What Motivates Change? Translating Theory Into Practice: Training in Motivational Interviewing
What Motivates Change? Translating Theory Into Practice: Training in Motivational Interviewing
3 User(s)
  • Total Seat(s): 25
  • Left Seat(s): 13

Motivational Interviewing (MI) is a state-of-the-art, evidence-based clinical counseling method designed for evoking intrinsic motivation for positive health behavior change. Originally developed in the drug and alcohol field, MI is now being widely applied in a variety of settings including health care and criminal justice. This training is for helping professionals who are in the role of counseling clients/patients to make and sustain healthy behavior changes.

Speaker biography

Dana Sturtevant is a registered dietitian, educator, and trainer whose work focuses on humanizing health care. As a registered dietitian, Dana has been incorporating Motivational Interviewing into her clinical practice for over 20 years. She has received training and mentorship from some of the best in the field - Stephen Rollnick, Denise Earnst, and Steve Berg-Smith. After becoming a member of the Motivational Interviewing Network of Trainers in 2002, Dana has traveled around the country training helping professionals in communication and engagement strategies that lead to positive change. As a sought after speaker and writer, Dana advocates for compassionate, weight-inclusive models of care and offers supervision, training, and consultation for helping professionals and health care organizations. Her work has been featured in The New York Times, Self, Real Simple, Huffington Post, and the TEDx stage.

Course Objective(s)

At the end of this course, participants will:

  • Apply the theories and principles of Motivational Interviewing (MI).
  • Understand the paradox of change; describe the spirit of MI.
  • Use appropriate techniques to open the conversation.
  • Ask open-ended questions to get the client to identify their own reasons/motivation to change/adhere/comply.
  • Use listening skills, including reflections, to allow the client to hear their ‘change talk’ and guide participants toward change.
  • Provide feedback, information or education in a motivation-enhancing way.
  • Summarize and close the conversation to maximize effectiveness.
  • Develop a personal plan for practicing and incorporating the primary skills and strategies of MI into practice.
Course Outline

Agenda – Day 1

Registration 8:30 to 9:00am

 1. Introduction/Check In (9 to 9:30 am)

    1. My plans for training
    2. Name and why you came, what you hope to learn
  1. View and debrief video examples of counseling style (9:30 to 10:15 am)

Break (10:15 to 10:30 am)

  1. Brief review of theories and principles of Motivational Interviewing (10:30am to 12 pm)
    1. Interpersonal communication style - What works?
    2. Interpersonal communication style - What doesn’t work?
    3. What are the key elements of a therapeutic relationship?  Summary of spirit

Lunch (12 to 1pm) on your own

  1. Listening (1 to 2:45 pm)
    1. Listening wisdom handout – Who has been a great listener in your life?  What difference did s/he make in your life?
    2. What makes listening so hard? Gordon’s model of communication, judgments, assumptions, noises, monkey mind (WAIT – why am I talking?)
    3. Benefits of listening
    4. “Coaching presence” – being with; mindfulness
    5. Reflective listening exercise
    6. Focus on the whole message, what’s going on beyond the words

Break (2:45 to 3:00)

  1. Review OPEN EARS (3:00 to to 3:30 pm)

Open-ended questions              Encourage; empathize

Permission first                          Affirm

Elicit change talk                                   Reflect

Nurture Confidence                               Summarize

  1. Open-ended questions (3:30 to 4:15 pm)
    1. What’s the difference between a question and a reflection?  Questions stimulate thinking; reflections stimulate feeling
    2. How and what questions are better than why…why may increase resistance if it sounds judgmental
    3. Ask questions from a place of curiosity
    4. Review and discuss patient scenarios that use open v closed questions
    5. What are some open-ended questions that you use with clients?
  1. Summary and wrap up (4:15 to 4:30pm)
    1. Questions?
    2. Plans for tomorrow

Agenda – Day 2

Sign in/light continental breakfast 8:30 to 9:00am

  1. Check in (9 to 9:30am)
    1. Name and one thing you walked away with after yesterday’s session
  1. Resistance (discord) and Sustain Talk (9:30 to 10:15am)
    1. Watch and debrief video clip on roll with resistance
    2. Review examples of discord and sustain talk
    3. Discuss strategies for rolling with resistance

Break (10:15 to 10:30 am)

  1. Eliciting change talk (10:30 am to 12pm)
    1. What is it?  How to respond to it?
    2. ACTIVITY: Change talk real play - changes you are interested in making
    3. ACTIVITY: Exploring ambivalence
    4. ACTIVITY: Assessing readiness
    5. What are some questions you can ask your clients to elicit change talk?

LUNCH (12 to 1pm) on your own

  1. Empathic Listener (1 to to 1:45pm)
    1. Line Dancing activity
  1. Providing feedback, information, and education (1:45 to 2:30 pm)
    1. Explore, Offer, Explore
    2. ACTIVITY: Say it Better
    3. Remember, knowledge is not enough to change behavior

Break (2:30 to 2:45pm)

  1. FRAMES – 6 key elements of effective interventions (2:45 to 3:30 pm)
    1. Feedback, Responsibility, Advice, Menu of options, Empathy, Self-efficacy
    2. Create FRAMES statements for two case scenarios
  1. Putting it all Together – The Four Processes of MI (3:30 to 4:15 pm)
    1. Review and discuss examples of the four processes: Engage, Focus, Elicit, Plan
    2. Activity: Putting it all together 
  1.  Conclusions and next steps (4:15 to 4:30 pm)

Providence NE Rehab Clinic

507 NE 47th Ave

Portland, OR 97213

Training in Motivational Interviewing
Registration Information

Target Audience: All healthcare professionals.

Registration: Registration is on a first-come, first-served basis. Space is limited.  Masks will be required for the entirety of the course. 

Registration Fee: The registration fee is as follows: 

$250 for Providence employees, $475 for all other participants. Registration fees cover access to electronic certificate of attendance once the course evaluation has been completed and course handout.  a $25 discount for early bird registration will be applied if you are registered to attend prior to January 14, 2022. 

Refund Policy: Full refunds less a $25 administrative fee will be granted if cancellation is requested in writing by October 8, 2021. No refunds will be made after that

date unless the course is cancelled by Providence Rehabilitation Services, in which case full refunds will be issued.

Contact Hours: This course qualifies for 12 contact hours for Physical Therapists and Physical Therapy Assistants in OR, WA and NY. This course qualifies for 12 contact hours for Occupational Therapists, Occupational Therapy Assistants, Speech Language Pathologists and Speech Language Pathology Assistants in OR and WA. Certificates of attendance will be issued to all participants completing the CEU requirements.  This course may qualify for continuing education contact hours in additional states.  Please verify your states requirements to determine if the course qualifies for CE credit where you practice.  If you need assistance with CE approval for your state, please email joanna.mullett@providence.org.