Talking To Change - A Motivational Interviewing Podcast

Talking To Change - A Motivational Interviewing Podcast

Ep 62 – Transtheoretical Model Stages of Change & MI

November 28, 2022
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 Mary Velasquez Transtheoretical Model Cycle of Change & MIis 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:

Health Behavior and Training Institute: 

For suggestions, questions and to enquire about training in Motivational Interviewing contact Glenn & Sebastian



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