Motivational Interviewing | REAL

Click "More" for a listing of objectives, discussion questions and references

Just in 5 Video Series
Katherine Sharp, MD
Maine Medical Center Preventive Medicine Fellowship

In collaboration with the Preventive Medicine Enhancement for Maine (PrevME) program as a part of the Division of Community Health and Preventive Medicine at Maine Medical Center.

Objectives

1. Understand four basic and REAL principles of motivational interviewing in behavior change conversations
2. Identify and apply skills for improved connection and to build trust, uncover discrepancies of values to actions, and empower patients and clients
3. Access resources to explore and deepen your skills in motivational interviewing

Discussion Questions

1. Describe a time when someone was not using REAL principles with you in a conversation about your personal health habits, as in unsolicited advice or telling you what to do. What were your reactions, as in thoughts and emotions?
2. Using the REAL principles, describe how it could have gone better.
3. Practice applying Motivational Interviewing skills with a friend or colleague. Considering using the scenarios in page 8 on the MI Basics handout. See “Motivational Interviewing – The basics” in the resources section below.

Resources & Evidence

Resources

Motivational Interviewing | From the Health Education and Training Institute.
https://www.hetimaine.org/motivationa...

Motivational Interviewing – The Basics | From Stephen R. Andrew, LCSW, LADC, CCS, MINT with the Health Education and Training Institute.
https://mmc.instructure.com/courses/4...

Motivational Interviewing – Learning Modules | From Vince WinklerPrins, MD, FAAFP in association with Georgetown University.
http://studentonboarding.stfm.org/mot...

Altman, Wayne. What is Motivational Interviewing? TUSM Family Medicine Clerkship Manual. Adapted from: Rollnick, S., & Miller, W. (1995). What is Motivational Interviewing? Behavioural and Cognitive Psychotherapy, 23(4), 325-334. doi:10.1017/S135246580001643X
https://mmc.instructure.com/courses/4...

Evidence

Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. Br J Gen Pract. 2005;55(513):305-312. 
https://www.ncbi.nlm.nih.gov/pmc/arti...

Vasilaki EI, Hosier SG, Cox WM. The efficacy of motivational interviewing as a brief intervention for excessive drinking: A meta-analytic review. Alcohol and Alcoholism. 2006;41(3):328-335. https://doi.org/10.1093/alcalc/agl016.
https://academic.oup.com/alcalc/artic...

West DS, DiLillo V, Bursac Z, Gore SA, Greene PG. Motivational interviewing improves weight loss in women with type 2 diabetes. Diabetes Care. 2007;30(5):1081-1087. doi:10.2337/dc06-1966.
https://diabetesjournals.org/care/art...

The Just in Five series is part of the Preventive Medicine Enhancement of Maine (PrevME project), which is supported by the Health Resources and Services Administration (HRSA Grant 18-008) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1.9 Million with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.