Making and maintaining lasting changes in nutrition and fitness is not easy for anyone. Yet the communication style of a health professional can make a huge difference. This book presents the proven counseling approach known as motivational interviewing (MI) and shows exactly how to use it in day-to-day interactions with clients. MI offers simple yet powerful tools for helping clients work through ambivalence, break free of diets and quick-fix solutions, and overcome barriers to change. Extensive sample dialogues illustrate specific ways to enhance conversations about meal planning and preparation, exercise, body image, disordered eating, and more. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.
"This book fills a void in the education of nutrition and exercise professionals. Professors and students will welcome its comprehensive and practical approach to the powerful process of MI. Even the most experienced professional will find useful ideas to apply in practice. Return again and again to gain skill and to boost confidence in guiding clients to make real changes."--Molly Kellogg, RD, LCSW, private practice, Philadelphia; member, Motivational Interviewing Network of Trainers "This book is an excellent introduction to the general principles of MI, as well as specific strategies and techniques. The examples and scripts very clearly illustrate the use of MI in counseling for dietary and physical activity behavior change. As a Registered Dietitian, I especially liked the chapter on nutrition counseling, with its many extended scripts and ideas. The basic philosophy of MI is woven throughout the book, and it is a delight!"--Ellen Glovsky, PhD, RD, LDN, Department of Health Sciences, Northeastern University; member, Motivational Interviewing Network of Trainers "Clifford and Curtis masterfully weave theory, practice, and research in this engaging book. The authors capture complex ideas in rich, realistic dialogues between practitioners and their clients. The style makes reading and comprehension easy. In their engaging flow from theory to practice, Clifford and Curtis guide readers toward an integrated awareness of the MI process as applied to issues of nutrition and fitness. This is a great book that helps readers 'get' the core concepts of MI and how to implement them in this area of health behavior change."--James Gavin, PhD, Department of Applied Human Sciences, Concordia University, Montreal, Quebec, Canada
Dawn Clifford, PhD, RD, is Associate Professor and Director of the Didactic Program in Dietetics in the Department of Nutrition and Food Science at California State University, Chico. In addition, she co-founded and is currently Director of FitU, a peer mentoring nutrition and exercise counseling program on campus. She received the Outstanding Dietetics Educator Award from Nutrition and Dietetic Educators and Preceptors, a practice group of the Academy of Nutrition and Dietetics. Dr. Clifford conducts research, has published articles in such journals as Journal of Nutrition Education and Behavior, and presents widely in the areas of MI and non-diet approaches to health and wellness. She is a member of the Motivational Interviewing Network of Trainers (MINT). Laura Curtis, MS, RD, is Director of Nutritional Services at Glenn Medical Center in Willows, California, where she provides clinical nutrition services to patients in acute care and is a nutrition therapist for the outpatient clinic. In addition, she serves as a preceptor to undergraduate dietetic students and a part-time lecturer at California State University, Chico. As a nutrition therapist, Ms. Curtis provides counseling to patients with such conditions as diabetes, heart disease, and disordered eating, as well as those considering bariatric surgery. She has extensive training in MI and also exposes her clients to non-diet principles of intuitive eating and Health at Every Size.
Introduction I. Motivational Interviewing Basics 1. The Complexities of Lifestyle Changes 2. The Spirit of Motivational Interviewing II. The Four Processes of Motivational Interviewing 3. Engaging and Focusing 4. Evoking 5. Planning for Change III. Mastering the Microskills: OARS 6. Open-Ended Questions 7. Affirmations 8. Reflections 9. Summaries IV. Beyond the Basics 10. When Clients Aren't So Sure about Change 11. What to Do When There's Little Time 12. Clarifying Health Misinformation and Exploring Unhealthy Beliefs 13. Putting Motivational Interviewing to Work in Nutrition Counseling 14. Putting Motivational Interviewing to Work in Fitness Counseling 15. Putting Motivational Interviewing to Work to Address Weight Concerns and Disordered Eating Appendix 1. Making Referrals Appendix 2. Additional Resources References Index