{"id":17916,"date":"2025-11-11T14:57:56","date_gmt":"2025-11-11T19:57:56","guid":{"rendered":"https:\/\/www.med.unc.edu\/cfar\/2022\/12\/conversations-about-change-from-evoking-to-planning-summary-and-key-question\/"},"modified":"2026-01-07T15:19:19","modified_gmt":"2026-01-07T20:19:19","slug":"conversations-about-change-from-evoking-to-planning-summary-and-key-question","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/cfar\/2025\/11\/conversations-about-change-from-evoking-to-planning-summary-and-key-question\/","title":{"rendered":"From Evoking to Planning: Summary and Key Question"},"content":{"rendered":"<p>As we continue to explore the numerous ways a client may move from evoking to planning, an approach that can be beneficial is for the clinician to provide a summary of all the change talk the client has expressed. The clinician is sharing back to the client all the motivations that have been verbalized. This can be a very powerful experience for the client if it is the first time they have heard all of their change talk reflected back at one time. \u00a0<\/p>\r\n<p>After the summary has been provided to the client, a key question should follow to see what the client may want to do moving forward. It provides a great opportunity to follow up on all the motivations offered by the client and to see if there is some movement towards behavior change. The clinician\u2019s role is to reflect what the client has shared and then allow the client to decide where to go next.<\/p>\r\n<p>There can be several ways to ask this key question, but the best strategy is to keep it simple. Here are some examples offered by Miller and Rollnick. See what you think about these questions or think about ways you may ask this key question:<\/p>\r\n<p style=\"padding-left: 40px\">\u201cSo where does all this leave you?\u201d<\/p>\r\n<p style=\"padding-left: 40px\">\u201cSo what are you thinking about [area of concern] at this point?\u201d<\/p>\r\n<p style=\"padding-left: 40px\">\u201cI wonder what you might decide to do?\u201d<\/p>\r\n<p>Again, the purpose is to provide the client with all of their reasons, desires, needs, etc. that they have expressed, and seeing if they want to move forward with a plan. It can be a profound experience for a client to hear back from the clinician all of their change talk at one time. It is also an opportunity for the clinician to reinforce client autonomy by asking where they want to go next.<\/p>\r\n<p>A reminder here is that the key question is not asking for a commitment, and not putting pressure on the client to move towards change. If the client feels they are being forced into change, they will quickly become defensive and any momentum you may have gained could be lost. Take your time and allow the client to let you know where they are and how they want to proceed. I hope everyone is doing as well as possible and you have opportunities to use and practice motivational interviewing.<\/p>\r\n\r\n<figure class=\"wp-block-image size-large is-resized is-style-default\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-621 aligncenter\" src=\"https:\/\/www.med.unc.edu\/cfar\/wp-content\/uploads\/sites\/1380\/2025\/09\/42e5afb738433217ea4d998609fe5544_d20d47e123ab30dc283be6f94774ccf6.jpg\" alt=\"\" width=\"288\" height=\"403\" \/><\/figure>\r\n<figure><\/figure>\r\n<figure><\/figure>\r\n<figure class=\"wp-block-image size-large is-resized is-style-default\">\r\n<p><em>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><\/em><\/p>\r\n<\/figure>","protected":false},"excerpt":{"rendered":"<p>As we continue to explore the numerous ways a client may move from evoking to planning, an approach that can be beneficial is for the clinician to provide a summary of all the change talk the client has expressed. The clinician is sharing back to the client all the motivations that have been verbalized. This &hellip; <a href=\"https:\/\/www.med.unc.edu\/cfar\/2025\/11\/conversations-about-change-from-evoking-to-planning-summary-and-key-question\/\" aria-label=\"Read more about From Evoking to Planning: Summary and Key Question\">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":[360,329,310],"tags":[],"class_list":["post-17916","post","type-post","status-publish","format-standard","hentry","category-conversations-about-change-planning-to-evoking","category-mi-process-evoking","category-motivational-interviewing-blog","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>From Evoking to Planning: Summary and Key Question - UNC Center for AIDS Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/cfar\/2025\/11\/conversations-about-change-from-evoking-to-planning-summary-and-key-question\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"From Evoking to Planning: Summary and Key Question - UNC Center for AIDS Research\" \/>\n<meta property=\"og:description\" content=\"As we continue to explore the numerous ways a client may move from evoking to planning, an approach that can be beneficial is for the clinician to provide a summary of all the change talk the client has expressed. 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