Full Description
Individuals with hearing loss often spend several years struggling to hear before seeking a formal hearing assessment. Many further prolong their communication difficulties and challenges by postponing the adoption of hearing aids once prescribed. The World Health Organization asserts that ignoring prescribed treatments significantly contributes to poor health outcomes. Hearing care is no exception. Living with untreated hearing loss can adversely affect overall well-being. Traditional counselling, focused on patient education and advice giving, struggles to enhance compliance. Motivational Interviewing for Hearing Care Providers guides hearing care professionals in using motivational interviewing (MI) to help patients commit to treatment.
This essential book presents positive MI treatment effects in various fields and advocates that hearing care needs similar improvements. The author breaks down MI into relevant components and skills and outlines optimal strategies. Theoretical concepts are paired with transcripts, exercises, and reflection prompts to help readers break free from detrimental communication patterns and transform their practice.
Key Features
Hearing care-specific dialogues and examples that enable the reader to envision the concepts being demonstrated in a way that mirrors their everyday practice
Reflection questions and learning activities, specific to hearing care, at the end of every chapter
Bolded key terms and glossary
Resources for educators and to facilitate implementing MI in the clinic
Opportunity to "Test Yourself" as well as "Next Steps" offering a variety of ways the reader can keep building their MI skills and learn more on the topic
PluralPlus Online AncillariesQuizzes, Activities/Exercises, Case Studies, Links to Related Resources, Forms/Documents
Contents
Contents
Preface
Acknowledgments
About the Author
Reviewers
Dedication
Chapter 1: What Is Motivational Interviewing?
Introduction to Motivational Interviewing
How MI Improves Listening
What MI Is Not
MI is not a one-size-fits-all solution
MI is not about coercing patients into behavior change
MI is not confrontational or judgmental
MI is not passive or directive
MI is not about solving their problems for them
Clinician Role in Patient Outcomes
The MI Spirit
Partnership and Collaboration
Compassion and Empathy
Acceptance
Empowerment and Autonomy
The Four Processes of MI
Engaging
Evoking
Focusing
Planning
Using the Four MI Processes
Chapter 1 Summary
Chapter 1 Reflective Activity
Chapter 2: Motivational Interviewing Research and Trends
Patient Noncompliance and Increasing Adherence to Treatment
Growing Body of MI Research
Five Systematic Reviews on Motivational Interviewing
Motivational Interviewing: A Systematic Review and Meta-Analysis
Motivational Interviewing in Medical Care Settings: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
A Systematic Review of Motivational Interviewing in Healthcare: The Potential of Motivational Interviewing to Address the Lifestyle Factors Relevant to Multimorbidity
Effectiveness of Motivational Interviewing on Adult Behaviour Change in Health and Social Care Settings: A Systematic Review of Reviews
Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice
Systematic Review Summary
Applicability to Hearing Care
Is Intrinsic Motivation Important in Hearing Care?
The Lack of Research on MI Specific to Hearing Care
Attitudes Toward MI in Hearing Care
Chapter 2 Summary
Chapter 2 Reflective Activity
Chapter 3: Why Do We Need Motivational Interviewing in Hearing Care?
The Importance of Treating Hearing Loss
HCP Reliance on a Directive Style
Hearing Care Professional Burnout
Hearing Care Efficiency
MI Treatment Effects: Hearing Care Possibilities
MI is an effective method of initiating behavior change in ambivalent patients
MI is helpful in the treatment of diseases that are influenced by behavior
MI can increase acceptance of treatment and/or adherence to prescription
MI is most effective when delivered by a well-trained and competent provider
There are no downsides or adverse effects to using MI
Chapter 3 Summary
Chapter 3 Reflective Activity
Chapter 4: Engaging the Patient
Preparing to Use MI
What to Avoid: Roadblocks to Listening
Ordering
Warning
Moralizing
Advising
Lecturing
Judging
Praising
Labeling
Analyzing
Sympathizing
Questioning
Avoiding
Engaging the Patient
Chapter 4 Summary
Chapter 4 Reflective Activity
Chapter 5: Evoking Reasons for Change
Evocation
Avoiding Directive Communication Patterns
Guiding Communication Patterns
Always begins with open-ended questions and maintains 70% open-ended questions throughout
The HCP guides the conversation
The HCP avoids interrupting the patient
The HCP does not make notes while the patient talks
There may be pauses after asking questions and/or after the patient's response
The HCP avoids closed questions when possible
The patient does most of the talking
The HCP is curious
Guiding Communication Patterns Summary
Using OARS to Evoke
Open-Ended Questions
Affirmations
Reflective Listening
Summaries
Chapter 5 Summary and Example
Chapter 5 Reflective Activity
Chapter 6: Resolving Ambivalence
Change Talk vs. Sustain Talk
Using the Transtheoretical Model of Change
Precontemplation
Contemplation
Preparation
Action
Maintenance
Providing Information
Elicit, Provide, Elicit
Three Simple Steps in the "Elicit, Provide, Elicit" Approach
Using Elicit-Provide-Elicit
Elicit-Provide-Elicit Example
Resolving Ambivalence Example
Example Summary
Recurring Sustain Talk
Chapter 6 Summary
Chapter 6 Reflective Activity
Chapter 7: Taking Action
Assessing Readiness for Action
DARN CATS
The Number Line
The Pregnant Pause
Selecting Hearing Aids
The Hearing Aid Fitting and Trial Period
Maintenance
Reinforcement
Routine Building
Social Support
Preventing Relapse
Chapter 7 Summary
Chapter 7 Reflective Activity
Chapter 8: Implementing MI in a Hearing Care Practice
What Would Using MI Look Like?
Should Patients Bring Family Members?
Barriers to Implementation
Individual Barriers
Organizational Barriers
What Does the Front-End Staff Need to Know About MI?
Systematic Barriers
Looking to Other Disciplines
Using MI Ethically
Respect for Autonomy
Beneficence and Nonmaleficence
Confidentiality
Cultural Competence, Sensitivity, and Equity, Diversity, and Inclusion
Other Applications for MI in Hearing Care
Chapter 8 Summary
Chapter 8 Reflective Activity
Chapter 9: Tying It All Together: Case Studies
Case Study 1
Examining Case Study 1
Case Study 2
Examining Case Study 2
Chapter 9 Reflective Activity
Glossary of Key Terms
References
Printable Resources and Teacher Materials
