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.