It is sometimes easier to add new behaviors than to eliminate established behaviors. Thus, if weight loss is a concern, suggesting that the patient begin moderate physical activity may be more effective than suggesting a change in current dietary patterns. Link new behaviors to old behaviors. For example, a clinician might suggest to patients that they exercise before eating lunch, use an exercise bike while watching the evening news, or take prescribed medications twice daily when brushing the teeth. Use the power of the profession.
Patients see clinicians as health experts, and they regard what the clinician says as important.
The clinician need not be afraid to tell a patient, I want you to stop smoking, or I want you to cut half the fat out of your diet. These direct messages are powerful, especially if they are simple and specific. It is important to recognize that some patients lack confidence in their ability to make lifestyle changes. The clinician can be sympathetic and supportive while providing firm, definite messages. Get explicit commitments from the patient.