Preparation
Stage
"Testing the Waters"
"My weight is a concern for me; I’m clear that the benefits of attempting
weight loss outweigh the drawbacks, and I’m planning to start within the
next month."
Goals:
1.
Praise the decision to change behavior
2. Prioritize behavior change opportunities
3. Identify and assist in problem solving re: obstacles
4. Encourage small initial steps
5. Encourage identification of social supports
1. Praise
the decision to change behavior:
"It’s
great that you feel good about your weight loss decision; you are doing
something important to decrease your risk for heart disease."
2. Prioritize
behavior change opportunities:
"Looking
at your eating habits, I think the biggest benefits would come from
switching from whole milk dairy products to fat-free dairy products.
What do you think?"
3. Identify
and assist in problem solving re: obstacles:
"Have
you ever attempted weight loss before? What was helpful? What kinds
of problems would you expect in making those changes now? How do you
think you could deal with them?"
4. Encourage
small, initial steps:
"So,
the initial goal is to try nonfat milk instead of whole milk every time
you have cereal this week."
5. Assist
patient in identifying social support:
"Which
family members or friends could support you as you make this change?
How could they support you? Is there anything else I can do to help?"
Motivational
Interviewing Algorithm
Prochaska
and DiClemente’s Stages of Change Model
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