Neurologist, 8 years’ experience, USA

2020 ◽  
pp. 54-55
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Motivational Interviewing ◽  
Therapeutic Process ◽  
Somatic Symptoms ◽  
Epileptic Seizures ◽  
Medical System ◽  
Care Providers ◽  
Reflective Listening ◽  
System P ◽  
Heavy Burden ◽  
Interviewing Techniques

This chapter offers advice to providers caring for patients with Non-Epileptic Seizures (NES). Care providers should respect the patients and allow them to take the lead in the diagnostic and therapeutic process. Motivational interviewing techniques, such as reflective listening, in which the clinician reflects back the patient’s stated feelings and reasons for change, are critical in supporting patients to engage with and adhere to the therapeutic process. The author vividly remembers a clinical appointment with a patient who was lost in her somatic symptoms, overcome with headaches and auditory hallucinations of a loud bang, and unable to engage in a discussion of her diagnosis. When the author stopped trying to educate the patient about her diagnosis and asked her how the seizures affected her life, reflecting back her responses and pain, the headaches and hallucinations resolved and she was able to engage fully in a conversation about her NES and plans for treatment. Ultimately, caring for patients with NES is often a heavy burden, but it is also a privilege and a blessing—it is what healthcare should be, something that is easy to lose in the modern medical system.

scholarly journals Managing unresolved issues of addiction during cancer treatment: A qualitative study about cancer care providers’ representations

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242693
Author(s):  
Elise Verot ◽  
Véronique Regnier Denois ◽  
Corinne Macron ◽  
Franck Chauvin
Keyword(s):  
Qualitative Study ◽  
Motivational Interviewing ◽  
Cancer Treatment ◽  
Cancer Care ◽  
Care Pathway ◽  
Theoretical Domains Framework ◽  
Care Providers ◽  
Patient Centered ◽  
Addictive Disorders ◽  
Interviewing Techniques

Objective Five French oncology institutions had participated in a funded study aiming at implementing an Evidence-Based Practice tool (PAM-13), which allowed nurses to measure the level of activation of the patient to support his or her own empowerment in the cancer care pathway. The purpose of this ancillary study is to (i) describe the caregivers’ perceptions of addictions and their management concurrently with cancer treatment, (ii) explore the role that Motivational Interviewing techniques can play. Methods 15 individual semi-structured interviews of caregivers were performed, using the Theoretical Domains Framework for the interview guide. Qualitative data were analyzed inductively, in a thematic analysis. The COREQ guided the reporting of this qualitative study. Results Views on addictions influence the way caregivers manage patients suffering from unresolved issues of addiction. Care is mainly focused on the pathology (cancer-centered) and strictly curative. When practiced, Motivational Interviewing is patient-centered, fostering the patient’s empowerment on the cancer care pathway. Conclusions The dissemination of Motivational Interviewing techniques in current practices in oncology, both in terms of doctors and nursing teams, would enable improvement to the management of addictions on the cancer care pathway, by deploying a patient-centered approach. This new paradigm of care would support the empowerment of patients enrolled in the cancer care pathway and promote better communication between caregivers and patients. Hence, a paradigm shift is essential. Motivational Interviewing techniques could provide a caring approach that promotes communication between the patient and the caregiver and also supports the former’s empowerment. This research suggests the need to adapt the cancer care pathway in order to integrate the necessary care for patients who concomitantly suffer from unresolved addictive disorders. Trial registration NCT03706937

scholarly journals Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention

2018 ◽  
Vol 53 (8) ◽  
pp. 756-768
Author(s):  
Rebecca Murray ◽  
Amanda Baker ◽  
Sean Halpin ◽  
Ben Britton ◽  
Kristen McCarter ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Health Behavior ◽  
Behavior Change ◽  
Therapeutic Alliance ◽  
Motivational Interviewing ◽  
Head And Neck ◽  
Neck Cancer ◽  
Health Behavior Change ◽  
Behavior Change Intervention ◽  
Interviewing Techniques

Abstract Background The relationship between a clinician and their client—the “therapeutic alliance” is a robust predictor of outcome in healthcare settings; yet, few interventions to improve alliance have been tested. Motivational interviewing is a client-centered approach that embodies many principles and strategies consistent with a strong therapeutic alliance. Purpose To examine whether alliance is enhanced by training dietitians to deliver a motivational interviewing informed health behavior change intervention (“Eating as Treatment”; EAT) as part of routine consultations with patients with head and neck cancer. The predictive ability of motivational interviewing techniques was also assessed. Methods A secondary analysis of the EAT stepped-wedge cluster-randomized controlled trial was conducted. Patients with head and neck cancer undergoing radiotherapy (n = 307) were treated by radiotherapy dietitians (n = 29) during the control (Treatment as Usual) or intervention (EAT) phase. Alliance was rated during the first and final weeks of radiotherapy, and again 4 and 12 weeks post-radiotherapy. Dietetic sessions were audiotaped. Week one sessions were objectively rated for dietitians’ use of motivational interviewing techniques. Results Generalized linear-mixed effects regressions found no effect of EAT on dietitian-rated alliance (p = .237). After excluding outliers, patient-rated alliance was 0.29 points lower after EAT training (p = .016). Post hoc analyses revealed lower patient ratings on perceived support and dietitian confidence. Hierarchical multiple regressions found that no specific motivational interviewing techniques predicted patient-rated alliance. Dietitian acknowledgment of patient challenges was related to dietitian-rated alliance (β =.15, p =.035). Conclusions Patient and dietitian ratings of alliance were high after EAT training, but not significantly improved. Further research is needed to better understand the differential impact of intervention training and delivery on patient and clinician ratings of therapeutic alliance. Clinical Trial information Trial registration number ACTRN12613000320752

scholarly journals Project Capabilities and Adults With Intellectual Disabilities: Towards Effective Interviewing for a Better Social Participation

2014 ◽  
Vol 7 (2) ◽  
pp. 115-123
Author(s):  
Stefanie Corona ◽  
Christina Hannum ◽  
Ann-Louise Davidson
Keyword(s):  
Intellectual Disability ◽  
Motivational Interviewing ◽  
Social Networking ◽  
Intellectual Disabilities ◽  
Social Participation ◽  
Qualitative Data ◽  
Mobile Technologies ◽  
Qualitative Interviewing ◽  
Adults With Intellectual Disabilities ◽  
Interviewing Techniques

This practice-based paper presents a series of tips and techniques for interviewing for a better social participation. While we worked on Project Capabilities, we learned valuable lessons we wished to share with practitioners and researchers who work within an inclusive perspective. We argue that qualitative interviewing requires skillful means that are not always an integral part of research preparation, and we share tips and techniques that we developed throughout the process. As we collected the qualitative data through one-on-one interviews, and taught participants to selffilm using iPads, we found that traditional interviewing techniques were too rigid to engage with people living with an intellectual disability. Instead, we used a blend of motivational interviewing and collaborative inquiry techniques, and built rapport with the participants through online social networking. Mobile technologies were also used to build rapport, empowering participants and allowing non-intrusive filming of interviews.

Probation Officer–Probation Agency Fit: Understanding Disparities in the Use of Motivational Interviewing Techniques

Corrections ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. 39-57 ◽  
Author(s):  
Brandy L. Blasko ◽  
Jill Viglione ◽  
Heather Toronjo ◽  
Faye S. Taxman
Keyword(s):  
Motivational Interviewing ◽  
Probation Officer ◽  
Interviewing Techniques

scholarly journals Developing a benefits counseling website for Veterans using Motivational Interviewing techniques

2014 ◽  
Vol 37 ◽  
pp. 26-30 ◽  
Author(s):  
Kristin L. Serowik ◽  
Karen Ablondi ◽  
Anne C. Black ◽  
Marc I. Rosen
Keyword(s):  
Motivational Interviewing ◽  
Interviewing Techniques

Can motivational interview techniques be used as an effective method on increasing the compliance of hypertensive individuals with treatment?

2016 ◽  
pp. 81-89
Author(s):  
Funda Ozpulat
Keyword(s):  
Motivational Interviewing ◽  
Data Base ◽  
Motivational Interview ◽  
Lifestyle Changes ◽  
Pressure Management ◽  
Control Groups ◽  
Information Centre ◽  
Interview Techniques ◽  
International Data ◽  
Interviewing Techniques

Abstract This systematic study was planned to analyse the academic works which have assayed the effect of motivational interview techniques on the increase of compliance of individuals with the treatment. Google academic, National Academic Net and Information Centre, Turkish Psychiatry Index, and National and International data base were used as data base. After scanning, 49 articles published between 1. Jan. 2007 and 31. Dec. 2014 in national and international juried journals and whose full texts could be accessed in electronic environment were found, two of which were excluded later due to the failure of full access to the texts. 7 articles were found among 47 articles which evaluated the effects of motivational interviewing techniques on the compliance of individuals with the treatment. The study was conducted only through 5 of them, which were determined to be suitable for the criteria of including to the study. When the papers in the scope of the research was analysed, it was determined that all of the studies were experimental, pre-tested and post-tested and conducted by using control groups. As the result of the study, it was verified that motivational interviewing techniques could be used as an effective method on improving disease perception, providing them with lifestyle changes, increasing their compliance with the medical treatment and maintaining the blood pressure management successfully for hypertensive individuals. Keywords: Hypertension, motivational interview, Health Services, systematic review

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