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A Clinical Guidefor PediatriciansVol. 20, No. 1 October 2007 Motivational Interviewing Strategies toFacilitate Adolescent Behavior Changeby Melanie A. Gold, DO, FAAP and Patricia K. Kokotailo, MD, MPH, FAAPM otivational Interviewing (MI) is a patient-centered, directive counseling style that builds on intrinsic motivation. When doing MI, the pe-diatrician creates a partnership with the patient to explore and resolve ambiva-lence about behavioral change. MI is often associated with the transtheoretical model first described nearly 25 years ago by Prochaska and DiClemente, who identified what they called stages of change, a continuum of readiness to change behavior. (Figure 1) Drawing in part on this understanding of the change process, William R. Mill-er and Stephen Rollnick collaborated to develop the Motivational Interviewing approach. In the stages of change model, the pediatrician facilitates change by matching counseling strategy to patient readiness.
Describe motivational interviewing in the office setting and its role in behavior change D iscuss motivational interviewing strategies best suited to primary care practice R ecognize when motivational inter-viewing might be applicable A pply motivational interviewing strategies in a variety of circumstances. Melanie A. Gold, DO, FAAP, is an
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