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
make a change. You are the expert in your own life
and I am an expert of different modalities of what
the evidence shows us and what other people have done
in your situation'.

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.