Change Talk Flashcards
What is change talk?
Patient is considering the change
Listen for this kind of talk and affirm it when it happens
If they are not using this change talk, they are trying to defend their status quo
What are the six kinds of change talk?
Desire (statements about preferences for change; I want to, I would like to, I wish)
Ability (statements about capacity; I could, I can)
Reasons (arguments for change; I would probably feel better)
Need (statements about feeling obliged to change; I ought to, I have to)
Commitment (statements about the likelihood to change; I am going to, I will)
Taking steps (statements about action taken; I started, I went out and)
In the change talk types, what does DARN represent?
Reflects preparation to change
When you hear these, you are learning something about what matters to the patient
In the change talk types, what does CT represent?
Reflects implementing change
Will patients express sustain talk with change talk?
Yes
Example: I really want to do something about my hearing loss, but I also worry that hearing aids won’t work
It’s common to focus on the sustain talk in this instance
Reflecting the change talk will support moving in the direction of change
“It sounds like you have the desire to do something about your hearing loss
How can you use desire phrasing for an open ended question?
What do you want, like, wish, hope, etc.?
How can you use ability phrasing for an open ended question?
What is possible?
How can you use reason phrasing for an open ended question?
Why would you make this change? Benefits?
How can you use need phrasing for an open ended question?
How important is this change?
Can scale questions be useful?
Yes
“On a scale of 1-10, how strongly do you feel this is important”
Can tell you patient’s motivation and elicit change talk
Ask them why they chose that and not a lower number
Ask them what would make them go to a higher number
