Module 4: Evoking – What is change talk?

What is change talk?

There are many things a woman could say that are related to change, but there are four main types of change talk that are important to motivational interviewing:

  • Desire
  • Ability
  • Reasons
  • Need

Watch Dr Steindl give more information about each change type.

Each type of change talk gives you as the practitioner an insight into what the woman is thinking. This window into her mind will help you highlight their key reasons for change, known to be the greatest predictor for change, as you work through the MI process.

Examples of change talk

Watch Dr Steindl give some examples of each type of change talk.

As Dr Steindl mentioned, change talk shifts the woman's ambivalence towards change. However, arguments against change can shift the woman's ambivalence away from change, which is known as sustain talk in MI.