., and Mount, K.A. (2001). A small study of training in motivational interviewing: Does one workshop change clinician and client behavior? Behav Cogn Psychother, 29(4), 457–471.CrossRefGoogle Scholar
  11. Miller, W.R., and Moyers, T.B. (2007). Eight stages in learning motivational interviewing. J Teaching Addict, 5, 3–17.CrossRefGoogle Scholar
  12. Miller, W.R., and Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior. New York: Guilford Press.Google Scholar
  13. Miller, W.R., and Rollnick, S., eds. (2002). Motivational Interviewing: Preparing People for Change, 2nd ed. New York: Guilford Press.Google Scholar
  14. Miller, W.R., Yahne, C.E., Moyers, T.B., Martinez, J., and Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. J Consult Clin Psychol, 72(6), 1050–1062.PubMedCrossRefGoogle Scholar
  15. Moyers, T.B., Miller, W.R., and Hendrickson, S.M. (2005). How does motivational interviewing work? Therapist interpersonal skill predicts client involvement within motivational interviewing sessions. J Consult Clin Psychol, 73(4), 590–598.PubMedCrossRefGoogle Scholar
  16. Pill, R., Rees, M.E., and Rollnick, S. (1998). Can nurses learn to let go? Issues arising from an intervention designed to improve patients’ involvement in their own care. J Adv Nurs, 29, 1492–1499.CrossRefGoogle Scholar
  17. Project MATCH Research Group. (1997). Project MATCH secondary a priori hypotheses. Addiction, 92, 1671–1698.CrossRefGoogle Scholar
  18. Rogers, C.R. (1959). A theory of therapy, personality, and interpersonal relationships as developed in the client-centered framework. In: Koch, S., ed. Psychology: The Study of a Science: Vol. 3. Formulations of the Person and the Social Contexts (pp. 184–256). New York: McGraw-Hill.Google Scholar
  19. Rollnick, S., Heather, N., and Bell, A. (1992). Negotiating behaviour change in medical settings: the development of brief motivational interviewing. J Mental Health (UK), 1(1), 25–37.CrossRefGoogle Scholar
  20. Rollnick, S., Mason, P., and Butler, C. (1999). Health Behaviour Change: A Guide for Practitioners. London: Churchill Livingstone.Google Scholar
  21. Rollnick, S., and Miller, W.R. (1995). What is motivational interviewing? Behav Cogn Psychother, 23, 325–334.CrossRefGoogle Scholar
  22. Rollnick, S., Miller, W.R., and Butler, C.C. (2008). Motivational Interviewing in Health Care: Helping Patients Change Behavior. New York: Guilford Press.Google Scholar
  23. Walters, S.T., Matson, S.A., Baer, J.S., and Ziedonis, D.M. (2005). Effectiveness of workshop training for psychosocial addiction treatments: a systematic review. J Substance Abuse Treat, 29(4), 283–293.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Robert J. Shannon
    • 1
  1. 1.School of Health SciencesUniversity of SouthamptonSouthamptonUK

Personalised recommendations