Page 90 - ESHRE2019

MI : techniques
• It is very tempting to pick and use some of the techniques and strategies of MI
• reflections, scaling questions, agenda setting, ...
• perceived time constraints of consultation,
• lack of understanding of the basic assumptions of MI
• lack of ongoing training of the professional •
• Hoping that the MI techniques will lead to behavior change in a patient is like hoping that a diet will lead to permanent weight loss.
• Using the MI techniques without the spirit of MI does not work.
MI : time consuming ??
• A session with the psychologist usually takes longer than sessions with other health care professionals in Belgium.
• Psy’s can take the time to focus on change talk, construction nice reflections that work, affirm our patients, retry when motivation remains low,...
• Psy’s received longer training in communication skills.
• But : MI spirit colors all interactions of the professional with the patient.
• And : a session MI can be divided over several consultations
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