Motivational Interviewing: Enhancing Motivation To Change Strategies. Learning Objectives. At the end of this session, you will be able to— Describe the stages of change. Demonstrate at least two methods to elicit change talk. Use a decisional balance and readiness ruler.
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At the end of this session, you will be able to—
Prochaska and DiClemente identified five stages of change your patient can experience:
Prochaska & DiClemente (1984)
At what stage does a patient consider the possibility of change?
“Readiness to change”
Change talk is at the heart of MI. Through our conversations, we elicit—
“I wish I could stop drinking so much because I don’t want that to be an example for my children.”
Identify the change talk statements:
Camilla or Marcus, 24
Readiness rulers can address—
On a scale of 1 to 10, how ready are you to make a change?
MI strategies facilitate—
Uses screening/assessment results to generate a specific type of reflective discussion aimed at gently increasing readiness and the desire to change
Sampl & Kadden, 2001
Initiate reflective discussionPersonalized Reflective Discussion
Enhancing motivation and commitment
Evoke personal meaning
based on screening/
Substance use risk
Based on your AUDIT screening—
You are here
Low ModerateHigh Very High
Reflective questions: From your perspective…..
Personalized Reflective Discussion Exercise
E vidence based
P atient centered
P rovides structure
In the next session, we’ll cover the brief negotiation interview, a semistructured brief intervention process based on MI that is a proven evidence-based practice.