What does the "A" in the OARS motivational interviewing framework stand for?

In the OARS framework of motivational interviewing, the "A" stands for Affirmation. This key component involves acknowledging and recognizing the client’s strengths, efforts, and past successes. Affirmation helps build a supportive environment in which clients feel validated and encouraged. It nurtures a therapeutic alliance, allowing clients to open up about their thoughts and feelings regarding their tobacco use or other behaviors.

By affirming a client’s skills or insights, a practitioner can promote self-efficacy, enhance motivation, and foster a sense of autonomy. This increases the likelihood that the client will engage in the change process actively. Affirmation is distinct from mere positive reinforcement; it is about genuinely recognizing and valuing the client’s personal journey and insights.