Communication skills to elicit physical activity behavior change: How to talk to the client (original) (raw)
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Objectives: The present study investigated the content and relational style of a Physical Activity Counselling (PAC) intervention, taught in universities across Canada and applied by Kinesiologists working in primary care. The preliminary objective was to determine whether a new taxonomy of Motivational Interviewing (MI) techniques could be used as a reliable method for reporting interventions. The main purpose was to provide an initial description of PAC sessions through the identification of behaviour change techniques (BCTs) and MI techniques. Design: Descriptive observational study. Methods: Twenty-two videotaped PAC sessions delivered by 11 student-counsellors were double coded. The Behaviour Change Technique Taxonomy v1 and the table of MI techniques were applied to rate the presence of BCTs and MI techniques in PAC sessions. Results: Analyses revealed outstanding inter-rater agreement scores for the identification of BCTs (κ = .77, PABAK = .94) and MI techniques (κ = .81, PABAK = .85). Overall, 29 BCTs and 27 MI techniques were reliably identified across the sample, with an average of 5.7 BCTs and 9.5 MI techniques documented per session. The BCT categories of Goals and planning and Social support were emphasized, whereas the Engaging and Evoking techniques of MI predominated in the analysis. Conclusions: This study shows that the table of MI techniques is a reliable method to report the components of MI interventions such as PAC. Moreover, the study offers a detailed account of content and relational techniques applied in PAC sessions. Findings are particularly relevant to PAC trainers and practitioners. Future directions are discussed.
Health Behaviour Change: Advancing the Utility of Motivational Interviewing (MI) to Health Promotion
Motivational Interviewing is a promising approach for addressing contemporary health issues in health promotion practice . Motivational Interviewing is a person-centred counselling style for addressing the common problem of ambivalence about change . Miller and Rollnick have refined further the MI style into a four-process model instead of phases that encapsulate engaging, focusing, evoking and planning. These four processes are both sequential and iterative, implying that practitioners can move forward and backwards in an encounter with client. The underlying spirit of MI includes partnership/ collaboration, acceptance, compassion and evocation .
ACSM's Health & Fitness Journal, 2009
LEARNING OBJECTIVE:• This feature article emphasizes the need for physical activity and exercise interventions to be developed and delivered in accordance with psychological theory. Pulling from a contemporary theory of human motivation called Self-determination Theory, this article demonstrates how delivering an exercise message, consultation, or program in an autonomy-supportive, well-structured, and interpersonally involved way may benefit participants' attempts to become and stay more active. Practical ...
Process evaluation of an exercise counseling intervention using motivational interviewing
Applied Nursing Research, 2015
Aim-To describe the results of the process evaluation of an exercise counseling intervention using motivational interviewing (MI). Background-Exercise can safely be incorporated into heart failure self-care, but many lack access to cardiac rehabilitation. One alternative is to provide exercise counseling in the clinical setting. Methods-This process evaluation was conducted according to previously established guidelines for health promotion programs. This includes an assessment of recruitment and retention, implementation, and reach. Results-Desired number of subjects were recruited, but 25% dropped out during study. Good fidelity to the intervention was achieved; the use of MI was evaluated with improvement in adherence over time. Dose included initial session plus 12weekly phone calls. Subjects varied in participation of daily diary usage. Setting was conducive to recruitment and data collection. Conclusions-Evaluating the process of an intervention provides valuable feedback on content, delivery and fidelity.
Motivational Interviewing Use by Personal Trainers to Promote Behavioral Change
Topics in Exercise Science and Kinesiology, 2021
This study evaluated one method of behavioral change to promote a healthier way of life. Designed to provide basic motivational interviewing (MI) knowledge and skills to certified personal fitness trainers, the study looked to improve coaching skills to aid in client's ability to adapt to healthier behaviors. As outlined in a study by Kelley et al., (2016), MI is used as a client-centered approach that includes several core principles to express empathy, support the client's self-efficacy, roll with resistance, and develop discrepancy.
Psychology of Sport and Exercise, 2011
Objectives: While obesity is on the increase, interventions that seek to change physical activity or dietary behaviour tend to have limited success in the long-term. Consistently effective approaches for facilitating lifestyle change within primary health care settings are yet to be determined. Despite an increase in counselling interventions, little is known about how such interventions are received. The purpose of this study was to explore the experiences of obese patients, following participation in a counselling intervention, in order to identify the influences on behaviour change in relation to physical activity and diet. Design: A qualitative semi-structured interview study using inductive thematic content analysis. Methods: Fourteen overweight or obese patients participated in semi-structured interviews that focused on experiences of consultations; current physical activity and eating behaviour; facilitators and barriers to change. Results: Analysis of the interview transcripts revealed four themes that appeared to account for current lifestyle behaviour: (1) Monitoring and support; (2) Listening support; (3) Motivation and self-regulation; and (4) Barriers.