Motivational Interviewing: Listening for Change
Presented by Dawn Clifford
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Patients often experience ambivalence about starting a new rehab plan. They want to experience healing but may have challenging life circumstances resulting in numerous barriers to change. By enhancing your listening skills, you can improve the patient–practitioner relationship while also identifying the patient’s readiness to change, and learn how to respond to patients when they are on the fence about change.
Meet your instructor
Dawn Clifford
Dawn Clifford is a professor and graduate coordinator at Northern Arizona University. Dr. Clifford earned her BS in nutrition and dietetics at NAU and completed her dietetic internship at the Greater Los Angeles VA Hospital. After working as an outpatient dietitian for a few years, Dr. Clifford returned to school to complete…
Chapters & learning objectives
1. Listening for Ambivalence
Making a behavior change rarely happens in a linear fashion. It’s more common for patients to contemplate changes at first and then experience starts and stops as they attempt the changes. This chapter covers the different stages individuals go through on a typical behavior change journey, which will help the practitioner assess their patients’ readiness to change and better support their patients on the road ahead.
2. Tune Your Ears for the Language of Change
When you listen deeply, you will discover that much of what your patient shares falls into the categories of reasons in favor of sticking with their rehab or health-improvement plan and reasons against. Being able to enhance your patients’ motivation starts with hearing the words they use to describe their thoughts and feelings about setting up new patterns to support their recovery.
3. Responding to Ambivalence
In this chapter, participants will learn how to be more strategic with their responses when their patients are on the fence about change. While there are many ways to respond to patients who are struggling to find motivation, some responses are more effective than others.
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