Motivational Interviewing: Inspiring Behavior Change-FREE NO CME-Handouts

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This document is a set of webinar slides for a continuing medical education (CME) session titled <strong>“Motivational Interviewing: Inspiring Behavior Change”</strong> (Nov 12, 2025), presented by Don Stader, MD and Rachael Duncan, PharmD, and hosted by Compass Healthcare Collaborative. It includes housekeeping notes (audio muted on entry, questions via chat/unmute, recording notice) and detailed CME accreditation, disclosure, and credit information (0.5 AMA PRA Category 1 Credit™; no commercial support; conflicts reviewed/mitigated).

The session’s learning objectives focus on applying the <strong>spirit of Motivational Interviewing (MI)</strong> in clinical practice—especially in the <strong>perioperative setting</strong>—through empathetic listening, affirmations, discrepancy development, and supporting patient self-efficacy.

MI is defined as a <strong>patient-centered, collaborative approach</strong> that enhances intrinsic motivation, shifts the relationship from paternalism to partnership, and emphasizes autonomy and goal setting. The slides discuss motivation as dynamic and modifiable, and highlight perioperative uses: <strong>preoperative optimization</strong> (e.g., smoking/alcohol/substance reduction), <strong>postoperative recovery</strong> (mobilization, nutrition, self-care), and <strong>opioid tapering/cessation</strong>.

Core MI structure is presented through the <strong>four processes</strong>: <strong>Engage, Focus, Evoke, Plan</strong>, aligned with behavior change concepts (Transtheoretical Model). Practical communication skills are summarized as <strong>OARS</strong> (Open-ended questions, Affirmations, Reflective listening, Summaries). The course addresses recognizing <strong>change talk vs sustain talk</strong>, using scaling/rulers, navigating resistance and discord (repairing rapport), avoiding the “righting reflex,” and using <strong>constructive confrontation</strong> and <strong>discrepancy</strong> to help patients articulate gaps between behaviors and goals.

Evidence is summarized as generally supportive (often small, short-term benefits), with perioperative studies suggesting reduced anxiety, possible reductions in substance use, improved nutrition goals, and early evidence for MI-supported opioid tapering. Implementation suggestions include teamwide brief MI training, EHR prompts, checklists, huddles, and ongoing feedback/quality improvement. Resources and follow-up links (Compass SHARP, iCompass Academy) conclude the slides.

Keywords

Motivational Interviewing (MI)

behavior change counseling

perioperative care

preoperative optimization

postoperative recovery

opioid tapering

OARS communication skills

Engage Focus Evoke Plan

change talk vs sustain talk

CME webinar slides