Ep 17 – Motivational Interviewing for Multimorbidity
Ep 17 – Motivational Interviewing for Multimorbidity
Glenn Hinds Motivational Interviewing for multimorbidity
Glenn and Sebastian are happy to share our latest podcast with our guest, Kylie McKenzie, MAPS, FCCLP. Kylie is based outside of Melbourne Australia and is a Clinical Psychologist with more than eighteen years’ experience in a regional public hospital setting.
Kylie’s clinical work, focused on mental health and chronic illness, led to the discovery of motivational interviewing as an engaging way to support and promote health behaviour change. Since becoming a member of the Motivational Interviewing Network of Trainers in 2008, Kylie has been selected as a lead trainer for international workshops in Krakow (2013), Atlanta (2014) and Melbourne (2015). Kylie is a final year PhD Candidate in the Department of General Practice at the University of Melbourne, and her research focuses on the potential of Motivational Interviewing when working with people living with mental-physical multimorbidity.
Multimorbidity can create complex conversations because people may be managing several conditions, competing priorities and multiple recommendations at the same time. Kylie explores how MI can help clinicians move beyond an “assess and advise” approach and work collaboratively with the person to identify what matters most and where change feels possible.
The discussion considers patient-centred care, giving advice effectively, asking questions in the direction of change and collaborative focusing. It also connects with information exchange in Motivational Interviewing, particularly when clinicians need to share expertise while continuing to respect autonomy.
In this episode
0:00 – Opening/introduction
3:00 – Kylie’s early MI story: Going beyond “assess and advise”
16:45 – Giving advice more effectively
21:00 – Asking questions in the direction of change
24:30 – The challenge of having and treating multiple chronic conditions
29:00 – What do we mean by patient-centered?
35:00 – Helping patients get “the good lines”
40:30 – Collaborative focusing
50:00 – The continuum of MI skills in practice
53:30 – Kylie’s research on improving depressive symptoms in people with multimorbidity
as well as understanding MI from the clinician’s perspective
57:20 – Closing and contact information
59:41 – End of recording
Links and contact information:
- Email: mckenzie@unimelb.edu.au
- Twitter: @_KMcK
Listen to Episode 17
Contact Talking to Change
Email: podcast@glennhinds.com
Glenn: glenn@glennhinds.com
Sebastian: sebkaplan34@gmail.com
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