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Motivational Interviewing Assignment

Motivational Interviewing Assignment

Motivational Interviewing Assignment

The goal of this assignment is to give you the opportunity to apply your developing motivational interviewing (MI) skills. It takes practice to learn how not to tell patients what to do or advise them after we have made the decision for them. I suspect that is what many RNs have been educated to do in their professional roles. Something in primary care practice is quite interesting: patients do what they want to after they leave your clinic. Following your directive may not be their priority.

The more you can help your patients to explore their health situation and their possible ambivalence or challenges in considering behavior changes, the more impactful your use of MI can be.

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This interview requires you to actually interview a LIVE PERSON.  Yes, a live breathing person who will answer the motivational interview questions that you ask him/her.

This interview requires you to actually interview a LIVE PERSON.  Yes, a live breathing person who will answer the motivational interview questions that you ask him/her.

This interview requires you to actually interview a LIVE PERSON.  Yes, a live breathing person who will answer the motivational interview questions that you ask him/her.

For this assignment you will be asked to:

      1. Audio record a brief interview with an adult of your choice.  You can dom as video but we prefer audio.  The interview should last at least 8-10 minutes and demonstrate your ability to use basic MI approaches.   Points will be deducted for more lengthy audios of the interview if >1minute  over 10 minutes. Five points will be deducted for each minute or portion thereof overtime. 
      2. You should include your self-critique at the end of the MI interview, which may increase the audio to 11-12 minutes.  Be sure to see the required content for this in the rubric.  Best to record your self-critique at end of interview rather than as a second, separate interview.
      3. Do NOT write and then read from a script–we really can tell because it sounds mechanical for you and the patient. The whole point of MI is to be natural and empathetic. 
      4. Be sure to review the grading rubric so you include ALL essential aspects of MI for this exercise. We have given you very specific requirements for each criterion in the rubric–be sure to review these carefully and let them guide you. We suggest you practice a little before recording so you are more comfortable and natural sounding.  We suggest you do NOT read a script–it will sound stilted–we can tell.
      5. Introduce your simulated “patient” at the beginning of the interview with the following information:
        1. made-up name, gender, and age
        2. the health issue you will be discussing ( You will be discussing weight loss with the patient. )  Do NOT use any other health topic.
          1. Advise the “patient” to be ambivalent about considering a change— meaning not very willing to agree to change or to develop a plan. You may end up influencing him or her through your MI skill, but let that unfold naturally if it does.
        3. Any other pertinent information you think the coach needs to assess the recording.
        4. Self-critique: Please provide a 2-3 minute oral critique included in the interview at the end of the recording. Consider such things as how challenging this was, how comfortable you were using various MI techniques, and what the “patient” thought about the interview if you can ascertain this prior to your self-critique. Overall, what did you learn from this interview that you can take with you into practice?
      6. You will upload the audio recording to Canvas via this assignment dropbox by Sunday 2359 CDT.
      7. Have fun!

 

You must replay your entire interview to confirm it is clearly audible BEFORE you upload it. Your interview will NOT be graded if the coach cannot easily hear it.  This has happened in past courses–so BE CAREFUL.

Motivational Interviewing Assignment View Rubric

rev Motivational Interviewing Assignment (1) (2)
Criteria Ratings Pts
Situation Identified

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10 pts

Excellent

Clear what patient age, gender and reason for the interview visit is about.

5 pts

Satisfactory

Unclear what reason for the interview visit is about.

0 pts

Unsatisfactory

No information about the patient or reason for the visit.

/ 10 pts
Use of Open-ended Questions

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10 pts

Excellent

Student demonstrates multiple uses of open-ended questions. This is foundational to MI and is demonstrated at least three – five times.

5 pts

Satisfactory

Student demonstrates uses of open-ended questions. This is foundational to MI and is demonstrated at least 1-2 times.

0 pts

Unsatisfactory

Student demonstrates NO use of open-ended questions. This is foundational to MI and is NOT demonstrated.

/ 10 pts
Reflections of Patient Comments

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10 pts

Excellent

Student reflects the patient’s comment several times in interview–at least 3.

5 pts

Satisfactory

Student reflects the patient’s comment several times in interview–at least 1-2.

0 pts

Unsatisfactory

Reflections of patient comments not displayed.

/ 10 pts
Expressed Empathy

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10 pts

Excellent

Student comments convey empathy > two times in the interview.

5 pts

Satisfactory

Student comments convey empathy only one in the interview.

0 pts

Unsatisfactory

Student empathy comment not displayed in the interview.

/ 10 pts
Explored Pros and Cons of Behavior

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10 pts

Excellent

Asked patient his view of personal pros and cons

5 pts

Satisfactory

Explored patient view of pros OR cons. Did not explore both.

0 pts

Unsatisfactory

Did not inquire about patient view of pros and cons.

/ 10 pts
Assessed Readiness to Change

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10 pts

Excellent

Determined patients readiness to make a change.

5 pts

Satisfactory

Some discussion of readiness to change but not clearly identified.

0 pts

Unsatisfactory

MI area is clearly identifiable and appropriately used

/ 10 pts
Use of Importance Ruler

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10 pts

Excellent

Clearly used the Importance ruler obtaining patient numerical rating. Asked patient why the number was not higher or lower to further explore patient frame of reference.

5 pts

Satisfactory

Obtained patient rating but did not explore the choice such as why not higher or lower.

0 pts

Unsatisfactory

Did not use the ruler

/ 10 pts
Use of Confidence Ruler

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10 pts

Excellent

Clearly used the Confidence ruler obtaining patient numerical rating. Asked patient why the number was not higher or lower.

5 pts

Satisfactory

Obtained patient rating but did not explore the choice such as why not higher or lower.

0 pts

Unsatisfactory

Did not use the ruler

/ 10 pts
Ended visit in appropriate manner for patient

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10 pts

Excellent

Ended visit with clear follow-up plan described by the patient.

5 pts

Satisfactory

Ended visit with lack of good clarity about a follow-up plan described by the patient OR did not have the patient describe the plan.

0 pts

Unsatisfactory

Ended visit with lack of good clarity about a follow-up plan described by the patient AND did not have the patient describe the plan.

/ 10 pts
Self-critique

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10 pts

Excellent

Student identifies any challenge of using MI. Describes personal strengths and weaknesses in using MI. Identifies the most important lesson learned in MI assignment.

5 pts

Satisfactory

Omits one of the three areas required.

0 pts

Unsatisfactory

Omits two to three areas required.

/ 10 pts
Total Points: 0

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