Ficha-bibliográfica Reviewofmi Mm 1

7/26/2019 Ficha-bibliogrfica Reviewofmi Mm 1

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FICHA BIBLIOGRFICA

TITULO

Motivational Interviewing in Health Promotion: It Son!" Li#eSomething I" $hanging

A%O&''&

AUTOR

(en Re"ni$ow) Colleen *iIorio) an! +ohanna ,- Soet) Belin!aBorrelli an! +a$#i He$ht) *eni"e ,rn"t

APA

PALABRASCLA.,S

motivational interviewing) health /romotion) $on"eling)0ehavioral me!i$ine)health /"1$holog1) /0li$ health

LI2(

*OI

FU,2T,

Health P"1$holog1

R,SUM,2Thi" arti$le /rovi!e" an overview o3 MI) !e"$ri0ing it" /hilo"o/hi$orientation an! e""ential "trategie") with an em/ha"i" ona//li$ation to health /romotion an! $hroni$ !i"ea"e /revention-

There ha" 0een $on"i!era0le re$ent intere"t on the /art o3 /0li$health) health /"1$holog1) an! me!i$al /ro3e""ional" in a!a/tingMI to a!!re"" other health 0ehavior" an! $on!ition") "$h a"

"mo#ing) !iet) /h1"i$al a$tivit1) "$reening) "e4al 0ehavior)!ia0ete" $ontrol) an! me!i$al a!heren$e 5,mmon" 6 Rollni$#)&''78 Re"ni$ow) *iIorio) et al-) &''&9-


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MI i" neither a !i"$rete nor entirel1 new intervention /ara!igm 0tan amalgam o3 /rin$i/le" an! te$hnie" !rawn 3rom e4i"tingmo!el" o3 /"1$hothera/1 an! 0ehavior $hange theor1- MI $an 0ethoght o3 a" an egalitarian inter/er"onal orientation) a $lient;$entere! $on"eling "t1le that mani3e"t" throgh "/e$i>9-

The tone o3 the MI en$onter i" non!gmental) em/atheti$) an!en$oraging- Con"elor" e"ta0li"h a non$on3rontational an!"//ortive $limate in whi$h $lient" 3eel $om3orta0le e4/re""ing0oth the /o"itive an! negative a"/e$t" o3 their $rrent 0ehavior-Unli#e "ome /"1$hothera/eti$ mo!el" that rel1 heavil1 on

thera/i"t in"ight or tra!itional /atient e!$ation that entail"/rovi!ing in3ormation) in MI) the $lient i" e4/e$te! to !o m$h o3the /"1$hologi$al wor#) gi!e! 01 the $on"elor- Client" areen$orage! to tal# a" m$h a" or more than $on"elor"- There i"generall1 no !ire$t attem/t to !i"mantle !enial) $on3ront irrationalor mala!a/tive 0elie3") or $onvin$e or /er"a!e- In"tea!) the goali" to hel/ $lient" thin# a0ot an! ver0all1 e4/re"" their ownrea"on" 3or an! again"t $hange) how their $rrent health 0ehaviorma1 $oni$t with their health goal") an! how their $rrent0ehavior or health "tat" a=e$t" their a0ilit1 to a$hieve their li3egoal" or live ot their $ore vale"- To a$hieve the"e en!") MI$on"elor" rel1 heavil1 on ree$tive li"tening an! /o"itive

aDrmation" rather than on !ire$t e"tioning) /er"a"ion) ora!vi$e giving- U"ing a netral 1et ini"itive tone) $on"elor"a!!re"" !i"$re/an$ie" in $lient #nowle!ge) 0elie3") or 0ehavior"withot in"tilling !e3en"ivene"" or attem/ting re3tation- Anim/ortant element in learning MI i" "//re""ing the in"tin$t tore"/on! with e"tion" or a!vi$e-MI $on"elor" !e3er 3rom /rovi!ing in3ormation or a!vi$e ntil$lient" have


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Refective ListeningThe goal" o3 ree$ting 0a$# to the $lient in$l!e !emon"tratingem/ath1) aDrming $lient thoght" an! 3eeling") an! hel/ing the$lient $ontine throgh the "el3;!i"$over1 /ro$e""- Ree$tion"involve "everal level" o3 $om/le4it1 or !e/th) ranging 3romn!er"tan!ing $ontent to e4/loring meaning an! 3eeling 5Car#h=)7>>9-Rolling With ResistanceCon3ronting $lient" o3ten re"lt" in !e3en"ivene"" an! ltimatel1/oor thera/eti$ ot$ome" 5Miller) 7>9- MI $on"elor")there3ore) avoi! argmentation 01 Erolling with re"i"tan$e ratherthan $onte"ting it- The MI en$onter re"em0le" a !an$e more thana wre"tling mat$h 5Rollni$#) Ma"on) 6 Btler) 7>>>9-Agenda Setting and Asking PermissionClient" are a"#e! to hel/ "et the agen!a 3or the en$onter toen"re that the1 are a$tive an! willing /arti$i/ant" in the /ro$e""-

Thi" ma1 in$l!e !e$i!ing what 0ehavior5"9 to tal# a0ot an! what

goal" the1 have 3or the "e""ion 5or the intervention in general9-Sel-Motivational Statements: Eliciting Change TalkA $ore "trateg1 o3 MI i" eli$iting "el3;motivational "tatement" or$hange tal#) a$$or!ing to the /rin$i/le" that in!ivi!al" are moreli#el1 to a$$e/t an! a$t on that whi$h the1 voi$e an! that themore the1 !e3en! a /o"ition) the greater their $ommitment to it0e$ome" 5Bem) 7>&9- To eli$it $hange tal#) man1 MI /ra$titioner""e a "trateg1 originall1 !evelo/e! 5Rollni$#) Btler) 6 Stott) 7>>93or a 0rie3 "mo#ing $e""ation intervention !elivere! 01 /h1"i$ian"5Btler et al-) 7>>>9- Thi" te$hnie 0egin" with two e"tion"-Fir"t) $lient" are a"#e! to rate) on a "$ale o3 ' to 7' 5with 7' 0eingthe highe"t9) how motivate!Jintere"te! the1 are in ma#ing the

0ehavior $hange 5e-g-) in$rea"ing their 3rit an! vegeta0le inta#eor in$rea"ing their /h1"i$al a$tivit19- Se$on!) the1 are a"#e! torate) again on a "$ale o3 ' to 7') how $on

Convergence and ivergence With !ther TheoreticalMo!el"MI i" roote! in Roger"K" /er"on;$entere! a//roa$h to/"1$hothera/1- Similar to Rogerian thera/1) MI $on"elor" "eree$tive li"tening to e4/re"" n!er"tan!ing o3 the $lientK"3eeling" an! e4/erien$e) an! $on"i!era0le e=ort i" /la$e! on

n!er"tan!ing the $lientK" "0e$tive realit1- Althogh 0oth MI an!Rogerian thera/1 a$$e/t that $hange i" ltimatel1 / to the $lient)


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MI $an 0e more !ire$tive an! goal oriente! 5Rollni$# 6 Miller)7>>9- For e4am/le) when MI i" a//lie! in health /romotion an!/0li$ health "etting") there ma1 0e !e"ire! ot$ome" 3or $lient"to mo!i31 0ehavior in a "/e$i>N8 .eli$er) 2orman) Fava) 6 Pro$ha"#a)7>>>8 im;merman) Ol"en) 6 Bo"worth) &'''9- MI) on the otherhan!) a""me" greater i!it1 o3 "tage- @ithin an MI en$onter)rea!ine"" ma1 $tate 5in either !ire$tion9 within a matter o3minte"- An in!ivi!al ma1 0egin a" a /re$ontem/lator 0t) 01

wor#ing throgh hi" or her am0ivalen$e) "oon /rogre"" to the$ontem/lation or /re/aration "tage- The !i"tin$tion 0etween MIan! TTM i" in /art !e to /ragmati$") in that MI i" generall1/rovi!e! a" a Ereal;time) 3a$e;to;3a$e 5or tele/hone9 intervention)wherea" mo"t TTM intervention" have 0een !elivere! throgha!iovi"al mo!alitie") withot !ire$t or imme!iate inter/er"onalintera$tion- MI $an 0e $on"i!ere! a Ereal;time a//li$ation o3 TTM;0a"e! $on"eling-MI $an al"o 0e !i"tingi"he! 3rom $ognitive 0ehavior thera/15CBT9- CBT o3ten involve" the $on"elor $on3ronting a $lientK"irrational or mala!a/tive 0elie3"- MI) on the other han!) rarel1

involve" !ire$t $on3rontation o3 0elie3" on the /art o3 the$on"elor- However) the MI $on"elor ma1 "e ree$tive li"teningto $lari31 "$h 0elie3" an! to E"o3tl1 $on3ront how the1 inen$e$rrent 0ehavior") a" well a" how the"e 0elie3" an! a$tion" ma1a=e$t $lient"K a0ilit1 to a$hieve ha//ine"" an! their 0roa!er li3egoal"-St"dies

The eD$a$1 o3 MI ha" 0een e4amine! in nmero" "t!ie" a//lie!in the treatment o3 "0"tan$e "e an! other /ro0lem 0ehavior""$h a": *iet an! Ph1"i$al A$tivit1 or Smo#ing Ce""ation- InMe!i$al A!heren$e an MI;0a"e! intervention ha" 0een te"te! to/romote me!i$ation a!heren$e among /eo/le with /"1$ho"i"- In a

/ilot "t!1) the1 te"te! an MI;0a"e! a//roa$h !e"igne! toen$orage me!i$ation a!heren$e among /atient" /re"$ri0e!


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nerole/ti$ !rg"- Twent1;one /atient" !iagno"e! with"$hio/hrenia or a=e$tive !i"or!er" were ran!oml1 a""igne! to MI;0a"e! $om/lian$e thera/1 or non!ire$tive !i"$""ion- One traine!thera/i"t $on!$te! 0oth intervention") meeting with ea$h /atient3or two or three ';min "e""ion"- Althogh there were no!i=eren$e" 0etween the treatment an! $ontrol gro/" in term" o3attit!e" towar! me!i$ation) in"ight) or $om/lian$e) the $hange"in the MI gro/ were in the e4/e$te! !ire$tion- In a "e$on! "t!1)/"1$hiatri$ /atient" were ran!oml1 a""igne! to re$eive either MI;0a"e! $om/lian$e thera/1 or "//ortive $on"eling- ,a$h gro/re$eive! 3or to "i4 MI "e""ion" 3rom a /"1$hiatri"t or $lini$al/"1$hologi"t- Parti$i/ant" re$eiving MI "howe! "igni


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/h1"i$al a$tivit1) the /attern o3 $hange i" o3ten ite !i=erent- The$on$e/t" o3 a0"tinen$e an! rela/"e are /erha/" le"" tangi0le 3or"ome health;/romoting 0ehavior"-In the $a"e o3 man1 $hroni$ !i"ea"e 0ehavior") the $hange/ro$e"" generall1 involve" mo!ima1 a=e$t !e/th o3 ra//ort an! treatment im/a$t 5Soet 6 Ba"$h)7>>9-


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Proessional evelo)ment and Training $ss"esIn the a!!i$tion

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