START AUDIO. Mr Smith, that s your medication sorted out. Blood pressure is a little on the high side.

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Jocelin Wilkinson
7 years ago
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1 BMJ LEARNING VIDEO TRANSCRIPT File: MI_RolePlay1_WeightLoss 2 Duration: 0:04:55 START AUDIO Mr Smith, that s your medication sorted out. Good. Blood pressure is a little on the high side. I wonder if I could raise the subject of your weight. What? I wondered if we could spend just a couple of minutes talking about your weight. You are joking, aren t you? Look, I ve made time in my day to come here, I m kept in your waiting room for 45 minutes; it s not acceptable.

2 If I make an appointment with a client for 10:00, I expect them to start at 10:00, not 10:45. Right, so you re busy enough. Yes, I ve got other things to do. I ve got accounts to do; I ve got clients coming in. Yes, and it wasn t especially easy for you to make the time to come down, and you had to wait the waiting room, and now I raise the subject of weight just when you re thinking of going. Yes, okay, fair enough, I ve got to have my blood pressure medication changed, but I really haven t got time to talk about my weight. I m aware of my weight, I m aware of the problems, and I m also aware of the solutions, so I don t really need a discussion; it s just I ve got too much to do at the moment, you know? Right, and so it s been a bit of a rush for you coming in. 2

3 I am sorry about the wait in the waiting room. It s bad form, you know? Yes, and that s not easy for you, because you d like to go really soon and here I am asking you to spend just a couple of minutes with me. Basically, I ve got things to do. I ve got to get back to the office, I ve got a pile of work that I ve got to deal with, and every moment out of my day means I have to work in the evening or weekends. Yes, it counts. When you re self-employed, you haven t got a choice, you know? Yes, exactly, exactly. It s up to you just a couple of minutes? I m here now, so yes, okay, if it s a couple of minutes, yes? I promise; I promise. Okay, because I really must get on. 3

4 I want to simply ask you how you feel about it. About what, losing weight? Obviously I want to. Yes, who doesn t? I m aware that I m over my balanced weight, but I know that it s causing problems. Obviously I get out of breath if I have to do something [in a hurry] and I realise that I m on this blood pressure. Maybe that s probably contributing to it. Right, so you can see the links between your weight and your health, and you d like things to be a bit better? Yes, there are other things, but yes, the weight is something I would like to get a handle on, yes. You d like to, if you could? I know the theories of a bit of exercise on a regular basis, a balanced diet, but unfortunately, because of my lifestyle, because of being self-employed as an accountant, it s finding the time to exercise but also finding the time to think, Okay, 4

5 I m going to go shopping for this, that, and the other and I m going to prepare a meal. With me it s very often Ready meals and that sort of thing? Yes, food on the run, you know, grazing. Let me see if I can summarise what you ve said and then we ll see what next. You lead a busy life. You run a business and you ve got a lot to do. You re aware of the links between your health and your weight, and you are concerned to some extent about that, and ideally it sounds like you d like to do something about it; it s just that your life is busy and rushed and you tend to use convenience foods in order to get the work done. 5

6 Yes, to a certain extent, because of my lifestyle, food is just fuel, because I m juggling all these balls and I don t want to drop any. I get it; I get it. So, if you could fit it in, you would like things to be different, but that s not so easy. No. Okay. Can I suggest that you come back and see me in a couple of weeks time, just to chat about this? Okay, I m up for that, but it s going to be the same problem of a) finding time and b) if I make an appointment, I don t expect to be kept waiting for half an hour or whatever, because it s Exactly. I ll tell you what might be a nice solution, is if you come down first appointment and I give you an appointment at 8:30. That d be good. Then there ll be absolutely no waiting. The purpose of that visit will be to have a look at how you really feel about how you 6

7 could move forward and somehow fit in a more healthier lifestyle into the busy work life that you ve got. I ll maybe have a look at my schedule, see whether anything can be arranged or I can pass something on to someone so it s not a wasted interview, so I can come here and say, I ve looked at my schedules, I ve looked at things, whatever. Good, and see if you can fix it up and also give some thought to what we ve talked about. Yes, of course. Good stuff. Okay, thanks. All the best then. Sorry I went off a bit. No, you didn t. END AUDIO 7

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