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Building a Toolbox 

Building a Toolbox
Chapter:
Building a Toolbox
DOI:
10.1093/med/9780199958184.003.0004
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date: 26 November 2020

Chapter 4 focuses on the why and how of the therapeutic method of motivational interviewing (MI). It also reviews the transtheoretical model of change and its relationship to MI with specific clinical statements related to the stage of change the patient is in. The chapter offers a comprehensive understanding of the core MI skills (open-ended questions, affirmations, reflections, summaries: OARS) that addresses how MI works in clinical practice. A practical discussion of the agenda mapping as a tool to improve the focus of the medical encounter is addressed. In this chapter we describe the strategies of exchanging information using the frameworks of elicit-provide-elicit and chunk-check-chunk. A personal reflection on the importance of MI skills is shared at the end of the chapter.

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