Motivational Interviewing: Inspiring Behavior Change-CME Paid Option-Handouts

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This document is a set of webinar slides for a CME activity titled <strong>“Motivational Interviewing: Inspiring Behavior Change”</strong> (Nov 12, 2025), presented by Don Stader, MD and Rachael Duncan, PharmD, hosted by Compass Healthcare Collaborative. It includes housekeeping notes, accreditation/disclosure statements (0.5 AMA PRA Category 1 Credit), and learning objectives focused on applying motivational interviewing (MI) in clinical practice—especially in the <strong>perioperative</strong> setting.

The slides define <strong>Motivational Interviewing (MI)</strong> as a patient-centered, collaborative approach that strengthens a patient’s intrinsic motivation and autonomy, shifting the clinician relationship from “fixing” to partnering. Motivation is presented as dynamic and improvable, and MI is positioned as useful for <strong>preoperative optimization</strong>, <strong>reducing substance use</strong>, improving <strong>postoperative recovery behaviors</strong> (mobility, nutrition, self-care), and supporting <strong>opioid tapering/cessation</strong>.

Core MI frameworks are outlined, including basic tenets aligned with the <strong>Transtheoretical Model</strong> and the <strong>four MI processes</strong>: <strong>Engage, Focus, Evoke, Plan</strong>. Practical skills emphasize empathetic and reflective listening, establishing rapport, and avoiding the “righting reflex.” Communication tools are summarized as <strong>OARS</strong> (Open-ended questions, Affirmations, Reflective listening, Summaries), along with recognizing <strong>change talk vs. sustain talk</strong>, using scaling rulers, and navigating resistance/discord by “rolling with it” and repairing connection.

Key techniques include building <strong>discrepancy</strong> between current behaviors (e.g., smoking, alcohol use) and personal goals (e.g., healing, returning to work), using constructive confrontation rooted in empathy, and reinforcing <strong>self-efficacy</strong> through small achievable goals and exploring past successes.

Evidence is described as teachable with generally small, short-term benefits, with perioperative studies suggesting reductions in anxiety, substance use, improved nutrition goals, and potential reductions in postoperative opioid use. The slides conclude with implementation ideas (team training, EHR prompts, brief MI at perioperative touchpoints), self-check questions for clinicians, discussion prompts, and resources via Compass/iCompass Academy.

Keywords

Motivational Interviewing (MI)

perioperative care

preoperative optimization

behavior change counseling

opioid tapering and cessation

substance use reduction

OARS communication skills

change talk vs sustain talk

Engage Focus Evoke Plan

Transtheoretical Model stages of change