Table 1

Strategies to reduce ambivalence to change

STRATEGYEXAMPLE
1. Show the disadvantages of the status quo.“How does the excess weight affect you in your daily activities?”
2. Show the benefits of change (Figure 1).“Losing weight should help get your blood pressure under control.”
3. Show that change is possible (optimism for change).“You have succeeded in losing weight before. You can do it again.”
4. Support patients in their intention to change.“I understand you’re considering joining a weight-loss organization. I encourage you to do so.”