Why do you want to make this change?
How might you be able to do it?
Do you want another heart attack?
How important is it, and why? (0-10)
"Have you thought about getting more active?"
"What ideas do you have for doing that?"
"Daily blood pressure readings are critical to your health."
"It's great that you don't want to take medication."
"You're really determined to do this."
"What other reasons do you have for doing this?"
"You see this as a problem for you."
"I don't think that's gonna work."
Getting more detail about change talk.
Shift the focus of the conversation.
Asking for examples.
Strengthening change talk.
It is normal.
It is never resolved by eliciting change talk.
It is about uncertainty.
It exists within the patient.
Always ask why a person didn't choose a zero.
Explain what the numbers 0 and 10 mean.
Clarify whether you are asking about importance or confidence.
Reflect or affirm after every response to an open question.
A summary of change talk.
A signal that the converstation is about to close.
A key question.