Adherence SW 3

Adherence SW 3

1. Motivational interviewing

   • Arose from behavioural, social psychology - patient centeredness
   • Prior to MI counselling drug addicts focussed on confrontation with an autoritative emphasis
   • In contrast mi focusses on persons' own goals and readiness to change
   • Facilitates resolution of ambivalence to behaviour change. particularly affects people when determining treatement value, espeically if benefits are not directly percieved.

2. Motivational Interviewing

   • Empathy = show understanding for ambivalence to medication taking
   • Develop discrepancy = elicit persons goals of treatment and allow them to see that non-adherence is inconsistent with their own goal
   • Avoid arguement - angry people do not change, let people take personal responsbility for change
   • Promote self-efficacy - support even the smallest of acheivements, help people believe they can be successful with the behaviour in question

3. Interpersonal skills

   • using the users own words, open ended questions, reflective lsitening, socratic dialogue, summarising, eliciting and repsonding to feedback.

4. Process

   • Working collaboratively, linking sessions together, being flexible, support self-efficacy, exploring importance assess confidence and satisfaction.

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