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People are being invited into primary care for health checks in many parts of the United Kingdom. The people delivering them come from diverse backgrounds. Some are nurses, others are not in a clinical profession. Not all the patients are easy to interview.

I ran a workshop in England and they asked me to demonstrate rapid engagement, just the first few minutes of the interview.

I did this with a simulated patient, “Henry” whom I hadn’t met before, who was deliberately playing the role of someone who would be difficult to interview in a health check. Henry was monosyllabic in his manner and behaviour, clearly unhappy about being there. My assumption was that he was feeling ambivalent.

My goal was to engage with him first, before getting down to any measurements and other things in a health check. I proposed to the workshop participants that we follow the “20% rule”: you spend the first 20% of your time only on engagement, and nothing else… so here is how it went, warts and all.

#motivational interviewing  #mi #Stephen Rollnick #behavior change


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