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Motivational Interviewing: A Pathway to Progress

Posted by Makenna Winslow on Jan 4, 2024 2:23:41 PM

Motivational Interviewing is an approach to patient interactions that can transform patient care. Providers utilizing this tool can better comprehend needs, help overcome obstacles, and guide individuals toward their resolutions. However, motivational interviewing stands out due to its distinctive feature: the patient takes the lead in determining the outcomes.

This journey isn't solely about the patients; it's also an avenue for self-discovery. Healthcare provision isn't merely diagnosis and prescription; it involves empathy, listening, and forming collaborative relationships with patients.

At the core of motivational interviewing is creating a bond between healthcare providers and patients, empowering the latter to actively engage in their healthcare decisions. Consider this guide your initial step on this path. Prepare for an intriguing journey!

Getting Started with Motivational Interviewing: A Friendly Guide

Motivational interviewing begins with understanding a patient's readiness for change. This is assessed through a model known as the stages of change, which include pre-contemplation, contemplation, preparation and determination, action, maintenance, and recurrence. By understanding where a patient is in these stages, you can meet them where they are and guide them towards the next step.

To successfully use motivational interviewing, consider using the OARS tool. This acronym serves as a reminder of the core skills used in motivational interviewing. OARS: Open-ended questions, Affirmations, Reflection, and Summarization. Open-ended questions require more than a simple yes or no response, allowing the patient to do most of the talking. Affirmations provide sincere, specific, genuine, and empathetic feedback. Reflection involves listening carefully, observing body language and behaviors, and repeating back to the patient what they have shared. Summarization reinforces what the patient has said and provides an opportunity for corrections.

Motivational interviewing should always be implemented with a particular spirit, represented by the ACE acronym. Autonomy, not authority, Collaboration, not confrontation, and Evocation. Autonomy means it's up to the patient to take action to change their behavior. Collaboration means building a partnership between the provider and the patient, working together to determine the course of action based on the patient's needs and readiness for change. Evocation means drawing out the patient's ideas rather than imposing your own opinions, allowing the patient's motivation to change to come from within.

Teamwork and Empathy: Your Guide to Successful Patient-Led Care

So why do we do this? For patient-led care management, which is more successful, and for UDS reporting. This method is not licensure-specific those involved in the patient's care can contribute to this. It's a team effort, and dividing and conquering is important. You can accomplish this with the proper procedures and protocols in place in your organization.

Motivational interviewing is a patient-centered approach that encourages patients to express their feelings and concerns. It's about asking open-ended questions, providing affirmations, and offering reflective listening. This approach allows you to understand your patient's perspective and helps them feel heard and understood. It's not about telling your patient what to do, but rather guiding them towards making their own informed decisions.

Creating an Effective Health Promotion Plan

Consider a scenario involving a patient with high blood pressure. Instead of immediately prescribing medication, engage in a conversation. Use open-ended questions, affirmations, and reflective listening. The patient may express a willingness to lower salt intake and start walking a few times a week. Document this in a patient-driven health promotion plan, recording the diagnosis, chosen plan, and any necessary referrals in NextGen. This accessible plan efficiently tracks patient progress, tailoring their healthcare journey.


Motivational interviewing is a discreet yet powerful tool in healthcare. It empowers patients, allowing them control over their health journey. It prioritizes understanding, empathy, and partnership over mere diagnosis and prescription. So, why not try it out with your next patient? Engage in genuine conversation, document their plan, and follow up. Your patients aren't just patients – they're partners in their healthcare journey. That, indeed, is a prescription for success.

For a more detailed overview of motivational interviewing, watch this on-demand webinar, where our EHR Training Specialist delves into the topic in greater detail.

Topics: EHR