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Motivational Interviewing in Health Care: Helping Patients Change Behavior (Applications of Motivational Interviewing) [Paperback]

Stephen Rollnick , William R. Miller , Christopher C. Butler
4.5 out of 5 stars  See all reviews (41 customer reviews)

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Book Description

November 7, 2007 1593856121 978-1593856120 1

Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions.

This book is in the Applications of Motivational Interviewing series.


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Editorial Reviews

Review

"We use this book for Coaching Wellness Behavior Change, a core class for all Exercise and Health Science students at UMass Boston. Lifestyle behavior has become a targeted issue contributing to population health. This book provides all health professionals (and future professionals) with invaluable information on developing provider-client relationships that facilitate change."--Dana Commesso, MA, Lecturer, College of Nursing and Health Sciences, University of Massachusetts, Boston
 
"At the heart of rehabilitation are two central tenets: First, the patient is a key member of the rehabilitation team. Second, the rehabilitation process requires patients to learn and utilize new adaptive behaviors. How do we make these two key notions come alive in our interactions with patients? This text is the answer to that question. It provides useful theory, evidence-based methods, and clinical examples. The material is accessible and does not assume advanced knowledge of psychology. The message and skills in this book should be part of the practice of every rehabilitation professional."--Stephen T. Wegener, PhD, ABPP, Director, Division of Rehabilitation Psychology, Department of Physical Medicine and Rehabilitation, Johns Hopkins University
 
"This book provides a well-organized, thoughtful discussion about how to develop a set of interpersonal skills that can promote the betterment of patient care and health behaviors. Pharmacy practice faculty would be well advised to incorporate these powerful methods and examples into courses that address health behaviors and/or patient counseling."--Douglas J. Pisano, PhD, Professor and Dean, School of Pharmacy, Massachusetts College of Pharmacy and Health Sciences
 
"As pharmacists take an increasingly active role in health care and medication counseling, we now recognize that many 'medication problems' are, in essence, communication problems. Motivational interviewing allows pharmacists to communicate with their patients in a clear, concise, and structured way. Pharmacists and pharmacy students in any practice setting will benefit from implementing the tools and techniques in this book."--Ernest J Dole, PharmD, ABQ Health Partners, Albuquerque, New Mexico, and University of New Mexico College of Pharmacy

"In this era of evidence-based practices in health care, practitioners still face the vexing question: Will my patient actually follow the procedures known to be efficacious? This book assists health care professionals in maximizing their effectiveness. An evidence-based practice in its own right, MI facilitates cooperation and compliance with treatment regimens. If you are a health care professional or a mental health professional consulting in a medical setting, and have ever wondered what to do with a seemingly 'unmotivated' patient, this is the book for you."--Barent Walsh, PhD, Executive Director, The Bridge of Central Massachusetts

"This is an immensely useful text for teaching students and professionals how to help patients adopt health-promoting behaviors; for example, dieting, exercising, or attending follow-up appointments. Most such education concentrates on what to tell patients; this text concentrates on how to guide patients so that they will hear and implement the 'what.' As an MI trainer, I will be using this resource with a range of health care providers."--Robert G. Rhode, PhD, Department of Psychiatry, University of Arizona; member, Motivational Interviewing Network of Trainers (MINT)

"This book delivers what it promises: practical, effective, and efficient strategies for producing more productive interactions with patients about behavior change. The authors, who are largely responsible for originating and refining MI, have translated this powerful evidence-based intervention into a set of core competencies and skills that can be easily understood, learned, practiced, and, most importantly, integrated into real-world clinical practice."--Michael G. Goldstein, MD, Associate Director for Clinical Education and Research, Institute for Healthcare Communication, and Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University

"Many of today's leading causes of death are significantly related to modifiable health behaviors. This book provides a critical approach for helping patients change their behavior. Motivational interviewing (MI) provides a new alternative to the outdated direct persuasion approach, bringing a breath of fresh air to the conversation between health care providers and those with chronic diseases like diabetes and obesity. Practical examples and exercises make this book a powerful tool for use in educating medical students, nurses, and other health care professionals about encouraging patients to make healthy choices."--Robert Gabbay, MD, PhD, Executive Director, Penn State Hershey Diabetes and Obesity Institute

"This practical guide moves motivational interviewing (MI) into the realm of everyday health care practice. Specifically, the book addresses the 'why' and the 'how-to' aspects of having conversations about behavior change. It helps clinicians learn to hear what their patients are really saying, and how to guide them through resolving ambivalence about behaviors. Relevant examples from various fields of medicine are provided. The chapter featuring extended examples of how to integrate MI into everyday interactions is particularly helpful. I see this as a useful resource for physicians, nurses, physician assistants, and other clinicians, as well as clinician educators involved in training students and residents."--Carol R. Schermer, MD, MPH, Department of Surgery, Division of Trauma, Loyola University Medical Center

"Packed with practical pearls of wisdom for guiding patients in the process of changing many types of unhealthy behaviors, this easy-to-read book is a gift to all health care providers. The authors use real-life cases and believable dialogue to illustrate how to use listening skills to elicit the patient's perspective and build toward change. Too many of us in health care get discouraged and give up hope too soon when patients are not compliant with our advice, when we really should be trying a different way to approach the issues. This book's 'can-do' and 'no-blame' orientation helps the busy clinician regain satisfaction in relationships with patients and become more effective in facilitating change."--Edward Bernstein, MD, Department of Emergency Medicine, Boston University School of Medicine; Director, Brief Negotiated Interview and Appropriate Referral to Treatment (BNI-ART) Institute, Boston University School of Public Health

"The authors highlight the underpinnings of effective communication and demonstrate how the spirit, philosophy, and principles of MI can actually enhance patient-provider relationships. This book is a 'must read' for health care practitioners across disciplines, from novice clinicians searching for practical advice to expert providers seeking professional refueling. Faculty will find this book invaluable for teaching future health care providers, as the information on MI is evidence based and the case examples are drawn from real-world clinical experiences. In today's fast-paced health care industry, providers may feel daunted by encroaching technology or hamstrung by requisite documentation. Therefore, enjoying meaningful interactions with patients becomes even more of a challenge. Fortunately, MI can help providers connect with their patients. After reading this book, one cannot help but feel empowered to change behavior."--Pam Burke, PhD, RN, Division of Adolescent Medicine, Boston Children's Hospital

"I highly recommend this book for any practitioner dealing in health behavior change. In a conversational style with numerous helpful examples, the authors translate complex psychological concepts into easy-to-understand terms that will support and guide health care practitioners in improving their consultations with patients. The book is also a 'must' for undergraduates and graduate students who are interested in motivational interviewing within the world of health care practice."--Judith Carpenter, registered dietitian, Derbyshire County Primary Care Trust, UK



"I highly recommend this book to directors of clinical services, analysts, therapists of all disciplines, and students. It has survived my usual skepticism for new" approaches and has inspired me to seek training and supervision in MI."--Bulletin of the Menninger Clinic
(Bulletin of the Menninger Clinic 2007-11-09)

"The authors are leading authorities in motivational interviewing, having founded, developed, and written extensively on the topic over the past 25 years....For a broad range of frontline clinicians, including those who work in various medical specialties, the book gives useful insights that can have an immediate impact by making one's practice more productive and more enjoyable. For those with special interest in human behavior, particularly those in the mental health field, this book is a concise, highly readable introduction to motivational interviewing and will likely pique interest for further study of this powerful tool for promoting change."--Psychiatric Services
(Psychiatric Services 2007-11-09)

"Provides practical guidance on how clinicians in health care settings can apply MI to promote change in a range of health-related behaviors, such as smoking, exercise, diet, use of new aids or medications, and uptake of services....The book reads like a practice guide, clearly aimed at the time-constrained clinician, with useful short summary statements stressing the main point of each section for the reader....Has the potential to make an important long-term impact on both the individual and population health outcomes."--Drug and Alcohol Review
(Drug and Alcohol Review 2007-11-09)

"Rollnick, Miller, and Butler adroitly describe the spirit and practice of MI through richly annotated case examples and incisive metaphors to help the learner remember and understand key principles....The book provides an excellent description of state-of-the-art patient-centered communication for both newbies and established practitioners who are looking for a refresher in MI spirit."--American Journal of Lifestyle Medicine
(American Journal of Lifestyle Medicine 2007-11-09)

"This book represents the latest thinking from the principal architects and researchers of Motivational Interviewing (MI)....This book is an excellent introduction to MI and has been written to help clinicians integrate this guiding style into their practice. It is crammed with techniques and draws on a wide range of clinical material to illustrate how they can be used....Although not explicitly written for work with adolescents, there is a great deal of useful and relevant material. This is a highly readable book and an excellent resource both for novice and experienced MI practitioners."--Child and Adolescent Mental Health Journal
(Child and Adolescent Mental Health Journal 2007-11-09)

"There are useful chapters on asking, listening, and informing skills that begin with general comments and then focus on specific skills and strategies for MI. The chapters are well illustrated with examples of dialogue from different settings....A number of case studies are given that relate ways in which health services is resonant with the respectful and collaborative nature of MI....The book has value for family physicians, general practitioners, and registrars who are interested in improving their communication skills, particularly in the area of brief behaviour change counselling. The simple yet powerful concepts regarding communication styles and skills will also be useful for teachers of communication skills."--South African Family Practice Journal
(South African Family Practice Journal 2007-11-09)

"Motivational Interviewing (MI), a method of interacting with patients to enhance behavior change, is a well-tested and established method with over 160 randomized clinical trials demonstrating its efficacy across an array of medical conditions....This book is a helpful tool for all practitioners seeking a better commitment to behavior change in their patients. The skill set needed to accomplish the goal of behavior change is already developed in most clinicians. This book guides the reader through the process of honing those skills and switching effortlessly through the various methods of patient interaction to best achieve change."--Journal of Chronic Obstructive Pulmonary Disease
(Journal of Chronic Obstructive Pulmonary Disease 2007-11-09)

"Motivational Interviewing in Health Care offers a new approach in communicating for nurses—particularly providers treating patients with chronic diseases such as diabetes and obesity—and all health care professionals working to assist patients in making lifestyle changes for better health....As information technology relentlessly invades the realm of patient care, we find ourselves with less time to communicate with and teach our patients, so the time we do have must be optimized....In this book the reader is walked through and provided with positive steps to implement the MI guiding style of communication....Provides many examples of MI conversations, giving the reader insight into how MI communication works and is accomplished. I enjoyed the stories unfolding of how patients arrive at health change decisions, by themselves, if given the guided opportunity by an expert MI communicator. The book is a short, easy read which gave me food for thought and reinforced my continuing quest for a positive, therapeutic conversation with each of the patients. MI is also about caring for your own health."--Registered Nurse
(Registered Nurse 2007-11-09)

"Practitioners such as nurses, the largest group of health care providers, will welcome the opportunity to add MI to their toolkit....Recommended."--Choice
(Choice 2007-11-09)

"Will prove useful for practice nurses, health visitors, occupational therapists, physiotherapists, general practitioners, and mental health professionals....Excellent."--Nursing Standard
(Nursing Standard 2007-11-09)

About the Author

Stephen Rollnick, PhD, is a clinical psychologist and Professor of Health Care Communication in the Department of Primary Care and Public Health at Cardiff University, UK. He practiced in a primary care setting for 16 years and then became a teacher and researcher on the subject of communication. Dr. Rollnick has written books on motivational interviewing and health behavior change, has published widely in scientific journals, and has taught practitioners and trainers in many countries throughout the world.
 

William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico, where he joined the faculty in 1976. He served as Director of Clinical Training for UNM's American Psychological Association-approved doctoral program in clinical psychology and as Codirector of UNM’s Center on Alcoholism, Substance Abuse, and Addictions. Dr. Miller’s publications include 35 books and more than 400 articles and chapters. He introduced the concept of motivational interviewing in a 1983 article. The Institute for Scientific Information names him as one of the world's most cited scientists.

 

Christopher C. Butler, MD, is Professor of Primary Care Medicine and head of the Department of Primary Care and Public Health at Cardiff University, UK. He trained in medicine at the University of Cape Town and in clinical epidemiology at the University of Toronto. For his doctoral work, under the direction of Stephen Rollnick, he developed and evaluated behavior change counseling and conducted qualitative research into patients’ perceptions of advice against smoking from clinicians. Dr. Butler has published more than 70 papers, mainly on health behavior change and common infections. He has a general medical practice in a former coal-mining town in south Wales.
 

 



Product Details

  • Series: Applications of Motivational Interviewing
  • Paperback: 210 pages
  • Publisher: The Guilford Press; 1 edition (November 7, 2007)
  • Language: English
  • ISBN-10: 1593856121
  • ISBN-13: 978-1593856120
  • Product Dimensions: 8.9 x 6.1 x 0.6 inches
  • Shipping Weight: 11.2 ounces (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (41 customer reviews)
  • Amazon Best Sellers Rank: #6,832 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews
72 of 73 people found the following review helpful
5.0 out of 5 stars This Book Delivers The Goods Well June 29, 2008
Format:Hardcover
Motivational Interviewing in Health Care By Rollnick, Miller and Butler

As an experienced neurologist (read 'old')I have spent decades and read many books about interviewing: neurological, psychiatric, difficult, challenging, etc., etc. In serial publications over 20 years or more, Dr. Miller and others have refined the process of how to converse to effectively motivate patients to do what (you think) they should do.

Doctors know that figuring out what a patient needs is only the beginning of the overall process. Selling the patient is important in medicine if optimum results are to be attained. This book is a communication guide. This book shows you how to convince the patient he needs and really wants to buy your product for his own good.

In an intelligent and logically organized fashion, this thin book (2-3 hours max to get through, but then more time later to restudy and refine technique) provides a matrix from which to work to induce your patient to internalize wanting and needing to do what he should do for optimal health. It shows physicians or counselors how to begin therapy after making a diagnosis and reinforces a teamlike approach where resistance or escapism can often show up.

If you recall the book The House of God, one of the first rules proferred was that the patient is always the one with the problem. This book guides the doctor to show the patient why he needs to take on his problem and be motivated to handle his part optimally for his own good.

As I improve my use of these straightforward techniques, I am considering jettisoning the ballpeen hammer I used to use for the same purpose. There is nothing earth shattering here.
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35 of 36 people found the following review helpful
Format:Paperback
Most patients feel rushed and not heard in their encounters with health care providers. This clearly written "how to" book provides principles and examples of conversation that can improve the quality of communication around life style change between provider and patient. Listening rather than telling, and guiding rather than directing or preaching are difficult skills for health providers. Giving the patient "a voice and a choice" in making changes in their unhealthy behaviors is essential to successful outcomes. This practical guide to health behavior change has made a difference in my practice when patients give me permimssion to discuss their drinking, smoking, drug use, over eating, fitness and seat belt use with them.

Edward Bernstein, MD
Board Certified in Emergency Medicine and Family Medicine
Professor and Vice Chair for Academic Affairs
Department of Emergency Medicine
Boston University School of Medicine
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21 of 21 people found the following review helpful
4.0 out of 5 stars Motivational Interviewing February 15, 2008
Format:Hardcover
A necessary read in my opinion! There are many practitioners that use a dominant directive style in patient education whos outcomes could benefit from this newer type of interviewing. It offers an approach that is empowering to the patient and allows the patient to discover their own will to work towards change. MI offers an approach that is more productive and it does not take more of the practitioners time. It is no quick fix though. MI takes time in practice for proficiency but, it is definately worth implementing! This book is an easy read.
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13 of 13 people found the following review helpful
5.0 out of 5 stars excellent training manual for health behavior change December 30, 2007
Format:Paperback
This is an excellent training manual for motivational interviewing for health behavior change. It is an improvement over the previous books.
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11 of 11 people found the following review helpful
5.0 out of 5 stars I finally get it March 20, 2009
Format:Paperback|Verified Purchase
MotivationalMotivational Interviewing is emerging as a best practice approach for a variety of conditions. It has been studied in addiction treatment, peer support, chronic disease management and a plethora of other settings. As a social worker over the years I have been exposed to many Motivational Interviewing trainings. This book is the best reference book I have found to explain motivational interviewing. If you are experienced in motivational interviewing or if you are new to the concepts this book can provide insight, tools and explanations for all levels. I think this book does a wonderful job talking about different styles such as directing, following and guiding. If you are new to MI and looking for a place to start this is a great book. If you have been using MI and are looking for inspiration to take your practice further this book will also be of help.
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10 of 10 people found the following review helpful
4.0 out of 5 stars Very helpful July 26, 2008
Format:Hardcover|Verified Purchase
I enjoyed reading this book and learning about motivational interviewing. I was able to integrate some of the techniques into my weightloss counseling position. It is pretty magical when done right. I am going to take a class to further my skills which can best be done with practice and many more examples. However, I was still pleased with this book.
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8 of 8 people found the following review helpful
4.0 out of 5 stars Clear, focused, helpful December 3, 2007
Format:Paperback|Verified Purchase
This is an excellent introduction to using MI in health care. Psychologists and trained therapists may find this a bit basic, but it is a useful tool for anyone wanting to work in behavioral health.
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6 of 6 people found the following review helpful
5.0 out of 5 stars Great Book, makes a lot of sense October 3, 2008
Format:Paperback|Verified Purchase
I have really enjoyed this book. The foundation of the book encompasses two obvious principles that come together in a way that gives easy guidelines for assisting people with change. The first principle is that people who are not changing are stuck in ambiguity, where they are in a balancing act between reasons to change, and reasons to stay the same. The second principle is that people believe what they hear themselves say. So, if you approach a change by only giving the positive reasons that they should change (you should eat fewer simple carbohydrates because it will help your blood sugar stabilize), the person will voice back the balancing view point (but sugary stuff tastes really good!). Now that they have voiced the negative, the pull of not wanting to change has been stuck in their brain even more. This book gives definite strategies on how to get out of this cycle. It really has helped motivate some of my patients- and even my children on occasion! Buy the book to find out how!
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Most Recent Customer Reviews
5.0 out of 5 stars Must-read
Everyone who works in the health-care industry needs to read this book to help bridge the gap between the patient and facilitator.
Published 2 months ago by Marilyn Franks
5.0 out of 5 stars Great basis for teaching MI to medical personnel
I teach this class for EMT's and Paramedics as part of the new push toward integrated health. I've long taught Motivational Interviewing to addiction counselors, but wanted an... Read more
Published 3 months ago by A. Cook
5.0 out of 5 stars informative and relatable to dietetics
This books has great insight to the benefits of MI, and by giving multiple examples throughout the book, it makes it easier to apply it.
Published 4 months ago by Jenna
4.0 out of 5 stars good information
Gets to the practice of using the technics right away. Fast read.
This will work even with situations at home or work.
Published 4 months ago by Rhonda
2.0 out of 5 stars Zzz
Very informative book. I learned that I've been doing this my entire career but didn't know what it was called.also learned the importance of listening
Published 5 months ago by Rnredhead
5.0 out of 5 stars Outstanding way to help patients
Read it if you want to improve your patient communications. Ground breaking evidence-based approach to "motivating" patients to change their healt behaviors for the better.
Published 5 months ago by Lynn D. Carlisle
5.0 out of 5 stars No physician should be without....
You will change the way you do your intakes after this book. If you have patients that are non compliant and you care about them this is your tool. Read more
Published 5 months ago by Panda Pants
5.0 out of 5 stars Amazing book, well written, perfect. It explains everything, you'll go...
Great way to treat patients. Written in an awesome way ! It explains everything, you'll go through the book quickly and in a facinating way
Published 8 months ago by MaEugenia
4.0 out of 5 stars Easy to grasp and implement
I enjoyed this - it was a quick read and very informative. It provides simple frames for motivational interviewing communication style that is beneficial for my work and with my... Read more
Published 10 months ago by Tracey Hamlet
5.0 out of 5 stars great training tool
Thought this was great addition to MI offerings. Purchased 10 to use in training classes and really making a big difference in our communications with patients
Published 10 months ago by steve thomas
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