The role of the practitioner is different depending on the person's readiness to change.
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| Practitioner Roles | Use statements like: |
| Raise doubts about patient behaviour | “Why do you think it's important to...?" |
| Normalise behaviour | "Lots of people find it difficult to...for a variety of reasons. What are some of the things that get in the way for you?" |
| Provide information | “Are there any questions you would like to ask me?" |
| Practitioner Roles | Use statements like: |
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Normalise ambivalence
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"Some people don't like...yet they know it's important |
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Consider the 'pros'
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"What would be some reasons to start doing it?" |
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Encourage self re- evaluation
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"How much does your family know about...? How do you think it affects them?" |
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Examine options
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If you were to start...,what do you think you would do?" |
Ready to change in the near future:
| Practitioner Roles | Use statements like: |
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Clarify the patient's own goals and strategies for change
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“Tell me what changes you are planning about…” .Ask for specifics such as how often, when, how long etc. |
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Lower barriers to change
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“What do you need to do so that it is not going to get in your way?” |
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Encourage self re- evaluation
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“Who do you need to help you achieve your goal?” |
Ready to change - already started:
| Practitioner Roles | Use statements like: |
| Engage patient in discussion about changes | “Undertaking…. will have a positive impact in your heath. What has changed for you since you began?” |
| Assess strengths and social support | “Who helps you to keep up with…? How does that person help you?” |
| Practitioner Roles | Use statements like: |
| Affirm commitment | “What motivates you to ….?” |
| Incorporate positive rewards | “How can you celebrate your success |
| Review long-term goals | “What will success look like in 6 months time? What do you see as you long term goal?” |
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