Motivational Interviewing

Motivational interviewing is presented as the strongest evidence-based clinical communication approach for alcohol reduction behavior change. MI-based role induction delivered in a single session has shown benefits in anxiety disorder trials and behaviour change contexts. Motivational interviewing was selected as the core approach for the PROSPER preparation component because it is specifically designed to address ambivalence, build motivation and commitment, foster hope, and enhance readiness for change. MI supports patient activation, defined as an individual's perceived confidence and ability to manage their own health. Motivational interviewing assumes durable change requires internal motivation rather than externally imposed compliance. Clinicians skilled in MI avoid shame-based goal-policing and anchor sessions in patient values. MI treats ambivalence about change as legitimate and workable.