MOTIVATIONAL INTERVIEWING

WORKBOOK

© 2016 RDN Academy MI Training Workbook �1

Part 1: The Science of Behavior Change The Science of Change Stages of Change Pre-Contemplation

Contemplation

Preparation

Action

Maintenance

© 2016 RDN Academy MI Training Workbook �2

Relapse

Additional Notes/Thoughts:

Fundamentals of Motivational Interviewing Definition of Motivational Interviewing (simple or detailed, your choice):

History of MI

© 2016 RDN Academy MI Training Workbook �3

Why MI?

MI & Your Patients

Motivational Myth

Mi Lingo Ambivalence

Examples of Ambivalence

© 2016 RDN Academy MI Training Workbook �4

Change Talk

DARN Motivators Desire:

Ability:

Reasons:

Need:

Ambivalence at Work Examples:

Status Quo

Expert Trap

© 2016 RDN Academy MI Training Workbook �5

Close Ended Q’s

Open Ended Q’s

Think of questions you currently to assess or counsel a client. See what close ended Q’s you can make open. Brainstorm below.

Jot down your first thoughts about MI.

© 2016 RDN Academy MI Training Workbook �6

The Nutrition Care Process & MI Nutrition Care Process Steps Nutrition & Assessment:

Diagnosis:

Intervention:

Monitoring & Evaluation:

How can you incorporate MI into each step Nutrition & Assessment:

Diagnosis:

Intervention:

Monitoring & Evaluation:

Additional Notes/Thoughts:

© 2016 RDN Academy MI Training Workbook �7

Part 2: Core Skills Training Key Counseling Characteristics The “Spirit” of MI Collaborative

Accepting

Compassionate

Evocative

Guiding Principles Resisting the Righting Reflex

Examples of Resistance

© 2016 RDN Academy MI Training Workbook �8

How to Reduce Resistance

Breaking Down the Conversation Notes:

Understanding your Patient’s Motivations

Listen to Your Patient

Empower Your Patient

© 2016 RDN Academy MI Training Workbook �9

The Four Processes of MI Process 1: Engaging

Disengagement

Focus on Engagement

Process 2: Focusing

Process 3: Evoking

Encourage Change Talk

© 2016 RDN Academy MI Training Workbook �10

Process 4: Planning

SMART Goals Specific

Measurable

Achievable

Relevant

Timed

The Art of Communication 3 Common Communication Styles Following

Directing

© 2016 RDN Academy MI Training Workbook �11

Over Directing

Guiding

Guiding & MI

Non-Verbal Basics

Core Skills of MI Communication 3 Core Communication Styles Asking

© 2016 RDN Academy MI Training Workbook �12

Skillful Asking

Examples of Missing Open & Close Ended Into One Q

Let’s Improve Notes:

Funneling Down

© 2016 RDN Academy MI Training Workbook �13

Typical Day Assessment

Listening

Reflective Listening

MI Application: Reflective Listening

Informing

© 2016 RDN Academy MI Training Workbook �14

The Righting Reflex

How to Inform

MI Application: Informing

MI Application: Informing (Asking Permission)

MI Application: Informing (Offering Choices)

© 2016 RDN Academy MI Training Workbook �15

MI Application: Informing (Talk About What Others Have Done)

Affirmations

© 2016 RDN Academy MI Training Workbook �16

Part 3: Skills Integration MI Step by Step Engage

Focus

Evoke

Plan

© 2016 RDN Academy MI Training Workbook �17

Case Study #1 Notes

© 2016 RDN Academy MI Training Workbook �18

Case Study #2 Notes

© 2016 RDN Academy MI Training Workbook �19

Trouble Shooting Obstacles Patient Obstacles The patient doesn’t feel the need to change

The patient is initially on board, then take a steps back

The patient is completely overwhelmed by even the smallest changes

© 2016 RDN Academy MI Training Workbook �20

Practitioner Obstacles Your aspirations are greater than your patients

You just follow the patient and get lost

A patient requires more directing than guiding

© 2016 RDN Academy MI Training Workbook �21

Integrating MI Into Your Practice Notes

© 2016 RDN Academy MI Training Workbook �22

Integrating MI Into Your Practice Your thoughts, ideas, sample MI questions. How will you use MI in your practice?

© 2016 RDN Academy MI Training Workbook �23