I find fear can be a great patient motivator
“The most exquisite pleasure in the practice of medicine comes from nudging a layman in the direction of terror then bringing him back to safety again.” Kurt Vonnegut, God Bless You, Mr Rosewater
I have had some amazing successes in motivating patients to change their behaviour using fear. I have never subscribed to the five-stage 'readiness to change' model.
If such a theoretical model ever existed outside the ivory tower, I would have to say that I just condense the first four stages. Precontemplation,