What is BAP-MI?

BAP-MI is a stepped-care integration of evidence-informed skills from BAP (Brief Action Planning)  and MI (Motivational Interviewing) to support patient self-management and facilitate health behavior change.

Background & Overview

BAP-MI Development & Implementation

BAP-MI was developed, circa 2015-2020, by an informal consortium of MINT medical educators and other MI-trained medical faculty and tailored for pragmatic applicability into the emerging healthcare environment. Training initiatives (see Links & Downloads below) have been implemented at six academic medical centers, including programs for medical students, residents in Internal Medicine, Primary Care Internal Medicine, Preventive Medicine, and Psychiatry, as well as Fellows in Addiction Medicine. Presentations, workshops, and courses on BAP and BAP-MI have been accepted for presentation at several recent national meetings including the American Psychiatric Association (2021, 2022), the Academy of Consultation-Liaison Psychiatry (2021), and the MINT Forum (2020, 2021).

Enriching the MI Toolkit

The developers of this approach suggest that BAP-MI enriches the MI toolkit by offering:

  1. A pragmatic, direct path to support patient self-management and facilitate health behavior change for patients who are ready, or almost ready for action planning;
  2. For practitioners of MI, an evidence-informed, efficient, and flexible roadmap from Evocation into and through Planning; and
  3. For healthcare professionals in general, a coherent set of stepped-care concepts and evidence-informed skills to support patient self-management and facilitate health behavior change, fully consistent with MI across the full spectrum of patient readiness for change, and streamlined for efficient integration into the emerging healthcare environment.

BAP “Bookends” MI

& comes in many flavors and styles.

  • Sometimes BAP is sufficient for change.
  • Sometimes, BAP-MI begins with MI and concludes with selected skills of BAP.
  • Sometimes selected skills of BAP literally “bookends” targeted MI interventions.

bookend

Sometimes BAP is sufficient for change.

Bookend one side

Sometimes, BAP-MI begins with MI and concludes with selected skills of BAP.

bookends

Sometimes selected skills of BAP literally “bookends” targeted MI interventions.

BAP-MI-Mint
ICMI Conference BAP-MI PDF

BAP-MI Videos

Advanced Skills for Health Behavior Change

bookends

Mr. Vanguard

Sometimes, BAP “bookends” MI on both sides. We begin with a BAP probe (Question One), uncover hesitancy/ambivalence and introduce MI skills. We return to a BAP probe when it appears patient may be more ready for action planning.

 

bookends

Mr. Stabler

Sometimes, it is may not be clinically appropriate to begin with a BAP probe. In those cases of clear ambivalence, we generally choose to begin with MI skills, introducing a BAP probe (Question One) when it appears patient may be ready for action planning.

Mr. Stabler Video BAP

bookends

Mr. Dowd

Sometimes, it is may not be clinically appropriate to begin with a BAP probe. In those cases of clear ambivalence, we generally choose to begin with MI skills, introducing a BAP probe (Question One) when it appears patient may be ready for action planning.

Mr Dowd Video BAP

ZOOM Presentation on BAP-MI

Click to watch the portion of this presentation (starts at 33:43) focusing on BAP-MI.

BAP-MI video

BAP-MI: Symposium, ICMI 2022

BAP-MI: Symposium at ICMI (6th International Conference on Motivational Interviewing)

ICMI Video

[1] Lorig K, Ritter P, Stewart A, et al. Chronic disease self-management program: 2-year health status and health care utilzation outcomes. Med Care. 2001;39(11):1217-1223.

[2] Bodenheimer T, MacGregor K, Sharifi C. Helping patients manage their chronic conditions: California HealthCare Foundation; June 2005.

[3] Bandura A, Cervone D. Self-evaluative and self-efficacy mechanisms governing the motivational effects of goal systems. Jrnl Personality and Social Psychology. 1983;45(5):1017-1028.

[4] Bodenheimer T, Handley MA. Goal-setting for behavior change in primary care: an exploration and status report. Patient Educ Couns. Aug 2009;76(2):174-180

[5] Glasgow RE, Goldstein MG, Ockene JK, Pronk NP. Translating what we have learned into practice. Principles and hypotheses for interventions addressing multiple behaviors in primary care. Am J Prev Med. Aug 2004;27(2 Suppl):88-101.