DPR

Question 1

Precontemplation

Answer 1

patient is not thinking about change
resigned to behavior
may have previous failed attempts to quit
denial
does not believe consequences are serious

Question 2

contemplation

Answer 2

weighing costs and benefits
ambivalence about change
feel sad about giving up something that is enjoyable to them

assessing barriers as well as benefits to change
“i know that I need too….but…”

Question 3

Preparation

Answer 3

experimenting with small changes

pt prepare to make a specific change

Question 4

Action

Answer 4

taking definitive action to change
most desired by physicians
much praise is necessary

Question 5

maintenance

Answer 5

maintaining new behaviors over time
ongoing encouragement and support are good
continued appreciation for the new gains

Question 6

Relapse

Answer 6

normal
feel demoralized
do not necessarily need to start from ground zero again

do not focus on failure

Question 7

main goal of motivational interviewing

Answer 7

**Resolve ambivalence