BNI & Brief Motivational Interviewing (BMI)

Brief Motivational Interviewing (BMI) is an adaptation of motivational interviewing skills to the clinical care environment,

where competing needs for prevention require a rapid, patient centered-interaction to promote healthy behaviors.

BMI has been used to increase the likelihood of patients keeping Prescription pad with plastic prescription pill bottle.appointments for primary care and routine clinical screens such as mammography1, or to fill and finish the prescriptions2 they receive at a doctor’s visit. Results of BMI for healthy eating3 and increasing the amount of daily exercise have shown that MI skills outperform basic transfer of information or advice about lifestyle changes4.

The Brief Negotiated Interview (BNI) Algorithm is a framework for conducting BMI.

Medley of vegetables.The five steps of the BNI* can be used to facilitate positive change of various health-related behaviors. Our team can design a BNI Algorithm to meet the needs of your particular project and provide training in BMI skills to enhance behavior change conversations with patients.

*The BNI Algorithm was developed in 1994 by Edward Bernstein, MD, Judith Bernstein, RNC, Ph.D, Stephen Rollnick, Ph.D, with valuable contributions from Gail D’Onofrio, MD, MS.
1Battaglia, T.A., McCloskey, L., Caron, S.E., Murrell, S.S., Bernstein, E., Childs, A., et al. (2012). Feasibility of chronic disease patient navigation in an urban primary care practice. Journal of Ambulatory Care Management, 35(1), 38-49.
2Interian, A., Martinez, I., Rios, L. I., Krejci, J., & Guarnaccia, P. J. (2010). Adaptation of a motivational interviewing intervention to improve antidepressant adherence among Latinos. Cultural Diversity & Ethnic Minority Psychology, 16(2), 215-225.
3Brug, J., Spikmans, F., Aartsen, C., Breedveld, B., Bes, R., & Fereira, I. (2007). Training dietitians in basic motivational interviewing skills results in changes in their counseling style and in lower saturated fat intakes in their patients. Journal of Nutrition Education and Behavior, 39, 8-12.
4Mason, M. J. (2009). Rogers redux: Relevance and outcomes of motivational interviewing across behavioral problems. Journal of Counseling and Development, 87, 357-362.