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Much research on behavioral change supports the idea that assessment of the patient’s motivationto change is an essential bridge from screening to brief intervention. A simple approach isto ask, “On a scale of 0 to 10, how ready are you to make a change right now in your drinking?”with 10 indicating ready to change right now, and 0 not ready to consider a change.Duringa brief intervention, this scale can be used to elicit self-motivating statements. If the patientrates his readiness as , the clinician can inquire, “Why did you not say ?” which willprompt the patient to voice reasons for considering a change. Discussion of how drinking andits consequences may conflict with the patient’s beliefs, values, and goals may also build motivation
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