{"id":17748,"date":"2025-11-11T15:03:57","date_gmt":"2025-11-11T20:03:57","guid":{"rendered":"https:\/\/www.med.unc.edu\/cfar\/2016\/07\/key-motivational-interviewing-skill-elicit-provide-elicit\/"},"modified":"2026-01-08T11:15:41","modified_gmt":"2026-01-08T16:15:41","slug":"core-motivational-interviewing-skill-elicit-provide-elicit","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/cfar\/2025\/11\/core-motivational-interviewing-skill-elicit-provide-elicit\/","title":{"rendered":"Elicit-Provide-Elicit"},"content":{"rendered":"<p>How many of you know people who do everything their doctor tells them to, no questions asked, just because \u201cthey\u2019re the doctor\u201d? Even in less extreme situations, most interactions in healthcare settings have a flavor of that dynamic where the provider or counselor is the expert and the patient or client is a recipient of their knowledge and instruction.<\/p>\n<p>Motivational Interviewing is effective because it does <strong>NOT<\/strong> have that dynamic. In MI, the client is the expert because only they know their life, their behavior, and their motivation for change. But often clients aren\u2019t used to being treated this way, and enter their sessions ready to be told what to do.<\/p>\n<p>But what happens when the counselor DOES have information that he or she feels would be helpful to the client? Information about medication adherence, or ideas about things other clients have tried that might work for this client? There is definitely a place for that sort of information exchange, but MI has a specific technique that helps counselors share this information without turning into the expert, and the client into a passive participant. The technique is called <strong>Elicit-Provide-Elicit.<\/strong><\/p>\n<p>First, the counselor <strong><i>elicits<\/i><\/strong> from the client what s\/he already knows. This helps identify gaps or errors in the client\u2019s current knowledge but also helps avoid that awful scenario of telling the client something s\/he already knows\u2014THAT breaks rapport!<\/p>\n<p>Then, after asking permission, if the client is interested, the counselor <strong><i>provides <\/i><\/strong>the information that might be helpful to the client.<\/p>\n<p>And finally, after providing the information, the counselor <strong><i>elicits<\/i><\/strong> the client\u2019s reaction to the information. Maybe this is something that the client has tried before. Or maybe the client totally didn\u2019t understand what was said, or maybe there is a major barrier to trying the idea you mentioned.<\/p>\n<p>In simple form:<\/p>\n<blockquote><p>\u2022 <strong>\u201cElicit\u201d:<\/strong> <i>Find out what the client already knows<\/i><br \/>\n\u2022 <strong>\u201cProvide\u201d:<\/strong> <i>Provide additional information as appropriate<\/i><br \/>\n\u2022 <strong>\u201cElicit\u201d:<\/strong> <i>Ask the client for their reaction<\/i><\/p><\/blockquote>\n<p>Again, times when this technique may be particularly useful is when:<\/p>\n<blockquote><p><i><strong>\u2022 You think the client is misinformed<br \/>\n\u2022 You think the client lacks information<br \/>\n\u2022 You\u2019re thinking of an idea that might be useful to the client<br \/>\n\u2022 The client is asking for information<\/strong><\/i><\/p><\/blockquote>\n<p>An example of how this information exchange may flow is below:<\/p>\n<blockquote><p><i><strong>\u2022 Client:<\/strong> I have to take medication every day now\u2026it\u2019s a lot to figure out.<br \/>\n<strong>\u2022 Counselor: <\/strong>What have you tried before or what do think might work for you? <strong>[ELICIT]<\/strong><br \/>\n<strong>\u2022 Client: <\/strong>Maybe taking the medicine with a meal<br \/>\n<strong>\u2022 Counselor:<\/strong> Okay, so maybe taking the medicine with a meal\u2026and I work with a lot of people here in the clinic, would you mind if I shared with you some of their strategies?<br \/>\n<strong>\u2022 Client: <\/strong>Sure, I am open to hearing any ideas.<br \/>\n<strong>\u2022 Counselor:<\/strong> What I have heard works for other clients is taking medications: first thing in the morning, before bed, before brushing your teeth, at meal time, using a pill box, using an alarm on a watch, or just anything related to your daily routine. <strong>[PROVIDE]<\/strong><br \/>\n<strong>\u2022 Counselor:<\/strong> Do you think any of those ideas that worked for other people may work for you? <strong>[ELICIT] <\/strong><br \/>\n<strong>\u2022 Client:<\/strong> I really think setting an alarm on my watch will work since I always wear my watch\u2026.<\/i><\/p><\/blockquote>\n<p>Using these steps helps make sure that sharing information doesn\u2019t become an irrelevant lecture\u2014it maintains the involvement and rapport with the client while uncovering useful information.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/www.med.unc.edu\/cfar\/wp-content\/uploads\/sites\/1380\/2025\/09\/tumblr_inline_oal8djWlsX1t6dtej_540.png\" width=\"444\" height=\"352\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><i>For more information about Motivational Interviewing resources, contact Eunice Akinyi Okumu, by phone (919) 843-2532, or by email, <a href=\"mailto:eunice_okumu@med.unc.edu\">eunice_okumu@med.unc.edu<\/a><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How many of you know people who do everything their doctor tells them to, no questions asked, just because \u201cthey\u2019re the doctor\u201d? Even in less extreme situations, most interactions in healthcare settings have a flavor of that dynamic where the provider or counselor is the expert and the patient or client is a recipient of &hellip; <a href=\"https:\/\/www.med.unc.edu\/cfar\/2025\/11\/core-motivational-interviewing-skill-elicit-provide-elicit\/\" aria-label=\"Read more about Elicit-Provide-Elicit\">Read more<\/a><\/p>\n","protected":false},"author":103351,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[365,333,310],"tags":[],"class_list":["post-17748","post","type-post","status-publish","format-standard","hentry","category-core-motivational-interviewing-skills","category-mi-core-skills","category-motivational-interviewing-blog","odd"],"acf":[],"featured_image":false,"featured_image_medium":false,"featured_image_medium_large":false,"featured_image_large":false,"featured_image_thumbnail":false,"featured_image_alt":false,"category_details":[{"name":"Core Motivational Interviewing Skills","link":"https:\/\/www.med.unc.edu\/cfar\/category\/motivational-interviewing-blog\/mi-core-skills\/core-motivational-interviewing-skills\/"},{"name":"MI Core Skills","link":"https:\/\/www.med.unc.edu\/cfar\/category\/motivational-interviewing-blog\/mi-core-skills\/"},{"name":"Motivational Interviewing Blog","link":"https:\/\/www.med.unc.edu\/cfar\/category\/motivational-interviewing-blog\/"}],"tag_details":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/posts\/17748","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/users\/103351"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/comments?post=17748"}],"version-history":[{"count":6,"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/posts\/17748\/revisions"}],"predecessor-version":[{"id":19996,"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/posts\/17748\/revisions\/19996"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/media?parent=17748"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/categories?post=17748"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.med.unc.edu\/cfar\/wp-json\/wp\/v2\/tags?post=17748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}