Table 1 The five-stage implementation model of Grol and Wensing (18)
From: Implementation of motivational interviewing in the general practice setting: a qualitative study
Stage | Description, adjusted to MI and the General Practice setting |
|---|---|
(1) Orientation | GPs/PNs hear about MI and they become interested in learning more about it |
(2) Insight | GPs/PNs gain an understanding of what MI entails, how it can affect their way of working and they get prepared by learning MI (e.g. attending a training) |
(3) Acceptance | GPs/PNs develop a positive attitude towards MI. They consider MI to be useful and feasible, and they have the intention to apply the acquired MI skills in practice |
(4) Change | GPs/PNs start to apply MI in their daily practice and experience its value |
(5) Consolidating change | GPs/PNs integrate MI into their daily work and skills are consolidated. MI is embedded within their organisation |