BOX 3.

Motivational Interview.

Motivational interview

•Important points to keep in mind in a motivational interview with patients and carers: •Direct, patient-centered style of assistance to elicit behavioral change, helping to explore and resolve ambivalences. •Motivation for change comes from the patient. It is not imposed. •The goal of the interview is to achieve intrinsic motivation for change (vs. extrinsic motivation), is not to impose the views of the family or the healthcare provider. •Acceptance of ambivalence as a normal part of the human experience. •Uses specific strategies to create motivation for change. •The practitioner focuses on encouraging the patient/carer to express his or her concerns. •The practitioner focuses on encouraging the patient/carer to express the positive impact (short and middle term) that will result from changing that behaviour and following the HCP recommendations •Use open questions.