Motivating change

4 important questions on Motivating change

What ar the Information provision (NICE guidelines 2014, book p. 163)?


  • Outcome expectancies
  • Personal relevance
  • Positive attitude
  • Self-efficacy
  • Descriptive norms
  • Subjective norms
  • Personal and moral norms

What are fear appeal?

A persuasive communication that tries to scare  people into changing their attitudes by conjuring up negative consequences that will occur if they do not comply with the message recommendations

Does fear appeal work?

When you look at extended parallel process model: its very difficult to get the right balance when using this strategy.

- threat without good recommendations or efficacy evoke defensive responses. --> especially in this who are most vulnerable.

- consider information inaccurate
- sensitivity to counter-information
- estimate low personal risk
- spending less time on the information
- suppressing threat-related thoughts
- making up excuses for the behavior
- increased commitment to/ intensity of the riks behavior.
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What is motivational interviewing? (Miller & Rollick, 2002)

- motivation to change is elicited from the client, not imposed.
- the client articulates and resolves ambivalence.
- direct persuasion is noticed to resolve ambivalence.
- own choice to (not) change is stressed.

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