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9.00 – 9.30 Registration
9.30 – 10.00 Introductions, housekeeping and training aims/outcomes.
10.00 – 10.30 Current practice and challenges – small group discussion regarding current practice and challenges faced when facilitating behavioural change.
10.00 – 10.45 BREAK
10.45 – 12.30 The complexities of behaviour change – group exercise to reflect on current style of communication used when facilitating change. A didactic presentation on the commonly held beliefs about why patients do not change and the concept of ambivalence. Group exercise on the effects of using a persuading/coercing style of communication. Practice session on the use of an evoking style. Introduction to the concepts of change talk and sustain talk and how to spot them via didactic presentation and a practical exercise – ‘how to spot ambivalence’.
12.30 – 1.30 LUNCH (included)
1.30 – 2.00 The MI origins and evidence for MI – didactic presentation
2.00 – 3.00 What is MI? (‘MI spirit’, processes, micro-skills, strategies and expressing empathy). Didactic presentation – 3 styles of communication, with a focus on the use of a ‘guiding style’. Didactic presentation on the characteristics of the ‘spirit’ of MI. The importance of expressing empathy – group exercise and video. MI micro-skills (open-ended questions, affirmations, reflecting listening and summarising) overview, known as OARS.
3.00 – 3.15 BREAK
3.15 – 5.30 OARS – practice session on how to use OARS, including a video demonstrating reflecting listening skills.
9 – 9.30 Recap of Day one
9.30 – 10.15 How to provide advice and exchanging information, avoiding falling into the ‘expert trap’, using the Elicit-Provide-Elicit (EPE) technique – didactic presentation and practice session.
10.15 – 10.45 Agenda setting – via didactic presentation
10.45 – 11.00 BREAK
11.00 – 12.30 MI Strategies – introduction to the strategies via didactic presentation and practice session, including setting the agenda, how to explore and building motivation to change and how to develop discrepancy between the patient’s current behaviour and their goals.
12.30 – 1.30 LUNCH (included)
1.30 – 2.00 Responding to change talk – how to respond to change talk via a group exercise
2.00 – 3.00 Planning for change, goal setting and lapse/relapse prevention – via didactic presentation and practice session
3.00 – 3.15 Break
3.15 – 4.30 Putting it all together – practice session using OARS and MI strategies.
4.30 – 5.00 Summary, questions, reflections and close
5.00 – 5.30 Evaluation
About the course leader
Dr Vanessa Bogle is a Chartered Psychologist (Health), is on the British Psychological Society Register of Coaching Psychologists and is a member of the International Motivational Interviewing Network of Trainers (MINT). She also holds a BSc(Hons) in Fitness and Health and a Master Practitioner Diploma in Eating Disorders and Obesity. She is a skilled and experienced practitioner, trainer and lecturer.
As well as delivering training in MI and health promotion, she currently also works clinically in the areas of eating disorders and weight management. In addition, she works one day per week within an NHS Psychiatry Liaison Department, providing psychological therapy to patients with mental health disorders and those with co-morbidities, to help them adjust to living with a long-term condition. She has previously held various positions within the NHS, including working in the primary care setting (supporting patients with established diabetes/CVD to increase their levels of physical activity), in cardiac rehabilitation and in public health/health promotion roles