Motivational Interviewing in Veterinary Practice

Abstract

Previous articles for the Veterinary Ireland Journal have outlined the critical role of the veterinary practitioner as an advocate for behavioural change in relation to antimicrobial resistance and herd health planning (Gribben and Burrell, 2023; Regan and Burrell, 2021). Within the realm of preventative veterinary medicine and herd health planning consults, evidence-based communication strategies which draw on psychological theory and practice have been shown to improve shared decision-making and collaboration between veterinary practitioners and their clients (Bard et al, 2022). In this article, we will describe the relational and technical components of motivational interviewing.

The term ‘motivational interviewing’ (MI) might suggest images of someone standing on a stage with a handsfree microphone and an inspirational speech, something which it is not. In short, MI is a collaborative conversation style reflecting person-centred care and is used to elicit and strengthen a person’s own, intrinsic motivation to change. It is used by those working in a helping profession such as counsellors, social workers, doctors, teachers, physiotherapists, psychologists and probation officers.

Miller and Rollnick (2013) give the example of a healthcare professional who is supporting a patient to respond to a chronic disease diagnosis. This patient’s future health, quality of life and indeed life expectancy may be determined by their behaviour and lifestyle. The kind of helping conversation that the healthcare professional might have with their patient in this situation can be described as being on a continuum of communication styles.

On one side of this continuum is a ‘directing’ style of communication – the practitioner tells the patient what to do and how to do it and this requires adherence and compliance from the patient. On the other side of this communication continuum is ‘following’ – the practitioner merely seeks to understand and does not give any of their own views or advice at all. Motivational interviewing sits in between these two approaches, in a ‘guiding’ style of communication.

Millner and Rollnick compare this ‘guiding’ style of communication to being a good tour guide – tourists neither want to be marched around a city being told exactly what to eat and where to go, nor do they want their tour guide to follow them around aimlessly. ‘Guiding’ involves actively listening and providing expertise when asked for. In the case of the healthcare professional and patient, this means exploring what a disease diagnosis means for that person and how they can realistically make the changes required, while incorporating the practitioner’s expertise and knowledge of the disease where needed.