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Motivational Enhancement
Learning the Dance
Mike Lippard, Manager
CMC-NorthEast Health & Fitness Institute
Motivational Enhancement: Learning the Dance
Objectives
1. Verbalize understanding of Motivational Enhancement
(Interviewing) principals
2. Identify 3 Motivational Enhancement skills
3. Identify and improve professional skills to enhance
behavior modification utilizing Motivational Enhancement
1
PARTICIPANT CENTERED PLATFORM
 Participant is responsible for own health & wellbeing
 Practitioner “comes along side” to understand & assist
participant with their journey to optimal health
 Practitioner is responsible for motivating with rapport,
information, encouragement, and properly used skills.
2
Practitioner Responsibilities
 Provide structure, direction and support
 Provide information wanted by the participant
 Elicits and respects the participant’s views and
aspirations
 Negotiates changed sensitively
3
Transtheroetical Model
(Stage of Change)
Precontemplation
Maintenance
Contemplation
Action
*Prochaska & DiClemente
Preparation
Stages of Change & Provider Tasks
Participant Stage
Provider Motivational Task
Precontemplation
Raise doubts- increase participant sense of risk
Contemplation
‘Tip the balance’- costs & benefits
Determination
Participant finds best course of action
Action
Help participant take steps toward change
Maintenance
Strategies to Avoid Relapse
Relapse
Become ‘unstuck’: renew process
5
Motivational Enhancement Basics
 Assess readiness to change = Motivation
 Establish importance and confidence
 Resistance is viewed as an interpersonal problem
6
Motivational Enhancement Takeaways
Develop Quick Rapport
Be a trusting friend
Realize trauma of event
Opportunity to develop “New You” regarding health
7
Motivational Enhancement Takeaways
Don’t Miss the Opportunity
Example Glenda – hallway – Christmas card
Recognize and seize the small windows of opportunity
No worries if you miss the opportunity (in Cardiopulmonary
Rehab)
8
Motivational Enhancement Takeaways
Celebrate Small Successes
Example – Ethel’s first day in Pulmonary Rehab
Small successes turn into big goals
Tracking small successes pave the road to long term
success (Maintenance)
Tracking small successes provide confidence &
relapse strategies
9
Thank you for the opportunity to accomplish
one of my lifetime goals!
1