1) Ask Evocative Questions: Ask open question, the answer to which is change talk. 2) Explore Decisional Balance: Ask first for the good things about status quo, then ask for the not-so-good things. (Note: this should be used cautiously to avoid overemphasizing sustain talk). 3) Ask for Elaboration: When a change talk theme emerges, ask for more details. In what ways? Tell me more…? What does that look like? 4) Ask for Examples: When a change talk theme emerges, ask for specific examples. When was the last time that happened? Give me an example. What else? 5) Look Back: Ask about a time before the current concern emerged. How were things better, different? 6) Look Forward: Ask what may happen if things continue as they are (status quo). Try the miracle question: If you were 100% successful in making the changes you want, what would be different? How would you like your life to be five years from now? 7) Query Extremes: What are the worst things that might happen if you don’t make this change? What are the best things that might happen if you do make this change? 8) Use Change Rulers: Ask, “On a scale from zero to ten, how important is it to you to [target change]? Follow up: Howcome are you at _____ and not _____ [lower number than they stated]? What might happen that could move you from ___ to [higher number]?  9) Explore Goals and Values: Ask what the person’s guiding values are. What do they want in life? Using a values card sort can be helpful here. If there is a “problem” behavior, ask how that behavior fits in with the person’s goals or values. Does it help realize a goal or value, interfere with it, or is it irrelevant? 10) Come Alongside: Explicitly side with the negative (status quo) side of ambivalence.

Ten Strategies for Evoking Change Talk-2

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