Contemplation
Stage
"Sitting on the fence"
"Yes my weight is a concern for me, but I’m not willing or able to
begin losing weight within the next month."
Goals:
1.
Validate the patient’s experience
2. Clarify the patient’s perceptions of the pros and cons of attempted
weight loss
3. Encourage further self-exploration
4. Leave the door open for moving to preparation
1. Validate
the patient’s experience:
"I’m
hearing that you are thinking about losing weight but you’re definitely
not ready to take action right now."
2. Acknowledge
patient’s control of the decision:
"I
don’t want to preach to you; I know that you’re an adult and you will
be the one to decide if and when you are ready to lose weight."
3. Clarify
patient’s perceptions of the pros and cons of attempted weight loss:
"Using
this worksheet, what is one benefit of losing weight? What is one drawback
of losing weight?"
4. Encourage
further self-exploration:
"These
questions are very important to beginning a successful weight loss program.
Would you be willing to finish this at home and talk to me about
it at our next visit?"
5. Restate
your position that it is up to them:
"It’s
totally up to you to decide if this is right for you right now. Whatever
you choose, I’m here to support you."
6. Leave
the door open for moving to preparation:
"After
talking about this, and doing the exercise, if you feel you would like
to make some changes, the next step won’t be jumping into action - we
can begin with some preparation work."
Motivational
Interviewing Algorithm
Prochaska
and DiClemente’s Stages of Change Model
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