Recognizing Change Talk and Sustain Talk
Here are some common points of content often covered in introducing change talk.
Change talk: Any speech that favors movement toward change
Distinctive role in MI
Preparatory change talk: Desire, Ability, Reasons, Need (DARN)
Implementing change talk: Commitment/Intention, Activation, Taking Steps (CAT)
Sustain talk vs. resistance
Strength of change talk
Trajectory of change talk
DESIRE: Want, wish, like
ABILITY: Can, could, able
REASON: Specific reason for change
NEED: Need to, have to, must, important, etc. (without stating specific reason)
COMMITMENT: Will, intend to, going to, etc.
ACTIVATION: Ready to, willing to (without specific commitment)
TAKING STEPS: Reporting recent specific action (step) toward change