Motivational Interviewing: The Transtheoretical Model

the outcome of obesity. Motivational Interviewing is” a directive person-centered approach designed to explore ambivalence and activate motivation for change” (Christi & Channon, 2014, p. 381). The authors continued that the fundamental approach to Motivational Interviewing is to communicate to patients that they have the right to make no change, but encourages patients to consider solutions to the problem at hand, collaborating with their healthcare provider to achieve the goal (Christi & Channon, 2014). Understanding that it is “the patient’s journey as they decide where to go and how to get there” (Christi & Channon, 2014, p. 381).
Theoretical Perspective
Adult and adolescent obesity, and weight gain are often a self-control issue, and

The Stages of Change is a process, and the ability of an individual to adopt positive behaviors using the five stages of change. The five stages are: “pre-contemplation, contemplation, preparation, action, and maintenance (Yun, et al., 2015, p. 156). The pre-contemplation stage focuses on developing rapport and trust between the patient and provider, the contemplation stage focuses on the individual’s freedom to choose change, while the preparation and action stages focus on guiding the patient forward and not pushing him or her to change. Finally the maintenance stage is necessary to maintain the achieved change of behavior to better health (van Wormer, 2007). Every individual is different, therefore treatments assessed, and are based on the readiness of the individual to change. The treatment will depend upon the individual’s level in the five levels of change. TTM had been used as interventions for smoking cessation, exercise and physical activity, and drug addiction recovery, wherein studies show continuous positive effects (Yun, et al.,

Motivational interviewing focuses on the patient and not the provider, the provider presents to the patient the reasons of change, giving the patient a sense of purpose, direction, and the autonomy to control the solution to the problem (Gruhl & Van Leuven, 2014). There are four process of Motivational Interviewing model, they are: “engage, focus, evoke and plan” (Gruhl & Van Leuven, 2014, p.