Change Theory versus Motivational Interviewing
One of the best realizations in the healthcare industry has been the application of psychotherapy to help deal with issues relating to mental health and other problems. The given component involves the application of talk therapy to help manage problems and motivate change within clients and patients. Various methods have since been developed to be applied in counseling to motivate change, for example, when it comes to dealing with addiction patients. The given information introduces the main components of focus in this discussion, motivational interviewing and change theory. The given aspects incorporate various settings to promote change within patients going through counseling. The main points of this post will strive t provide background information on the two models. The post will also compare and contrast the two models while addressing how they inform therapeutic interventions.
Change theory and motivational interviewing
Of course, for a detailed comparison of the two models to be given, one should provide background information to form a solid foundation for the realization of the differences and similarities. The change theory in counseling is otherwise known as the Trans-theoretical Model (TTM), or stages of change theory. Research details that the change theory uses the five stages of behavior change to incorporate principles and processes needed to promote a change in behavior in clients (Raihan & Cogburn, 2021). The stages involved in behavior change, according to this theory, are “pre-contemplation, contemplation, preparation, action and maintenance” (Raihan & Cogburn, 2021). Within these stages, the principles of the change theory are derived: “self-efficacy, processes of change, and decisional balance” (Raihan & Cogburn, 2021). Motivational interviewing is another model used to promote behavioral change in patients. Research mentions that this method is patient-centered and strives to instill motivation within the client to promote behavioral change (Al Ubaidi, 2017). Motivational interviewing is guided by five principles: the application of empathy, straying away from arguments with the client, supporting self-efficacy within the client, developing the inconsistencies and discrepancies between the client’s goals and behavior, and rolling with resistance (Al Ubaidi, 2017).
Principles compare and contrast.
As the above information displays, the change theory and motivational interviewing have a thing in common: the promotion of change in behavior in the client during counseling. Therefore, one can infer that the two have a common theme: promoting change, for example, among addiction patients. However, the change theory promotes change by guiding intervention methods using five defined stages (Li et al., 2020). On the other hand, motivational interviewing takes a more hands-on approach through the application of interpersonal communication that invites the client to contemplate their current life and find solutions to alter the negative behavior (Li et al., 2020). Another similarity between the two is that they encourage the consideration of self-efficacy during behavior change. Motivational interviewing encourages the counselor to be supportive of the client’s self-efficacy, considering some do not have hope that changes can occur, for example, when it comes to weight loss patients (Al Ubaidi, 2017). The change theory encourages self-efficacy through the five stages of behavior change by promoting confidence within the patient to decrease the chances of relapse and encourage the maintenance of positive behavior (Raihan & Cogburn, 2021). The two also encourage the comparison of the current situation to encourage the need for behavior change. In motivational interviewing, the principle on identifying discrepancies between the patient’s current situation and future goals helps make the patient aware of consequences expected if a change is not incorporated, thus promoting motivation to make a difference (Al Ubaidi, 2017). The decisional balance principle in the change theory ensures that the patient aligns the pros and cons of their current situation at different stages of behavior change (Raihan & Cogburn, 2021).
Al Ubaidi, B. A. (2017). Motivational interviewing skills: A tool for healthy behavioral changes. Journal of Family Medicine and Disease Prevention, 3(4), 069.
Li, X., Yang, S., Wang, Y., Yang, B., & Zhang, J. (2020). Effects of a transtheoretical model – based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: A randomized controlled trial. BMC Public Health, 20(1).
Raihan, N., & Cogburn, M. (2021). Stages of change theory.
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