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With relationship strengthened,

it is time to start talking about change!

Out of clutter, find simplicity. From disord, find harmony. In the middle of difficulty lies opportunity.

--Albert Einstein

At this point, you understand some basic facts about change and how it works. Your relationship with the older adult also feels ready for the change conversation. The most important part in any change conversation is "change talk". Why? Because the more people talk about the change themselves, the more likely they say yes to it and follows through. On this page, we'll take a look at what is change talk, how to coach change talk, how to respond to change talk, and what to avoid saying. Please click here to access more examples for each section below!​

What is change talk?

Change talk is when people make positive statements about their desire, reason, or need for change AND desire, reason, needs, etc. against the status quo.
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Among the statements, some are positive, such as: "I'm going to buy a grab bar" and I want to stay independent and stay in the house. Some may seem negative, such as: Mary is busy and I don't want to bug her again. Some may seem irrelevant: My doctor said that I'll be doomed if I fall again or I almost fell last night. 

However, all of them are change talk that we want to listen for. Each reflects something about Irene's desire, reason for the change, and against the status quo. 

How to coach change talk?

Ask for it!!!
You can ask targeted questions to elicit change talk.
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How to respond to change talk?

After you hear change talk, don't just respond with anything, try the ones offered on the right to elicit more change talk.
Ask for more details
Ask people to share more about what they just talked about: can be you more specific? OR tell me more about it. 
Reflect on what they just said
What I'm hearing is that you're concerned about the possibility of falling again.
Offer an affirmation
Highlight their strengths such efforts, values, desire...
Provide a summary after
Towards the end, summarize what you've talked about and ask what do they want to do

What are things you should avoid doing?

Knowing what works after you hear change talk is equally important as knowing what will NOT work. 
Shaming and judging the person
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Blaming older adults for what happened
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Confronting the older adult about their decisions
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