Table 2.
Stage | Main strategy |
---|---|
Pre-contemplation | • Provide more information • Help him/her to trust his/her possibilities • Customize assessment • Narrative support • Avoid cheating • Recognize resistance |
Contemplation | • Help develop skills for change. • Explore ambivalence. Decisional balance. • Provide the support plan. • Health diary • Balance sheet: the positive versus the negative |
Determination | • Provide reinforcement. • Make a plan for change. Offer different alternatives for the patient to choose. • Help him/her prepare for potential problems that may arise in the accession process. |
Maintenance | • Provide strategies to deal with risk situations. |
Relapse | • Help understand the reasons for relapse. • Reinforce his/her confidence in changing again. • Help make plans for the next attempt. • Offer unconditional support. |