How to Use the Motivation Tools with Different Types of Clients
Pre-hearing test: Step 1: Ask the client to mark on the Line, “On a scale of 1-10, how important is it for you to improve your hearing right now?” Step 2: Then ask the client what their reason is for marking the line where they did, e.g. Client: “I’m about a 3.”
Audiologist: “Why are you a 3 and not a 0?” Step 3: Move on to the second line. Ask the client to mark on the Line, “On a scale of 1-10, how much do you believe in your ability to use hearing aids?” Step 4: Follow the same procedure as above. Step 5: Record the clients’ ratings in their files.
A clinician discusses how the Motivation Tools have helped him to individualize his appointments.
At the end of the appointment (after the hearing test and discussion of results and recommended treatment): Step 1: Revisit the Line rating and ask the client, “Now that you have the results of the hearing test, does this change how you feel about: · “…how important it is to improve your hearing?” · “…your belief in your ability to use hearing aids?” Step 2: After revisiting the Line rating, if the client is still unsure how they would like to move ahead, use the Box and discuss what they write in it.
Tips and Suggestions
- Give the client the time and space to elaborate on their decision – the discussion is important, not the rating
- Try to remain quiet as long as possible and listen to the client’s response
Now that the client is returning to you, it is important to review how motivated they are and how much they believe in their ability to wear their hearing aids. Step 1: Ask the client, “Now that you have tried these hearing aids, mark on the Line on a scale from 1-10 how motivated would you say you are to improve your hearing? It’s interesting that you say X, because last time you said Y. What has changed for you since last time?” Step 2: Ask the client, “And now that you have tried the hearing aids, mark on the Line on a scale of 1-10 how much you believe in your ability to use hearing aids? It’s interesting that you say X, because last time you said Y. What has changed for you since last time?” Step 3: If the client filled in the Box during the first visit, revisit their answers in the Box with them and discuss what might have changed.
Appointment with a returning client
· Be sure to print out a copy of the Line and provide a pen or pencil for the client to mark the rating themselves. It is important that the client marks the rating themselves in order to be engaged in the process. · Revising the Line and Box can be a good way for you to let the client know that your original choice of hearing aid was based on the needs and experiences expressed by them when using the Line/Box during their first meeting. It was not just a random choice!