Motivational Interviewing in Nutrition and Fitness

By
Dawn Clifford, Phd, RD
Laura Curtis, MS, RD

Course Description

A practical guide for health professionals on using Motivational Interviewing (MI) to help clients with behavior change, focusing on weight-inclusive, non-diet approaches.

Course Outline

Target Audience: Social workers, counselor, and other mental health professionals.

Course Content Level: Advanced

Number of CE Hours: 7

Type of CE hours: Clinical

Delivery format: Reading based asynchronous distance learning.

Course completion requirements:
How to Obtain Continuing Education Credit
Please follow the steps below to obtain the necessary contact hours of home study continuing
education credit:

1. Read course objectives.
2. Study the course text:

3. The questions for the final examination are attached here. Answer these questions by marking
your Scantron card:
Write your name on every Scantron card in the space provided. Also write the exam title
in the space marked “Subject”.
True/false examination Mark the Scantron card as follows: Use A for true answers, B for
false answers. Disregard C, D and E.
Multiple-choice questions Choose the letter of the correct answer and mark the Scantron
card accordingly.
Marking the Scantron card Use No. 2 pencil only. Make dark marks. Erase completely to
change.
4. Complete the licensure information on the examination sheet.

5. Return the scantron card, examination sheet and student evaluation of the course.
You’ll need 70% correct score on the post-test for successful completion of the course.

6. Retain a copy of the answers for your record.
Homestead Schools, Inc. is solely responsible for the quality and content of this CE
program and for the selection of its instructor/author, and receives no outside financial
support in the preparation, presentation or implementation of its CE activities.
The sponsor has no affiliation with companies whose products or services are mentioned
in this course material; they are mentioned only for their educational and
informational value. The sponsor’s sole source of revenue is the tuition paid by
participants like you in its CE program.

Instructor Credentials: N/A

ACE Provider Approval Statement: Homestead Schools, Inc., 1070, is approved to offer social work continuing education by the Assoiciation of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses for continuing education credit.
ACE provider approval period: 4/2/2023-4/2/2026. Social workers completing this course receive 7 Clinical continuing education credits.

ADA Accomodations: Homestead Schools, Inc. ensures that its facilities accommodate and are accessible according to the standards of the Americans with Disabilities Act.

Cancellation/Refund Policy: Should you need to cancel your order or if you are not satisfied with the quality of our course material, you can return the course (before a certificate is issued) within 90 days and receive a prompt and full refund (less shipping and handling.)

Course last updated: December, 2016


About Authors

Dawn Clifford, PhD, RD, is Associate Professor and Director of the Didactic Program in Dietetics in teh Department of Nutririon and Food Science at California State University, Chico. In addition, she cofounded and is currently Director of FitU, a peer mentoring nutrition and exercise counselling program on campus. She received the Outstanding 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 motivational interviewing and no- diet approaches to health and wellness. She 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 memeber of the Motivational Interviewing Network of Trainers (MINT).


Learning Objectives

Chapter 1 The Complexities of Lifestyle Change
1. Describe the transtheoretical model
2. Discuss ambivalence.
3. State an example of change talk, sustain talk and change talk and sustain talk.
4. Describe the false-hope syndrome.
5. Describe the dieter’s cycle.
6. Discuss the righting reflex.
7. Define autonomy and empathy.

Chapter 2 The Spirit of Motivational Interviewing
8. Define the expert trap.
9. Discuss the four ways a practitioner conveys acceptance.

Chapter 3 Engaging and Focusing
10. Discuss the four processes of motivational interviewing.
11. Describe the engaging process.
12. List the three benefits to being a good listener.
13. Discuss agenda mapping.
14. Describe the three styles when determining the focus.

Chapter 4 Evoking
15. Describe the acronym DARN CAT.
16. Discuss scaling questions.

Chapter 5 Planning for Change
17. Compare the role of client and practitioner.
18. Discuss the elicit-provide-elicit model.
19. Compare practitioner-led goal setting and client-led goal setting.

Chapter 6 Open-Ended Questions
20. Compare open-ended and closed-ended questions.
21. Describe digging deep questions and hypothetical questions.
22. Compare strengths-based questions with goals and values questions.
23. Describe looking-forward, looking-back and disarming questions.
Chapter 7 Affirmations
24. Define affirmation and discuss the benefits.

Chapter 8 Reflections
25. Define reflective (active) listening and state the three times when it is especially important to reflect.
26. Describe the following reflections: simple, complex, double-sided, undershooting, and amplified.

Chapter 9 Summaries
27. Describe a summary.
28. Describe OARS and the goal.

Chapter 10 When Clients Aren’t So Sure about Change
29. Define discord.
30. Compare the question-answer trap and the expert trap.
31. Compare cheerleading with affirming.
32. Describe the overload trap, jump-to-planning trap, and the expert trap.

Chapter 11 What to Do When There’s Little Time
33. State methods for shortening the four processes of motivational interviewing: engage, focus, evoke and plan.
34. List the six strategies consistent with motivational interviewing when a full session is not possible.

Chapter 12 Clarifying Health Misinformation and Exploring Unhealthy Beliefs
35. Discuss several methods of correcting misinformation.

Chapter 13 Putting Motivational Interviewing to Work in Nutritional Counseling
36. Discuss the engaging process of motivational interviewing.
37. State strategies to use when discussing meal preparation with clients.
38. Define food acceptance.
39. Discuss the research on restriction.
40. Describe habituation and mindful eating.

Chapter 14 Putting Motivational Interviewing to Work in Fitness Counseling
41. Describe autonomous motivation and the self determination theory.
42. Discuss intuitive exercise.
43. Describe controlled motivation.
44. List the common barriers to consistent physical activity.
45. Describe the three common traps when thinking about physical activity.

Chapter 15 Putting Motivational Interviewing to Work to Address Weight Concerns and Disordered Eating
46. Define weight bias.
47. Discuss Health At Every Size.
48. List the five Health At Every Size principles.