Motivational Interviewing for Hearing Care Providers

First Edition

Bobbi-Jo Marlatt

Details: 228 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-63550-784-3

Release Date: 10/23/2025

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About

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 Ancillaries

Quizzes, Activities/Exercises, Case Studies, Links to Related Resources, Forms/Documents

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

Authors

Bobbi-Jo Marlatt

Bobbi-Jo Marlatt is a passionate Hearing Instrument Specialist who has worn hearing aids since childhood. After earning her BA in Psychology, she became an HIS and later pursued a Master of Applied Health Sciences and a Master of Education. Currently, she is completing her PhD at the University of Western Ontario, where she is researching motivational interviewing in hearing care. For over a decade, Bobbi-Jo has worked with Demant, supporting and training hearing care professionals across Canada. She was instrumental in designing the Hearing Instrument Specialist Program at Humber Polytechnic, where she also serves as a professor specializing in professional practice, ethics, and patient counseling. Her dedication to advancing hearing care extends to her role on the Board of Directors for AHIP in Ontario. She is also a member of the Canadian College of Health Leaders and holds the Canadian Health Executive (CHE) credential. Bobbi-Jo’s interest in motivational interviewing led to a collaboration with the Pacific Audiology Group, where she helped develop a six-part MI training program for hearing professionals, along with accompanying blogs, videos, and articles. Her work is driven by a passion to increase hearing aid adoption through enhanced patient-provider communication. When she’s not working, Bobbi-Jo enjoys gardening, being at her family cottage, having bonfires, cooking, running, and spending time with her family—and their beloved flock of birds—in the backyard.

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Resources

Motivational Interviewing for Hearing Care Providers, First Edition comes with access to supplementary student and instructor resources on a PluralPlus companion website.

The companion website is located at: https://www.pluralpublishing.com/publication/mihhc

SUPPLEMENTARY RESOURCES:

The resources include Quizzes, Activities/Exercises, Case Studies, Links to Related Sources and Forms/Documents.

To access the resources, you must register on the companion website and log in using the access code located in the front of your textbook.

*Note: If you have purchased this textbook used or have rented it, your access code will not work if it was already redeemed by the original buyer of the book. Plural Publishing does not offer replacement access codes for used or rented textbooks.