Episode 3: Identifying Patient’s Readiness to Change

In this episode we break down the myth of “non-compliance”, introduce the Transtheoretical Model (i.e. stages of change), and provide practical strategies for working with patients at each stage. The “non-compliance” myth propagates a hierarchical relationship between the Provider / patient and doesn’t take into account natural human ambivalence when it comes to change. 

Instead, we’ve shifted to assessing all patients for their readiness to change. We briefly describe each stage from the Transtheoretical Model, how to listen for “stage talk”, and share our strategies for working with patients in each stage. We also explore common misconceptions when implementing this model in clinical practice.

Our goal is to “meet people where they are”. We’ve found this improves our rapport, collaboration, and minimizes stress on both parties. In doing so, we may support patients moving to the next stage. However, change takes time and not everyone will end up in Action / Maintenance. With this understanding, we can reduce the shame that so commonly comes up with change and instead empower our patients to begin where they are. 

Highlights from Episode 3: Readiness to Change

• [0:46] Non-compliance
• [5:03] Introducing Stages of Change 
• [6:34] Precontemplation Stage
• [8:25] Listening for “stage talk”
• [14:14] Biggest caveat to stages of change
• [15:25] Contemplation Stage
• [17:34] Preparation Stage
• [19:44] Action Stage
• [22:33] Relapse 
• [25:00] Empowering vs shaming change 

Thank you for listening to this episode of The Conscious Clinician. If you enjoyed this episode, please subscribe and write a review for the podcast to grow our community. Keep the conversation going by following The Conscious Clinician on Instagram and Facebook. 

Resources from Episode 3

• [6:19] Transtheoretical Model 
  • The Transtheoretical Model (Brief)
  • The Transtheoretical Model (Long Version) 
  • Transtheoretical Model of Health Behavioral Change: A Systematic Review (2019)
  • Stages of Change Model for Participation in Physical Activity during Pregnancy (2013)
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