Decisional Balance in Motivational Interviewing

In this video, Felicia reviews how to work with patients who are in the contemplation stage of behavior change with decisional balance. This tool can be useful in working with a patient who is ambivalent about change.


LINKS/Research on Decisional Balance

Liu KT, Kueh YC, Arifin WN, Ismail Ibrahim M, Shafei MN, Kuan G. Psychometric Properties of the Decisional Balance Scale: A Confirmatory Study on Malaysian University Students. International Journal of Environmental Research and Public Health. 2020; 17(8):2748. https://doi.org/10.3390/ijerph17082748

Krigel SW, Grobe JE, Goggin K, Harris KJ, Moreno JL, Catley D. Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit. Addict Behav. 2017;64:171-178. doi:10.1016/j.addbeh.2016.08.036

Miller WR, Rose GS. Motivational interviewing and decisional balance: contrasting responses to client ambivalence. Behav Cogn Psychother. 2015;43(2):129-141. doi:10.1017/S1352465813000878

Eshah NF, Mosleh SM, Al-Smadi A. The Decisional Balance Toward Health Behaviors Among Patients With Hypertension. Clin Nurs Res. 2021;30(7):977-984. doi:10.1177/1054773820967548

Abbaspour S, Farmanbar R, Njafi F, Ghiasvand AM, Dehghankar L. Decisional balance and self-efficacy of physical activity among the elderly in Rasht in 2013 based on the transtheoretical model. Electron Physician. 2017;9(5):4447-4453. Published 2017 May 25. doi:10.19082/4447

Decisional Balance Example PDF:
https://guidelines.diabetes.ca/docs/p...

101 Sustain Talk: https://mollykellogg.com/101-sustain-...

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Felicia Porrazza is a registered and licensed dietitian with a masters degree in dietetics administration, an ACSM certified personal trainer, National Board Certified Health & Wellness Coach, college nutrition faculty instructor, and owner of Porrazza Nutrition LLC and My Dietitian Journey. In her private practice, she works one-on-one with clients to help them develop an understanding of healthy eating and fitness. She specializes in combining plant-based eating with fitness programs, specifically targeting beginner strength-training. Felicia has been a mentor to Dietitians starting their own private practice and a dietetic internship preceptor for Dietetic students.

Disclaimer: Information provided is not intended to constitute legal or medical advice. All information is for general educational purposes only.