Table 4 10-step Process of Motivational Interviewing
From: State of the Art Physiotherapist-Led Approaches to Safe Aging in Place
Step | Goal of the Step | Physiotherapist action steps |
|---|---|---|
1 | Initiation of the subject | Use open ended questions to begin conversation about the health behavior |
2 | Explore their reasoning | Ask about reasons behind current behavior |
3 | Reflective listening | Provide brief summary statements to reflect back to them the thoughts and feelings being expressed about their reasons behind their current behavior |
4 | Explore benefit of behavior change | Use open ended questions to get them to articulate what the benefits of changing their behavior might be |
5 | Reflective listening | Provide brief summary statements to reflect back to them the thoughts and feelings being expressed about their reasons behind their current behavior |
6 | Explore ambivalence | Using a 0–10 scale (0 = not important at all, 10 = essential), have them rate how important it is to them to make this change |
7 | Explore ambivalence | Ask them why they rated it at that number and not a lower number |
8 | Explore and support their self-efficacy | Ask them on a scale of 0–10 (0 = not confident at all, 10 = extremely confident) how confident they are that they can change Ask them why they rated it at that number and not a lower number |
9 | Explore and support their self-efficacy | Reinforce if they have had some success in the past and willingness to even consider and discuss changing the behavior |
10 | Explore their future plans and ideas | Encourage the patient to come up with solutions for themselves; Refrain from trying to suggest solutions |