Discuss general principles of basic counseling and motivational interviewing. Utilize motivation enhancement interviewing techniques to assist patients change problem behaviors. People may be in this stage because of lack of accurate information about harms of not changing or benefits of changing, or because of aversive experiences with attempting change in the past. Key Concepts in Change Model Motivational Balance patient perceived pros and cons of behavior and of changing behavior Self-efficacy patient percieved belief in own ability to change behavior. Review benefits, triggers, problem solving strategies.
Arguments are a good signal to change strategies.
By working within the stage the patient is in, the physician will develop collaboration with the patient, and not be seen as simply forcing an agenda on the patient. Discussion of what the patient might need to do to minimize any negative consequences of change may lead to development of new coping skills and to increased self-efficacy. Predicting change in smoking status for self-changers.