top of page

How a Coach's Empathy can predict change outcome

Updated: Oct 6, 2024




Motivational Interviewing (MI)

Motivational interviewing (MI) is an evidence-based approach that helps individuals resolve ambivalence and enhance their motivation to change problematic behavior. It's a client-centered approach that acknowledges the autonomy of the individual and recognizes that they are the experts in their own lives.


Key Components of MI

One of the key components of MI is the stages of change model which describes the process that individuals go through when making a change. By understanding the stages of change, therapists can tailor their approach to the client's specific needs and level of readiness.

The stages of change model was developed by Prochaska and DiClemente in the 1980s and has been widely used in the field of addiction treatment. The model consists of six stages: precontemplation, contemplation, preparation, action, and maintenance, and termination.

  1. Precontemplation: In this stage, individuals are not yet considering a change in behavior. They may be unaware of the negative consequences of their behavior or feel resistant to change. In MI, the therapist's role is to help the client recognize the need for change and explore the pros and cons of their current behavior.

  2. Contemplation: In this stage, individuals are aware of the need for change but may feel ambivalent or unsure about taking action. They may weigh the costs and benefits of changing and may need support in identifying their values and goals. In MI, the therapist's role is to help the client explore their reasons for change and the barriers to change.

  3. Preparation: In this stage, individuals are committed to making a change and may begin to take small steps towards that change. They may develop a plan of action and seek support from others. In MI, the therapist's role is to help the client identify and overcome any obstacles to change and to support their efforts.

  4. Action: In this stage, individuals are actively making changes to their behavior. They may implement their plan of action and seek support from others. In MI, the therapist's role is to help the client maintain their motivation and overcome any setbacks or challenges.

  5. Maintenance: In this stage, individuals have successfully made the change and are working to maintain their new behavior. They may still face challenges and may need ongoing support to prevent relapse. In MI, the therapist's role is to help the client develop strategies to maintain their behavior change and prevent relapse.

  6. Termination: In this stage, the client defeats the problem long-term.

In MI, the stages of change model is used to guide the therapeutic process and help clients achieve their goals in a client-centered and collaborative way. By understanding the client's stage of change, coaches can tailor their approach to meet the client's specific needs and level of readiness. Ultimately, the stages of change model is a valuable tool for helping individuals achieve positive behavior change and improve their overall well-being.


Also, it is important for coaches to notice change talk. Change talk refers to the language that clients use when they express their desire, ability, reasons, or need for change. Change talk is often a strong indicator of a client's readiness to change, and it's the coach's job to listen for and evoke change talk during the session.


Empathy as a key skill in MI

One key element I learned in APT's MI training is how Empathy is a key component of motivational interviewing (MI) and is essential to building a strong relationship with clients. Empathy refers to the ability to understand and share the feelings of another person. In MI, coaches who demonstrate empathy create a safe and supportive environment in which clients feel heard, understood, and respected.


A recent study has shown that the therapist's empathy can predict the outcome of alcoholism-related behavior.

The study, published in the Journal of Consulting and Clinical Psychology, found that therapist empathy was positively associated with positive treatment outcomes for alcohol addiction.


The study surveyed 123 participants who received treatment for alcohol addiction. The participants completed self-report measures of therapist empathy and alcohol use at baseline and at 3, 6, and 12 months after treatment. The results showed that participants who reported higher levels of therapist empathy had significantly better outcomes at 3, 6, and 12 months post-treatment.


These findings highlight the importance of empathy in MI and its potential impact on treatment outcomes. When coaches demonstrate empathy, clients feel more connected and engaged in the change process. This can increase their motivation to change and improve their chances of achieving their goals.




Comments


Built with Joy in Sunnyvale CA, Serving everyone worldwide!  All Rights Reserved. ©2025 BuildUp Coaching.

bottom of page