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Prochaska and DiClemente

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by

Merissa Delege

on 8 March 2014

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Transcript of Prochaska and DiClemente

Prochaska and DiClemente
Goals
1. Help Patient develop a reason for changing
2. Validate the patient's experience
3. Encourage further self-exploration
4. Leave the door open for future conversations
2. Acknowledge the patients control of the decison
1. Validate the patients experience
Goals
1. Validate the patient's experience
2. Clarify the patient's peceptions of the pros and cons of attempting weight loss
3. Encourage further self-exploration
4. Leave the door open for moving to preparation
3. Clarify patient’s perceptions of the pros and cons of attempted weight loss:
1. Validate the patient’s experience:
2. Acknowledge patient’s control of the decision:

1. Praise the decision to change behavior

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
Pre-contemplation
Stage

Preparation Stage
Contemplation Stage
3. Repeat a simple, direct statement about your stand on the medical benefits of weight
loss for this patient

4. Explore potential concerns

5. Acknowledge possible feelings of being pressured

6. Validate that they are not ready

7. Restate your position that it is up to them

8. Encourage reframing of current state of change - the potential beginning of a change
rather than a decision never to change

5. Restate your position that it is up to them

4. Encourage further self-exploration

6. Leave the door open for moving to preparation

2. Prioritize behavior change opportunities
3. Identify and assist in problem solving re: obstacles

4. Encourage small, initial steps

5. Assist patient in identifying social support
Full transcript