Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: The American Medical Directors Association designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of management 1.5 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: Motivational Interviewing (MI) is a "novel" approach the long term care interdisciplinary team and medical director can use to facilitate behavioral change on the part of patients, families, and facility staff. "Traditional" behavioral change approaches such as strategies-advice giving, providing information and in-services are all too frequently unsuccessful. MI is a promising alternative that focuses on behavior change from the patient's, family member's, employee's or clinical staff member's perspective. MI is widely used in primary care setting and has had a positive effect on weight loss attempts, exercise efforts, decreased substance use, and other health-promoting behaviors. However, there is virtually no discussion of use of this modality in long-term care setting. This session provides a practical introduction to brief MI techniques that medical directors and members of the long term care interdisciplinary team can use as a clinical or management tool in their practice setting.
Describe the differences between motivational interviewing and traditional behavior change strategies.
Identify readiness for behavioral change.
Apply MI tools to facilitate behavioral changes in relation to readiness for change.
Speakers(s): Daniel Bluestein, MD, MS, CMD; Patricia L. Bach, PsyD, RN
Disclosure(s): Daniel Bluestein, MD, MS, CMD has no financial disclosures to report. Patricia L. Bach, PsyD, RN has no financial disclosures to report.
References(s): Abramowitz SA, Flattery D, Franses K, Berry L. Linking a motivational interviewing curriculum to the chronic care model. J Gen Intern Med. 2010 Sep;25 Suppl 4:S620-6. Bell K, Cole BA. Improving medical students' success in promoting health behavior change: a curriculum evaluation. J Gen Intern Med. 2008 Sep;23(9):1503-6. Kaldy J. Long-Term Care May Call For Substance Abuse Awareness, sensitivity, and keen strategies are increasingly required. Caring for the Ages 2010; 11(10): Lane C, Hood K, Rollnick S. Teaching motivational interviewing: using role play is as effective as using simulated patients. Med Educ. 2008 Jun;42(6):637-44. Martins RK, McNeil DW. Review of Motivational Interviewing in promoting health behaviors. Clin Psychol Rev. 2009; 29(4):283-93. Naik AD, Schulman-Green D, McCorkle R, Bradley EH, Bogardus ST Jr. Will older persons and their clinicians use a shared decision-making instrument? J Gen Intern Med. 2005; 20(7):640-3. Stewart EE, Fox C. Encouraging Patients to Change Unhealthy Behaviors With Motivational Interviewing. Fam Pract Manag 2011; 18(3):21-25. White LL, Gazewood JD, Mounsey AL. Teaching students behavior change skills: description and assessment of a new Motivational interviewing curriculum. Med Teach. 2007 May;29(4):e67-71.
Eastern Virginia Medical School