Table 2 Goals and strategies for the management of depression in each stage
Stage | Goal | Strategies | Techniques and processes of change |
|---|---|---|---|
Precontemplation Contemplation | Finding and establishing the intrinsic motivation of behavior change through interviewing. Improve depression. | Provide knowledge about depression and CHD and the risks of depression (physical and psychosocial health). Encourage thinking about the benefits of improvements in depression. | Listening and guidance. Consciousness awakening, emotional arousal, self-reevaluation, environmental reevaluation and social liberation. |
Preparation Action | Increase motivation and Confidence. Negotiate and make action plan for change. Take action to alleviate depression. | Provide specific strategies to prevent and manage depression. Help patients enhance their skills and develop action plans. | Timely confirmation. Awakening consciousness, helping relationships, self-emancipation, enhancing management and situational substitution. |
Maintenance | Keep following up in hospital. Enhance patients’ self-confidence in managing depression. | Provide examples and experiences of successful improvement of depression, and affirm the efforts and achievements of patients. Explore situations that may hinder action. Provide appropriate coping strategies. | Helping relationships, self-emancipation, enhanced management, situational substitution, and stimulus control. |