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Integrating Motivational Interviewing into Pulmonary Healthcare

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Enhancing Patient Engagement in Pulmonary Healthcare

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Motivational Interviewing (MI) is a communication style intended to help people make difficult behavior changes. Individuals with pulmonary disease often struggle with making healthy changes (e.g., quitting smoking, increasing exercise, and treatment adherence). MI, which emphasizes nonjudgmental and empathic communication with open-ended inquiries, can help patients clarify and resolve their ambivalence about making desired behavior changes. All healthcare professionals who work with pulmonary patients, including physicians, respiratory therapists, nurses, and others, may find MI useful and more effective than traditional prescriptive communication or lecturing, which may lead to defensiveness on the part of the patient. This chapter will introduce the history and basic principles of MI, with a description of specific strategies such as open-ended questions, affirmations, reflections, and summaries. Collaborating with a patient on how to effect change will be discussed, as will be typical roadblocks. Research on MI efficacy will be reviewed, including for pulmonary disease-relevant behaviors such as smoking, physical exercise, treatment compliance, and risk behaviors. Examples of implementing MI in individual and group formats for pulmonary patients will be presented, with the aim of encouraging healthcare professionals to integrate MI principles in their care.

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Authors and Affiliations

  1. University of California San Diego, San Diego, CA, USA

    Arpi Minassian & Neal M. Doran

  2. Psychology Service, VA San Diego Healthcare System, San Diego, CA, USA

    Neal M. Doran

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  1. Arpi Minassian
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Correspondence to Arpi Minassian .

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  1. Harvard Medical School, Boston, MA, USA

    Marilyn L. Moy

  2. School of Science & Health, Western Sydney University, Penrith, NSW, Australia

    Felicity Blackstock

  3. Providence VA Medical Center, Providence, RI, USA

    Linda Nici

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Minassian, A., Doran, N.M. (2020). Integrating Motivational Interviewing into Pulmonary Healthcare. In: Moy, M., Blackstock, F., Nici, L. (eds) Enhancing Patient Engagement in Pulmonary Healthcare. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-44889-9_6

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