Ep 62 – Transtheoretical Model Stages of Change & MI

Transtheoretical Model Cycle of Change & MI Glenn and Sebastian were excited to have Mary Marden Velasquez, PhD, on the podcast to discuss the Transtheoretical Model, including the Stages of Change. Dr. Velasquez is Centennial Professor in Leadership for Community, Professional and Corporate Excellence, Director of the Health Behavior Research and Training Institute (HBRT), and former Associate Dean for Research (2006-2013) at The University of Texas at Austin Steve Hicks School of Social Work. She also holds appointments in the Department of Population Health and Psychiatry at UT-Austin’s Dell Medical School. Prior to moving to UT-Austin to become Associate Dean for Research, Dr. Velasquez served on the research faculty in the Psychology Department at the University of Houston and as tenured faculty and Director of Research in Family and Community Medicine at the UT McGovern Medical School in Houston. Her program of research focuses on the development and implementation of interventions using the Transtheoretical Model and Motivational Interviewing. With over 30 years of continued support from the National Institutes of Health and the Centers for Disease Control and Prevention, Dr. Velasquez has developed and studied behavioral interventions in the areas of integrated primary care, screening and brief interventions, fetal alcohol spectrum disorder, alcohol and other drug abuse, prenatal health, HIV prevention, and smoking cessation. A current emphasis is on teaching graduate students and health professionals to work in interdisciplinary teams and to use brief motivational interventions in medical settings. Dr. Velasquez recently completed a four-year term as a study section member on the NIH-Center for Scientific Review “Interventions to Prevent and Treat Addictions” (IPTA). She is an internationally recognized trainer in the Transtheoretical Model and Motivational Interviewing and is a member of the international Motivational Interviewing Network of Trainers Episode index:    00:00 – Introduction and episode preview    05:37 – Mary’s early TTM and MI story    17:50 – The 10 Processes of Change    21:21 – Experiential Process #1: Consciousness raising    24:08 – Experiential Process #2: Emotional arousal    26:21 – Experiential Process #3: Self-evaluation    28:57 – Experiential Process #4: Environmental re-evaluation    30:52 – Experiential Process #5: Social liberation    33:31 – The Stages of Change    39:35 – Experiential processes linked to long-term change     47:25 – Behavioral Process #1: Stimulus control    48:13 – Behavioral Process #2: Counter conditioning     49:23 – Behavioral Process #3: Reinforcement management    51:01 – Behavioral Process #4: Self-liberation    52:09 – Behavioral Process #5: Helping relationships    55:05 – Applying the model flexibly  1:00:35 – The stages of change and MI: The “kissing cousins” 1:02:25 – Decisional balance and self-efficacy 1:10:43 – Temptation  1:12:25 – Spending time with giants in the field 1:16:57 – End of episode Links and contact information: Study cited in episode:  Stotts AL, DiClemente CC, Carbonari JP, Mullen PD. Pregnancy smoking cessation: a case of mistaken identity. Addict Behav. 1996 Jul-Aug;21(4):459-71. doi: 10.1016/0306-4603(95)00082-8. PMID: 8830904.  Book cited in episode: https://www.guilford.com/books/Group-Treatment-for-Substance-Abuse/Velasquez-Crouch-Stephens-DiClemente/9781462523405 Health Behavior and Training Institute:  https://sites.utexas.edu/hbrt/ 

Om Podcasten

Talking To Change - A Motivational Interviewing podcast, hosted by Glenn Hinds and Sebastian Kaplan, is a series of conversations exploring Motivational Interviewing (MI) and its influence on supporting individuals and groups as they make positive health and lifestyle changes. Guests from across the world discuss their special interest in the research, practice and learning of MI along with its place across health, social care, education and criminal justice. Glenn Hinds is a registered counsellor living in Derry, N. Ireland. He worked as a drug therapist and senior social work practitioner in mental health and alcohol and drug services, from 1990 until 2008, when he created Glenn Hinds Motivation & Coaching Consultants (https://www.glennhinds.com) developing and delivering bespoke training workshops to health, social care, education, criminal justice and human resource practitioners and managers across the UK, Ireland and USA. He has been a member of the International Motivational Interviewing Network of Trainers (MINT) since 2003 and has completed Motivational Interviewing Training Integrity (MITI) and Motivational Interviewing Supervisory Training (MIST) training and has written the Motivational Interviewing module for Ulster University Foundation Degree. Sebastian G. Kaplan, PhD, is an associate professor in the Departments of Psychiatry (Child and Adolescent Section) and Family and Community Medicine at the Wake Forest University School of Medicine in Winston-Salem, NC, USA. Sebastian is a former special education teacher, who currently provides individual and family psychotherapy, primarily with adolescents and young adults, struggling with a variety of life challenges. Sebastian has been a member of the Motivational Interviewing Network of Trainers (MINT) since 2008. He provides training and consultation in MI for a variety of regional and national audiences. Sebastian is a co-author of “Motivational Interviewing in Schools: Conversations to Improve Behavior and Learning.” (Guilford Press 2016). Sebastian is also a co-developer of “Motivational Interviewing with Adolescents: A Four-Video Series” (http://www.psychotherapy.net/video/mi-adolescents).