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Strategies for Effective Change Talk

1. The document discusses strengthening a patient's commitment to change through eliciting "change talk". It provides questions to ask patients to get them talking about the disadvantages of their current situation, the advantages of change, their optimism for change, and their intention to change. 2. It includes rating scales from 0-10 to assess how important change is for the patient and their confidence in making changes, as well as suggestions for developing a goal-setting plan with the patient's input and permission. 3. The goal is to get the patient to see themselves as the expert and take ownership of the changes, while the clinician provides evidence and examples to guide them towards improved health.

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Michelle Yong
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98 views2 pages

Strategies for Effective Change Talk

1. The document discusses strengthening a patient's commitment to change through eliciting "change talk". It provides questions to ask patients to get them talking about the disadvantages of their current situation, the advantages of change, their optimism for change, and their intention to change. 2. It includes rating scales from 0-10 to assess how important change is for the patient and their confidence in making changes, as well as suggestions for developing a goal-setting plan with the patient's input and permission. 3. The goal is to get the patient to see themselves as the expert and take ownership of the changes, while the clinician provides evidence and examples to guide them towards improved health.

Uploaded by

Michelle Yong
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Strengthening commitment to change

 disadvantages of the status quo


 advantages of change
 optimism for change
 and intention to change (Table 4).
1. Rating scale - importance
'If you can think of a scale from zero to 10 of how important it is for you to lose weight.
On this scale, zero is not important at all and 10 is extremely important.
Where would you be on this scale?
Why are you at ____ and not zero?
What would it take for you to go from ___ to (a higher number)?'

2. Rating scale - confidence


'If you can think of a scale from zero to 10 of how confident you are that you can cut back on
________.
On this scale, zero is not confident at all and 10 is extremely confident.
Where would you be on this scale?
Why are you at ____ and not zero?
What would it take for you to go from ___ to (a higher number)?'

3. Decide on change plan together


a. Goal setting – elicit solutions from clients/ask permission before psychoeducation
It sounds like things can't stay the same as they are. What do you think you might do?
What changes were you thinking about making?
Where do we go from here?
What do you want to do at this point?
How would you like things to turn out?
After reviewing all of this, what's the next step for you?

'You are the expert on you, so I'm not sure I am the best person to judge what will work
for you. But I can give you an idea of what the evidence shows us and what other people
have done in your situation'.

Table 4. Eliciting 'change talk'1


Change talk Questions to elicit change talk Example of patient’s change talk
Disadvantages of  What worries you about your ‘I guess, if I’m honest, if I keep
the status quo blood pressure? drinking, I am worried my family are
 What difficulties have going to stop forgiving me for my
resulted from your drinking? behaviour’
 In what way does your
weight concern you?
Advantages of  How would you like your ‘If I lose weight, at least I won’t have
change health to be in 5 years time? to wake up feeling guilty every
 What are the advantages of morning that I am not taking care of
reducing your drinking? myself’
 What would be different in
your life if you lost weight?
Optimism for  When have you made a ‘I did stop smoking a few years ago
change significant change in your life for a year and I felt so much
Table 4. Eliciting 'change talk'1
Change talk Questions to elicit change talk Example of patient’s change talk
before? How did you do it? healthier. It was really hard, but once
 What strengths do you have I put my mind to something I usually
that would help you make a stick at it’
change?
Intention to  In what ways do you want ‘I never thought I would be living
change your life to be different in 5 like this. I want to go back to being
years? healthy and strong, with enough
 Forget how you would get energy to enjoy my friends and
there for a moment. If you family’. ‘I want to manage my
could do anything, what diabetes better’
would you change?

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