Motivational Interviewing: Evoking Commitment to Change

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@adamlowe7038 5 жыл бұрын

"Boy do I love that OJ"

@timmcmahon7 11 жыл бұрын

I feel his pain. "Boy, do I love that OJ!"... his face is priceless!

@petehaggard8539 3 жыл бұрын

Hahahahha

@Olan09 2 жыл бұрын

You could always make orange juice from fresh oranges. That's what we do in my house, any time we have orange juice.

@erikrostamian8668 9 жыл бұрын

I'm surprised at some of the negative comments. I have seen and participated in a lot of MI role plays, specifically in medical setting. This one is actually very well done.

@carolinespec 8 жыл бұрын

+Erik Rostamian I really liked how the doctor asked his patient so many questions and also how he asked permission to discuss the issues with his patient. What I also noticed that seemed different (not better or worse, necessarily) was that it felt a little sales-ish when the doctor was asking several times for the patient's level of commitment. It wasn't the words as much as the sort of high-energy, aggressive manner. I agree with someone else's comments that this sort of pressure can likely lead someone to tell the doctor what they think the doctor wants to hear rather than expressing doubts and fears. This, to me, means that if a person "fails," they are more likely to feel ashamed and not want to return. I think it would be preferable to be very encouraging (which the doctor was) and positive (which he was), but also a bit less emphatic and aggressive. That is the MI quality that I think people were commenting on. Then again, maybe I'm wrong. Definitely possible.

@MissNairLovesHair 12 жыл бұрын

Wow the Physician did an awesome job! This helped a lot. Thanks!

@bobbystrom 5 жыл бұрын

This is brilliant. Clear and Concise thank you both.

@BlessedByGodsLove 9 жыл бұрын

GREAT ! This is the format in a medical setting with regard to time! I loved it. Thank you!!

@michaelaconley798 5 жыл бұрын

this one really is pretty good.

@BouncinBudda 8 жыл бұрын

definitely going to incorporate the grading scale into my next MI! gReat video, very practical!

@frederickwhiteside6415 4 жыл бұрын

To sum MI up in a few words: Motivational Interviewing is an effective way of talking with people about CHANGE. The doctor practiced a great deal of good peer support practices with his patient. Practicing Peer Supporters are open minded, empathetic, respectful, honest and direct. Peer Supporters facilitate change as well provide a natural place for social connection and social support.. At some points the doctor could have paced himself a bit more, but at least did not sound like he was reading from a poorly written script.

@bmadccp 14 жыл бұрын

Well done, great MI example.

@urgoingonzo 14 жыл бұрын

OMG!! That was ssoooo coool!

@katec1 13 жыл бұрын

Thank you thank you!! I know it's hard to "role play" MI skills - but I've been practicing, and this helps give me more ideas for wording some good questions. I hope to find some more vids! :)

@TIGHTChannel 12 жыл бұрын

Thanks for the post!

@angel-amenet 5 жыл бұрын

This Was excellent

@szt1964 14 жыл бұрын

Good exemple. Always a good idea to increase motivation to change dysfunctional behaviour. Just be aware that M I is not a magic wand. Emotional eating is a strong motivational force.

@fitdre9079 12 жыл бұрын

God, if only all doctors were like this...

@gingerobyn 10 жыл бұрын

Even though 'the patient' offered a detailed response, 'how many servings of fruits and vegetables do you have per day?' isn't exactly an open-ended question. I'm also getting the sense that motivational interviewing in a medical context does not have the same purpose or flow as MI in a therapeutic context.

@WithFlavorCrystals 4 жыл бұрын

<a href="#" class="seekto" data-time="116">1:56</a> "How Many Fruits and Vegetables?" is mislabeled in the text on the screen as being an Open Ended Question. It is closed.

@StoicScape219 Жыл бұрын

Definitely one of the better interviews I had to watch. It could had been more painfully scripted with a bunch of other nonsense in the mix where it looks like it was written by someone who never worked with a patient before but read a lot of text.

@peacefuljourney4858 7 жыл бұрын

I loved how he ended the session.

@MrMitchjos000 8 жыл бұрын

The doc had a lot of "I" statements. Agreed with him at one point.

@pharmacyroyalty 11 жыл бұрын

Be careful using the words "I understand," even if you do understand exactly what the patient is going through, try to use more reflective listening.

@amanda.jan3767 3 жыл бұрын

What would a better phrase be?

@brendareed5050 3 жыл бұрын

@@amanda.jan3767 it’s reflecting back using the persons words.

@Songmorning 6 жыл бұрын

I think a more realistic goal would have been for the guy to reduce his intake of orange juice to one or two glasses a day, rather than trying to cut it out completely. For one thing, he said he really likes orange juice, so going cold turkey would probably result in a rebound. For another thing, I don't think one or two glasses of orange juice would have a negative effect on his health--in fact, orange juice contains many nutrients and antioxidants that would be quite good for him in moderation. The doctor also could have explored what KIND of orange juice he's buying and consider whether there are more healthy options that he could buy. For example, he may be getting a brand of orange juice which contains added sugars, and he might be able to switch to one without that extra sugar.

@teresagraney2680 11 жыл бұрын

Natural fruit juice without the sugar or artificial sweetener will not make you fat, but fruit juice loaded with sugar and other sweeteners like those cans of sodas CAN!

@Butterflybabexoxo 13 жыл бұрын

@Tyrtle12 But they can. This falls under patient education and is reimbursable by insurance companies. Under the new changes to health care there is going to be much more accountability for outcomes and you will see more of this.

@petille007 13 жыл бұрын

In real life, the patient is not so collaborative or may say yes to please the physician but will feel burden by what he has to do and remain unsure as which strategy would really work for him. Resulting on skipping the next appointment if failed. Also, in this example the physician dismissed muscle building (patient increased walking) as weight gain factor That could have been encouraging.. Could also have suggested water with lemon; also propose support or accountability partner/group

@MaureenDelage 9 жыл бұрын

very good

@DavidHernandez-oc1oz 7 жыл бұрын

He shared information about fruit juice vs whole fruit without asking permission or asking if the patient knew about any differences in calories between fruit juice and whole fruit to see what the patient might have known. If he didn't know the doctor could then ask permission to share the information with the patient. Still a good video

@kathlynnnorthrup-snyder1041 9 жыл бұрын

Sorry, this has some elements of MI, but many non-adherent MI elements and I agree with one of the comments from the UK- this conversation is much longer than needs to be and could have much higher MI adherent skills.

@kevinl960 8 жыл бұрын

Like what?

@ThePsychology2010 12 жыл бұрын

2 weeks later..

@mjscarousal 8 жыл бұрын

Great example of motivational interview, just wish the doctor was a bit more empathetic, he kinda comes off harsh at times and his body language could be better.

@knowhub 6 жыл бұрын

I think the idea of this is not to determine the validity of fruits and juice, but the process. Yes, too much fruit juice is not good. Also, yes, you can gain weight with too many fruits. They are all sugars and when you have any type of sugars, you release insulin. If you take in more than what the body can keep up with, then what is not stored will convert to fat. Also, he does focus entirely on the juice and not the other meals nor talking about exercise, stress, sleep, etc. See, there is a lot that needs to be covered but that's not the intent of the interview. The intent is to show how to use the MI techniques to evoke a response.

@MrMitchjos000 8 жыл бұрын

<a href="#" class="seekto" data-time="136">2:16</a> is where this becomes doctors opinion (fact) and not motivational interviewing.

@AllthingsRocco 6 жыл бұрын

so the doctors shouldn't offer any facts to his patients?

@janiscrawford7757 3 жыл бұрын

The screen text mislabeled at least two language behaviors. A question that starts with "how many" is closed, not open and "I understand" would not be coded as an affirmation.

@aimeelecours9101 4 жыл бұрын

Hello. I am creating an e-learning for doctors and therapists. We do not charge for our trainings. I would like to request permission to use this video. Do I need any special permissions to utilize this video in an e-learning?

@xaniaris 13 жыл бұрын

@Ricordato88 Pray tell how they are bad for your body? If he is at risk of NIDDM (and considering his age, sex, lifestyle it seems to be highly possible), then sugar free drinks are the way to go.

@timmcmahon7 11 жыл бұрын

I hear ya, but this is an MI example. It elicits change in a therapeutic and empathy filled way.

@Jakerocksteady 3 жыл бұрын

<a href="#" class="seekto" data-time="191">3:11</a> Sunny D's next slogan.

@audreylouise123 3 жыл бұрын

A lot of 'righting reflex' used here.

@EurekaLiveTV 8 жыл бұрын

He needs to slow down on the OJ!

@RussABryan 13 жыл бұрын

Funny that they only focused only on drinking fruit juice and not the fact that he needed to continue exercising or he won't lose wait no matter what he eats or drinks

@bruceberger7140 11 жыл бұрын

Tons of directing, yes but communication...patronizing.

@Kingricky76 10 жыл бұрын

wow if i was the patient I would be freaking annoyed at my doctor!

@cozygamingandvideos3914 4 жыл бұрын

John should switch from fruit juice to Mountain Dew. John also needs to exercise more. I suggest boxing.

@1111Paiste 10 жыл бұрын

This IS a terrible example of MI. The spirit of MI is totally out the window. He sounds judgmental, DOES NOT ask for permission when educating, the list goes on and on...

@1111Paiste 10 жыл бұрын

This MI example sucked! It was NOT MI.

@ewelsby1 11 жыл бұрын

Oh My God! Fruit does NOT make you fat!

@zarglox 13 жыл бұрын

he is larger because he is eating too much meat not oranges, and children.

@Ricordato88 13 жыл бұрын

Great Example of MI but drinking sugar free drinks should not be encouraged because they are bad for your body!

@bruceberger7140 11 жыл бұрын

This is awful.

@myoldvan119 Жыл бұрын

You're awful Bruce Berger

@bruceberger7140 Жыл бұрын

@@myoldvan119 this is not my video

@MrMitchjos000 8 жыл бұрын

I disagree that this is motivational interviewing. I thing the beginning is good. "I have a hunch" not quite motivational interviewing. Good skit though. Keep practicing.

@chucktrain11 11 жыл бұрын

I am a Medic in the UK. This guy must be being paid by the word and not have many patients. Over here it would be fill out a food diary, cut out the juice and clamp down on your wifes shopping. 30 secs tops. Natch!!

@rkbrown2092 7 жыл бұрын

"Substitute with sugar free drinks!!!!" Why did the doctor not correct this statement by the patient. Sugar free drinks contain hormone disrupting chemicals. The fact that this doctor doesn't show any red flags to that... I would say he's working for the opposition. Good example of helpful questioning with hidden propoganda. Be discerning.

@1974GJH 7 жыл бұрын

I caught that as well. 4 glasses of diet coke daily will insatiate his hunger and probably exacerbate his weight issues

@JasonJarred 6 жыл бұрын

RK Brown lol wot

@littlethuggie 6 жыл бұрын

The goal of the video is influencing change in the patient vs what you just did. A good Dr. doesn't "correct" the patient every time they say something false. You would never get anywhere, and no one wants an egotistical, pretentious Dr. (AKA, a dick).

@littlethuggie 6 жыл бұрын

@ Greg H: Sugar-free drinks are generally not "healthy", but one is definitely exacerbating his weight issues (excess juice, fruit), and the other could make him hungrier and "probably" exacerbate his weight issues. One is definite, one is not. So, if your goal is weight loss, ditching the fruit will unequivocally work; ditching the sugar-free drinks depends on the patient and how it affects them, and whether or not they increase their caloric intake. You can be hungry all day, that's never made anyone gain weight; calories do.