Table 3: How to Elicit Change Talk with Patient-Doctor Scenario [1,19].
Patient Talk | Counsellor Reply | |
Support Self-Efficacy | I am going to give it a try, but I think I will fail just like I have before. I am wondering if you can help me. I hope things will be better this time. |
It seems confusing at first, however I am willing to provide you with all the support you need. As long as you are willing to continue in the process. |
Optimism for Change | I have an experience in which I quit for one year, and I felt so much healthier. It was challenging in the beginning but I succeeded later on. 'I want to manage my hypertension better' |
Yes, you are the hero in your life. I think you look at life differently, but how did you do it? You have a lot of internal motivation and strength to |
Intention to Change |
I do not want to live in a weak state like this. I want to have some progress in my health and energy to enjoy my social life and my work. |
In what ways do you want your life to be different within the next year?
If you could take one small step, what would you start to change? |
Change Plan | Counsellor, I want a full plan to quit smoking and to have better control over my blood pressure. |
If you fix the small changes, what do you think next?
We have started from here, where do we go next? How would you like things to progress? |
Use Agreement | Counsellor should identify a specific, simple and attainable goal for the patient, and then the patient should confirm the near-future achievement, then the counsellor should draft a patient-counsellor agreement in the patient's file. |