Pic 0: The screen changes to one titled “Talk with Maya and Her Dad,” which contains contextual information for the next conversation.
Scenario: The Health Coach is seeing four-year-old Maya and her dad, Adrian. Maya recently recovered from recurring pneumonia. Since then, her BMI has increased from the forty-fifth to the seventy-fifth percentile.
Goals: The Health Coach will use MI to address this concern. Her dad isn’t worried about her weight, so he might use a lot of sustain talk. The Health Coach should use the techniques you learned:
Pic 1: The next screen is titled “Phases of MI” and contains the following information:
In this conversation, the health coach will work through the four phases of MI.
As they progress, the simulation will keep track of which phase they’re in and explain what that means.
Pic 2: The screen transitions to a scene in an exam room, with a health coach sitting across from Maya and her Dad.
Target
Health Coach: The last chest X-ray looks great. I think Maya finally beat the pneumonia.
Adrian: I’m so glad that last antibiotic worked. It was really scary seeing my baby in the hospital.
Health Coach: I'm sure you and your wife were worried. But you stayed positive for Maya.
Maya: Daddy slept in the hospital with me. In a chair.
Health Coach: You're lucky your Daddy and Mommy take such good care of you. How are you feeling now?
Maya: Okay.
Health Coach: (to Adrian) Everything back to normal?
Adrian: Yeah, mostly. But she, (sigh) she really hasn't gotten her appetite back.
Coach: Opening with an affirmation engages clients by showing that you respect and care about them. This will help them listen to what you say and feel more receptive to change.
Health Coach: What's the trouble with Maya's appetite?
Adrian: I don't know. A lot of times I’ll put a healthy dinner in front of her, and she just stares at it and eats, like, one pea.
Maya: Peas taste like yuck!
Health Coach: That’s frustrating. You make this healthy meal, and then she doesn’t want to eat it. (to Maya) What vegetables do you like, Maya?
Maya: I like chips!
Adrian: Um, chips are a snack food, honey. Not a dinner food. (sigh) She does love her snacks.
Maya’s thought: (bored) I wonder if Daddy has any chips.
Health Coach: Maya, can you tell me what you like to eat for breakfast?
Maya: Cereal. Sometimes Daddy helps me dig for gold.
Health Coach: (laughs) Dig for gold?
Adrian: (sheepish) Yeah, like in a hard-boiled egg. That's how I got her to eat the egg yolk.
Health Coach: What a great idea! (to Maya) And what do you like for lunch?
Adrian: Teacher Linda wants me to eat salad.
Health Coach: What do you think of that?
Maya: So gross.
Adrian: (sigh) See? This is what it's like.
Maya: (whining) Daddy I wanna go home.
Adrian: Just a minute, sweetie. You know, most days, her teacher says she won’t eat anything at lunch. They end up giving her bread and butter, and juice to drink.
Maya: (whining) I’m hungry! Daddy.
(Adrian grabs a granola bar from his backpack and hands it to Maya, who opens it and begins to eat it)
Adrian: Just be patient, honey, while we’re here with the health coach. So, yah, I mean, you see, she can’t make it through without something to fill her up.
Adrian’s thought: We still need to go to the supermarket after this. How is she gonna make it until dinner?
Health Coach: On one hand, you don't want Maya to be hungry after school, so you give her a snack. On the other hand, it's frustrating when she won't eat a healthy dinner.