Motivational interviewing (MI) is defined as Ba
client-centered, directive method for enhancing
intrinsic motivation to change by exploring and
resolving ambivalence.^49(p25) MI was developed
within the context of alcohol-dependence treatment
as an alternative to the classic addiction model of
directly confronting patients and framing their
resistance to change as denial. MI has since been
shown to be effective across a range of health-related
behaviors.65,66 For women with CHD, moving
through the stages of change requires significant
cognitive and behavioral effort; motivation provides
the impetus for this effort and plays an important
role in recognizing the need for and achieving
successful behavior change.