Lynne A. Beck

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Motivational Interviewing Procedure and Stages of Change

Using the Stages of Change to help move the client through the change process.

Prochaska and DiClemente’s Stages of Change Model

Stage of Change Characteristics Techniques
Pre-contemplation Not currently considering change: "Ignorance is bliss" Validate lack of readiness

Clarify: decision is theirs

Encourage re-evaluation of current behavior

Encourage self-exploration, not action

Explain and personalize the risk
Contemplation Ambivalent about change: "Sitting on the fence"

Not considering change within the next month
Validate lack of readiness

Clarify: decision is theirs

Encourage evaluation of pros and cons of behavior change

Identify and promote new, positive outcome expectations
Preparation Some experience with change and are trying to change: "Testing the waters"

Planning to act within 1 month
Identify and assist in problem solving re: obstacles

Help Client identify social support

Verify that Client has underlying skills for behavior change

Encourage small initial steps

Action Practicing new behavior for 3-6 months Focus on restructuring cues and social support

Bolster self-efficacy for dealing with obstacles

Combat feelings of loss and reiterate long-term benefits
Maintenance Continued commitment to sustaining new behavior

Post-6 months to 5 years
Plan for follow-up support

Reinforce internal rewards

Discuss coping with relapse

Fun Activities Catalogue