A Q&A with Ellen R. Glovsky, PhD, RD, LDN
Non-adherence to care plans is a common issue for patients with cystic fibrosis and can result in poorer outcomes. Motivational interviewing (MI) has been found a successful method for health care providers to help patients make positive behavioral changes that support treatment adherence.
We recently spoke with Ellen R. Glovsky, PhD, RD, LDN, a clinician and MI trainer, to discuss the technique and how clinicians can implement this approach in their practice.
What is motivational interviewing?
Motivational interviewing is an approach to health behavior change, and it is an approach to the counseling method that has been proven to be the most effective way to effect change.
The basic premise:
- People are the experts in their own lives and they know best and what is going to work.
- The health care provider is the expert in what would be ideal, but motivational interviewing helps guide people, rather than telling them what to do.
Rather than my saying, “Here's what you should do,” I'm going to talk with that person about what their goals and values are regarding this behavior change and what makes them think that this behavior change would be a good idea. How do they think they might go about it?
Most of the time, people have really good ideas about how to do things if we just let them have their ideas.
We talk with people about their goals and values and help them come up with a plan to make a change, rather than tell them what to do.
I'm a guide instead of an instructor.
Next: How can MI help patients with cystic fibrosis?