How should a pharmacist respond to a patient expressing low confidence in their ability to change behavior?

The most effective response is centered around empowerment and building the patient's confidence. Asking the patient what it would take to increase their confidence level to a 5 directly engages them in the conversation about their own capabilities and specific challenges. This approach is supportive and encourages the patient to reflect on their strengths and the resources or changes they may need to make.

By framing the conversation in this way, the pharmacist not only validates the patient's feelings but also shifts the focus toward solutions and actionable steps, fostering a collaborative relationship. The question prompts the patient to articulate their needs, which can lead to greater self-efficacy as they become involved in their own goal-setting process. This method aligns well with motivational interviewing techniques, which promote behavior change through patient engagement and autonomy.

Other responses, in contrast, either dismiss the patient's feelings, impose behavior change too forcefully without understanding the patient's perspective, or offer advice without soliciting the patient's input. These approaches may not effectively address the root of the patient's lack of confidence and are less likely to lead to meaningful behavior change.