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Motivational Interviewing in Nutrition and Fitness


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Table of Contents

I. Motivational Interviewing Basics
1. The Complexities of Lifestyle Changes
2. The Spirit of Motivational Interviewing
II. The Four Processes of Motivational Interviewing
3. Engaging and Focusing
4. Evoking
5. Planning for Change
III. Mastering the Microskills: OARS
6. Open-Ended Questions
7. Affirmations
8. Reflections
9. Summaries
IV. Beyond the Basics
10. When Clients Aren't So Sure about Change
11. What to Do When There's Little Time
12. Clarifying Health Misinformation and Exploring Unhealthy Beliefs
13. Putting Motivational Interviewing to Work in Nutrition Counseling
14. Putting Motivational Interviewing to Work in Fitness Counseling
15. Putting Motivational Interviewing to Work to Address Weight Concerns and Disordered Eating
Appendix 1. Making Referrals
Appendix 2. Additional Resources

About the Author

Dawn Clifford, PhD, RD, is Associate Professor and Director of the Didactic Program in Dietetics in the Department of Nutrition and Food Science at California State University, Chico. In addition, she cofounded and is currently Director of FitU, a peer mentoring nutrition and exercise counseling program on campus. She received the Outstanding Dietetics Educator Award from Nutrition and Dietetic Educators and Preceptors, a practice group of the Academy of Nutrition and Dietetics. Dr. Clifford conducts research and is an accomplished speaker in the areas of MI and non-diet approaches to health and wellness. She has published several research articles in the Journal of Nutrition Education and Behavior and written curricula for Today's Dietitian and Nutrition Dimensions. She is a member of the Motivational Interviewing Network of Trainers (MINT). Laura Curtis, MS, RD, is Director of Nutritional Services at Glenn Medical Center in Willows, California, where she provides clinical nutrition services to patients in acute care and is a nutrition therapist for the outpatient clinic. In addition, she serves as a preceptor to undergraduate dietetic students and a part-time lecturer at California State University, Chico. Ms. Curtis has extensive training in MI at both the undergraduate and graduate levels. As a nutrition therapist, she provides counseling to patients with conditions such as diabetes, heart disease, and disordered eating, and to those considering bariatric surgery. In her counseling, she pairs MI with the non-diet principles of intuitive eating and Health at Every Size.


"This book is an excellent introduction to the general principles of MI, as well as specific strategies and techniques. The examples and scripts very clearly illustrate the use of MI in counseling for dietary and physical activity behavior change. As a Registered Dietitian, I especially liked the chapter on nutrition counseling, with its many extended scripts and ideas. The basic philosophy of MI is woven throughout the book, and it is a delight!"--Ellen Glovsky, PhD, RD, LDN, Department of Health Sciences, Northeastern University; member, Motivational Interviewing Network of Trainers

"This book fills a void in the education of nutrition and exercise professionals. Professors and students will welcome its comprehensive and practical approach to the powerful process of MI. Even the most experienced professional will find useful ideas to apply in practice. Return again and again to gain skill and to boost confidence in guiding clients to make real changes."--Molly Kellogg, RD, LCSW, private practice, Philadelphia; member, Motivational Interviewing Network of Trainers

"What a special book. Bar none, it is the most practical applied book I have encountered on how to use MI in nutrition and physical fitness counseling. The scenarios are easy to follow, and the authors are very careful to integrate MI with existing professional protocols. Up to date and refreshing, the book advocates weight-neutral mindful eating over traditional weight-focused nutritional counseling, and replaces exercising for its own sake with the idea of joyful physical activity. Parts of the book could be used in either nutrition or fitness courses, and it will serve as a stand-alone text in professional practice courses."--Don Morrow, PhD, School of Kinesiology, University of Western Ontario, Canada

"Provides excellent insights into MI and valuable guidance on how to implement it. The authors write in an accessible and engaging way, and include useful patient-practitioner dialogues throughout to illustrate important points. This book will appeal not only to practitioners and teachers, but also to students at all levels who want to gain practical knowledge about the use of MI in a clinical context."--Rachel Clare Povey, PhD, CPsychol, Centre for Health Psychology, Staffordshire University, United Kingdom

"Clifford and Curtis masterfully combine theory, practice, and research in this engaging book. The authors capture complex ideas in rich, realistic dialogues between practitioners and their clients. The style makes reading and comprehension easy. In their engaging flow from theory to practice, Clifford and Curtis guide readers toward an integrated awareness of the MI process as applied to issues of nutrition and fitness. This is a great book that helps readers 'get' the core concepts of MI and how to implement them in this area of health behavior change."--James Gavin, PhD, Department of Applied Human Sciences, Concordia University, Montreal, Quebec, Canada

"Clifford and Curtis have created a great resource for training future consultants on applying the principles of MI to nutrition and fitness. The authors marry sound theory (transtheoretical model, self-determination theory) to applied practice to inform this 'how-to' guide. The book is full of helpful conversation examples and reproducible handouts that will aid the learning process. A major strength is that the authors' work is grounded in the Health at Every Size paradigm. Highly recommended!"--Linda A. Keeler, EdD, CC-AASP, Associate Professor of Sport and Exercise Psychology, Western Washington University

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