MOVITATIONAL INTERVIEWING &
BEHAVIOUR CHANGE - LIVE ON LINE!

ONLY 9 STUDENTS PER COURSE

NOVEMBER WORKSHOPS

Afternoon Workshop
Nov 22nd Starts at 14:30 to 17:30
for 4 consecutive Sundays

The NEW motivational interviewing (MI) workshop will teach you how to enhance your client engagement. This will improve your business by increasing your ability to attract and convert prospective clients from initial first contact. It will also enhance client retention as you will be able to monitor your clients progress (from a psychological perspective) and most importantly understand what actions to take if a client is starting to relapse and will possibly leave your programme. The average client is most probably worth in the region of £4000 per year to a trainer, can you afford to lose this much?

You will also be able to assist clients with other lifestyle behavioural changes such as those required for exercise adherence, smoking cessation.  This important counselling skill (MI) has been incorporated into the behaviour change workshop to enable trainers to guide clients who are ambivalent about lifestyle change (sitting on the fence) and help them take the next step.

Successful weight management programmes require three key components (are you providing all three?)

DO YOU PROVIDE THEM ALL?

Nutrition education and support

Activity and/or exercise advice

Behavioural/Lifestyle change and habit formation

If ONE component is missing then the chances of achieving long-term, permanent weight-loss are very low.

If a client is not in the correct stage of change they will ultimately not succeed in a weight-loss programme. Working with a client who is unsure or carries self-doubt is a difficult task, but there are researched, effective and simple techniques to build your clients self-efficacy, confidence and knowledge, making your job and their success come far easier.

Resolving to become fitter or lose weight means making a change in one’s personal lifestyle. Change can be difficult and often the psychological impact is underestimated. Many individuals fall by the wayside, however well-intentioned they may be. That is why it is so important to have a good understanding of the psychological aspects of change if you want to be able to give advice to clients in the areas of personal training and nutrition.

The online (live) workshop

As part of the workshop you will also receive the newly written workshop manual (in E-book format – PDF). You can purchase a spiral bound copy should you want this. Just add this to your basket when purchasing the workshop. The 20,000+ words manual is evidence based and fully referenced.

Using MI based skills, trainers can build client self-confidence and also improve their businesses client retention. For a full description of MI see appendix one at the foot of this page.

Using the techniques taught in the behaviour change workshop the weight-loss system developed in my research (LEAN Man System) achieved an 86% success rate both in the UK and New Zealand (NZ). This programme has since been adopted by the Manawatu Public Health region (NZ) for use in the community. The MI skills most recently incorporated in this workshop may well increase this already impressive success rate, only time will tell.

Workshop Delivery

There will only be nine students on each workshop to allow for the required levels of interaction and practical practice. 

The workshop is delivered live online by Dr Gary Mendoza. 

The workshop is made up of four modules, each module lasting approximately 2 to 2.5 hrs. 

The modules will cover the underpinning theories currently relevant to behaviour change and then move on to teach the skills of motivational interviewing and communication and its application for behaviour change. The modules run weekly.

These modules will be very interactive and practical with all content explained and demonstrated. All modules are delivered via zoom to take advantage of the breakout room functionality this possesses. Students will learn and practice the basic techniques of motivational interviewing. The workshop includes a lot of ‘real play’ which offers participants the opportunity to work on their own problems (Be these business or personal) throughout.

On completion of each module homework will be assigned. The homework acts as an ongoing assessment throughout the workshop. Students will record videos of themselves working with a client. These videos will demonstrate the skills learnt in the module. The assessment is a prerequisite for the certification.

This workshop has been externally assessed by the Association for Nutrition (AfN) and approved for certification.

On completion of the workshop students will possess a toolbox of techniques they can apply to initiate behaviour change, run a successful weight-loss programme and most importantly retain clients. All techniques are based on evidence-based research. The workshop manual that accompanies the workshop is fully referenced and contains all practice exercises used in the workshop. Due to the very interactive nature of the workshop student numbers will be limited to  nine to allow the required interaction and practice. 

Who should attend the One-day workshop?

Personal trainers wanting to improve their client recruitment and client retention 

Registered Nutritionist’s involved in delivering weight loss programmes

Dietitians running weight loss programmes

Practice nurses running weight-loss programmes in GP surgeries

Individuals interested in weight loss and where they are personally in the change cycle

TESTIMONIAL FROM
MacKenzie Baker

TESTIMONIAL FROM
Deena Elizabeth

TESTIMONIAL FROM
Luke Williams

What do my clients have to say

Chris Laing Personal trainer

I’ve known Gary for many years and previously did his nutrition course. I was instantly impressed as the information in the manual was like nothing I had seen before. There were so many references and extra learning. So the opportunity to sign up to another of his courses was too good to turn down. As expected, the MI course was well referenced and lots of further learning in the manual. It was a clear and concise method of being able to move someone forward a few steps forward from having an idea and putting it into action. It also helps people with any ambiguity they are experiencing. For me, it’s the missing link for getting clients to not only take action, but to stay on course. I’ve since been putting it into practice and i’ve managed to sign up a client, just by using a few techniques on the course, without actually trying to offer my services as a solution. If you are someone who just likes to tell someone what to do, don’t do this course. If you want to uncover the deeper rationale into getting people to take action and stay on course, then this course is a must. 

Chris Bundell, Lead coach at SC Vital Fitness personal training gym.

I completed this course around 2 years ago, and have applied it across areas far more reaching than just my coaching career. Invaluable.

Mandy Wong Oultram, Personal Trainer/Nutrition Consultant at FlexFit:

“Highly recommend this workshop for anyone considering it! I went to one of Gary’s MI workshop 2 years ago and it’s been a complete game changer for me. I went from struggling to convert prospects into clients to filling my diary. I became so much better converting at consultations, my clients retention and referral rate also went up. I’m so much a better communicator inside and outside the gym now. Definitely one of the best investments I’ve made was attending this course. If you are thinking about it, go for it!”

What is Motivational Interviewing?

Motivational interviewing (MI) is a way of being with a client, not just a set of techniques for doing counselling (Miller and Rollnick. 1991). A laypersons definition would be ‘MI is a collaborative conversation style for strengthening a person’s own motivation and commitment to change’.

To understand what MI is it is helpful to understand MI spirit. The following diagram taken from the basic MI training workshop sums this up very well.

Figure 1. The MI Spirit (diagram from basic MI training workshop)

 

It is very much person centred and very much about accepting that an individual has complete autonomy of their choices and actions. MI is not some magic technique that your practice on an individual. It is also not a method for manipulating an individual to make changes. MI recognises that the person who knows you best is you. Through a conversational style the counsellor/trainer draws on this knowledge and reflects it back to the client.

Listening is a key skill to master in MI and is often referred to as active listening. It is this ability to listen and recognise different aspects of a person’s language that sets a person skilled in MI apart from others.

MI is very much client centered and the aspect that separates an MI conversation apart from your everyday conversation is that it has direction. Using the basic skills of OARS (see definition below) the conversation is guided in a useful direction.

The basic skills of MI are built around O.A.R.S :

Open questions

Affirmations

Reflections

Summary

Using these skills, the counsellor/trainer moves in a general direction through the foundational steps of MI. These steps are as follows

Four Foundational Processes

Figure 2. The Foundational processes of MI (diagram from basic MI training workshop)

Using the idea of weight loss, you can see how this might work. It is not too much of an assumption to make that the population have a general idea about what healthy eating entails. It would also be reasonable to assume that the majority of the population understand the importance of exercise/activity in terms of health and weight loss.

If these assumptions are accurate then why do we have an obesity epidemic? One answer may be that although people know what they should do they choose not to. Many people can see the advantages of eating healthier and being more active and could no doubt tell you what they are. On the other hand they can equally see as many reasons why they can’t eat healthily and exercise more. In MI terms this is called ‘ambivalence’. In other words, the pros and cons of change are pretty much in balance.

The treatment improvement protocol from rockville1 describes MI as follows and takes account of ambivalence within this:

“Motivational interviewing is a counselling style based on the following assumptions:

Ambivalence about substance use (and change) is normal and constitutes an important motivational obstacle in recovery.

Ambivalence can be resolved by working with your client’s intrinsic motivations and values.

The alliance between you and your client is a collaborative partnership to which you each bring important expertise.

An empathic, supportive, yet directive, counselling style provides conditions under which change can occur. (Direct argument and aggressive confrontation may tend to increase client defensiveness and reduce the likelihood of behavioural change.)”

With MI you very much work with the client and their knowledge. As an expert in a field there is temptation to think that you know all the answers and all you need to do is tell your client what to do. This form of information giving is known as ‘directing’ in MI. Equally if you just sit and listen to a client the conversation is likely to go around in circles and this is known as ‘following’.

What you are aiming for is the middle ground between these two extremes and this is called ‘guiding’. As the MI counsellor you are gently guiding the client in a direction that will be beneficial to resolving their issue and you are using their knowledge and understanding to come up with solutions.

You are listening for the clients “change talk”. This is language that is used that can see the positives for changing. The flip-side of this language is “sustain talk”. When we are ambivalent about a change the sustain talk and change talk tend to balance out. In MI the counsellor/trainer reflects the change talk back to the client. Research shows that hearing your own words (change talk) repeated back to you can be a powerful stimulus to ultimately making a change; this is at the heart of MI.

That is not to say that you cannot offer advice and information within MI. You can and it needs to be MI consistent. You may have noticed that I said “offer advice” and not “give advice”. By offering advice/information I am being MI consistent because I fully respect the client’s right to ignore it. As part of the basic training in MI you learn how to offer advice in an MI consistent manner.

I am not a huge fan of anything that has cultish undertones but one thing I do appreciate is that in order to become proficient at delivering MI you need to become more MI consistent in your daily life. That means accepting everyone for who they are and listening to them properly without judgement but with curiosity. To my mind that is no bad thing and we all could benefit from that.

I think it is appropriate that the final words on MI should come from the co-founders of motivational interviewing, Professors Stephen Rollnick and William Miller2:

“Motivational interviewing is a collaborative, goal-oriented style of communication with particular attention to the language of change.  It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.”