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Motivational Interviewing: An evidence-based approach to counseling helps patients follow treatment recommendations

Levensky, Eric Ross PhD; Forcehimes, Alyssa MA; O'Donohue, William T. PhD; Beitz, Kendra PhD

AJN The American Journal of Nursing: October 2007 - Volume 107 - Issue 10 - p 50–58
doi: 10.1097/01.NAJ.0000292202.06571.24
Feature

Motivational interviewing is an evidenced-based counseling approach that health care providers can use to help patients adhere to treatment recommendations. It emphasizes using a directive, patient-centered style of interaction to promote behavioral change by helping patients explore and resolve ambivalence. This article will help nurses learn how to use motivational interviewing to encourage patients to adhere to treatment recommendations. The basic theoretical underpinnings, principles, and methods of motivational interviewing are discussed, with an emphasis on acting in accordance with the "spirit" of the approach.

Originally developed to help substance abusers, motivational interviewing has shown promise in improving adherence to treatment in a variety of populations.

Eric Ross Levensky is a clinical psychologist in behavioral medicine at the New Mexico Veterans Affairs Medical Center in Albuquerque. Alyssa Forcehimes is clinical research associate at the Center on Alcoholism, Substance Abuse, and Addictions at the University of New Mexico in Albuquerque. William T. O'Donohue is professor of clinical psychology at the University of Nevada in Reno and the chief executive officer of CareIntegra, a consultancy firm in Reno, where Kendra Beitz is project coordinator. Contact author: Eric Ross Levensky, elevensky@comcast.net.

Two authors, ERL and WTO, edited and receive royalties from sales of a book cited in the article. The authors of this article have no other significant ties to any company that might have an interest in the publication of this educational activity.

© 2007 Lippincott Williams & Wilkins, Inc.