Home' Australian Pharmacist : April 2011 Contents Submit your answers online at www.psa.org.au and receive automatic feedback
interviewing strategies in
a pharmacy setting
Given the challenges of achieving and
sustaining positive health behaviour,
motivational interviewing has been
applied to a wide variety of behaviours
such as smoking, medication
compliance, diabetes management
and AIDS risk reduction, and in a
variety of health care settings.1
Health professionals have shown
an interest in the concept following
success reported in specialist
settings.1 This has led to adaptations
of motivational interviewing
techniques for other such health
settings to allow the technique to be
used where only brief encounters are
possible due to workplace logistics
and time limitations.1 The few minutes
pharmacists have counselling on
medicines is a good example where
modified applications can be useful.
A practical tool for pharmacists
incorporating such developments
is described in Table 1. It provides
an easy step-by-step process
incorporating principles of motivational
interviewing for use where only brief
encounters are possible. Applying this
process to cases like John and Pauline
may prove successful.
Stop hitting that brick wall
Unfortunately patients like John and
Pauline will forever provide us with
a challenge and make us feel like
we are hitting a brick wall. However,
approaching such cases using the
framework in Table 1 along with
specific motivational interviewing
principles, as pharmacists we can
influence patients and facilitate
positive health outcomes.
In conclusion, motivational
interviewing is a counselling
technique.1 It is useful in helping
patients to identify and resolve the
discrepancies between their desired
positive health behaviours and their
actual health behaviours and to
ultimately increase their motivation to
1. Emmons KM, Rollnick S. Motivational interviewing in
health care settings: Opportunities and limitations.
American Journal of Preventive Medicine. 2001;
2. Martins RK, McNeil DW. Review of Motivational
Interviewing in promoting health behaviors. Clinical
Psychology Review. 2009; 29(4):283--93.
3. Miller NH. Motivational interviewing as a prelude
to coaching in healthcare settings. Journal of
Cardiovascular Nursing. 2010; 25(3):247--51.
4. Britt EF, Moore PM. HD2-3 Motivational interviewing
compared to patient education provided by Nurse
Educators: A promising intervention for indigenous
peoples. Diabetes Research and Clinical Practice. 2008;
5. Rollnick S. Helping patients to change behaviour. The
Foundation Years. 2008; 4(2):77--80.
6. Britt E, Hudson SM, Blampied NM. Motivational
interviewing in health settings: a review. Patient
Education and Counseling. 2004; 53(2):147--55.
7. Kern M. Stages of Change Model. AddictionInfo.
org [online]. 2011 [updated 23 Jan 2011]. At: www.
8. Kern M. Motivational Interviewing as a Counseling
Style Part 1. AddictionInfo.org [online]. 2011
[updated]. At: www.addictioninfo.org/articles/696/1/
9. Kern M. Motivational Interviewing as a Counseling
Style Part 2 [online]. 2011 [updated]. At: www.
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