In the latest Motivational Interviewing (MI) Club we look at what Change Talk really is and how to use it to help people to make changes. See examples of what words people might use when discussing their change - www.miinlondon.org

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CHANGE TALK IN
MOTIVATIONAL
INTERVIEWING
www.miinlondon.org / miclub@miinlondon.org / Tweet @miinlondon

2. A few things
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1. Fire Exits (no alarms planned)
2. Toilets
3. Wi-Fi
4. Thanks for taking time out of your day to
come to MI Club.

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Welcome to MI Club
Today: Change Talk in
Motivational Interviewing
We are members of The Motivational Interviewing Network of Trainers

4. Change Talk
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Aims and
Objec2ves

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Aims
1. To recognise the Change Talk.
2. To recognise and understand preparatory
and mobilising.
3. To practise open questions in each process.
4. To watch a trainer demonstration.
5. Adopt a learning mind-set, try, test, enjoy.

6. Objectives
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• 18:00 – What is talking about change: Your
experience of what you say when you’re changing
• 18:10 – What MI says about Change Talk
• 18:20 – MINT Member Trainer Demonstration
• 18:30 – Debrief and questions
• 18:40 – Skills Practise
• 18:50 – Reflections, questions, finish

7. Change Talk
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How do we talk
about change?

8. What do we say
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• When we’re:
– A) NOT changing
– B) THINKING about changing
– C) MAKING changes

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Have a chat to the person or people
near you. What do they think?
1. What do they say when they'
A) NOT changing
B) THINKING about changing
C) MAKING changes

10. Change Talk
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What does MI
say about
Change Talk?

11. Change Talk
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“Change talk is any self expressed
language that is an argument for
change”
(Miller and Rollnick, 2012)

12. TIP
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Change Talk has been shown to be a
pre-cursor to change. The more
change talk a client is saying
(something you can help to evoke),
the more likely they are to adhere to
and make a change.
(Butterworth, 2008)

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The MI Change Talk Hill
Contempla*on Prepara*on Ac*on (Pre-)

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PREPERATORY
• Desire
• Ability
• Reasons
• Need
MOBILISING
• Commitment
• Ac2va2on
• Taking Steps
DARN CAT

15. MI Change Talk (2)
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• Desire (I want/would/wish/hope)
• Ability (I could)
• Reasons (I would…. have more energy)
• Need (I need to/must/have got to)
• Commitment (I will/am going to)
• Ac2va2on (I’m ready/I’m willing/able)
• Taking Steps (I bought some shoes /
called up /went to a support group)

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Change Talk Vs. Sustain Talk

17. Change Talk
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Trainer
Demonstra2on

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May I have an assistant please!

19. Change Talk
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Group
Prac2se

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Let’s rearrange some chairs.
The Change Talk hot seat exercise

21. Change Talk
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Individual
Prac2se

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Have a chat to a person near you.
If you don’t want to have a go, ask
to join another group to observe.
Talk to your partner about a change you’ve been
thinking of making but haven’t yet made. As they’re
talking, notice the different types of Change Talk. Use
OQs and Rs to learn more. Next slide for DARNCAT

23. MI Change Talk (2)
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• Desire (I want/would/wish/hope)
• Ability (I could)
• Reasons (I would…. have more energy)
• Need (I need to/must/have got to)
• Commitment (I will/am going to)
• Ac2va2on (I’m ready/I’m willing/able)
• Taking Steps (I bought some shoes /
called up /went to a support group)

24. Ques%ons
Q: Knowing when to plan?
A: This is something we will cover in more depth this %me. Knowing when not to move to
planning is as important as knowing when to go to planning.
You’ll be hearing a lot of change talk, mainly mobilising change talk but also preparatory. Moving
to planning can be done in a number of ways, a nice way of tes&ng the water can be with a
summary of change talk and a follow up ques%ons such as
- Where does this leave us?
- What if anything do you think you might do?
- What’s next now?
Depending on an affirma%ve answer you’ll know that now is the %me to move to planning.
We’ll discuss when not to move to planning more in next month’s MI Club in March.
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See you on Tuesday
7th March 2017
Thanks for coming!
Send us an email: miclub@miinlondon.org