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 Subject :Readiness Ruler.. 19/10/2011 at 17:41:00 
Pataraporn Kheawwan
Joined: 19/10/2011 at 16:11:29
Posts: 2
Location: 

Dear Dr. Rollnick
I am a doctoral student of Faculty of Nursing, Chulalongkorn University, Thailand.  I am interested in development of the instrument to measure readiness to change cardiac health behaviors scale for Thai patients with cardiac surgery.  There are five behaviors of interest and I am going to use Readiness Ruler and modify to use for my cardiac patients.  I try to develope the instrument that can be use to assign the patient into the correct stages of change (Precontemplation, contemplation, Preparation, Action, and Maintenance).
A lot of study cited your readiness ruler, however, I can not find out your first development article.  I see that the readiness ruler is much more suitable for clinical use and nurses are familiar with this format.  My study will adapt the readiness ruler you have suggested to use for cardiac surgery patients.  And I will do psychometric testing as much as I can to support the validity and reliability of the ruler.

Could you please give me the suggestion or how I can find your article about the readiness ruler development?

Thank you very much
 Subject :Re:Readiness Ruler.. 01/11/2011 at 17:25:15 
Stephen Rollnick
Joined: 23/08/2009 at 01:16:31
Posts: 77
Location: 

Dear Pataraporn Kheawwan

Its hard for me to remember, to be Honest. I think I came up with this idea when working clinically on a study of change in Type II diabetes, so i think the original reference is:

Stott N, Rollnick S, Rees M, Pill R. Innovation in clinical method: diabetes care and negotiating skills. Fam Pract 1995;12: 4: 413-418. I dont have a copy of this paper, so I cant send it to you. Sorry.

This was a simple 10-step scale from 0 to 10 for readiness to change any of the behaviours under discussion.

Now I had no intention at the time of linking this explicitly to the stages of change you mention. Indeed, i developed it as a more fluid clinical tool precisely because I was worried about people's reported stage of change being variable and dependent on the clinical context, and even the way they were spoken to.

if you want to measure stage of change, across behaviours, then I guess you are talking about a quite complex set of scales, one for each behaviour, and I have no idea whether anyone has developed this.

I wonder if this helps you?

The readidness ruler has since been inserted into a number of books by me, as an aid to clinical practice - see:

Rollnick S, Mason P, Butler C. Health Behavior Change: A Guide for Practitioners. Edinburgh: Churchill Livingstone, 1999

Rollnick S, Miller W, Butler C. (2007) Motivational Interviewing in Healthcare. New York: Guilford Press.

With kind regards,

Steve



 Subject :Re:Readiness Ruler.. 12/11/2011 at 18:00:16 
Pataraporn Kheawwan
Joined: 19/10/2011 at 16:11:29
Posts: 2
Location: 

Thank you so much Dr. Rollnick

I do agree that readiness ruler is practical and useful in clinical sense.  In 2005, Dr. Labrie had modified and test for the validity of the readiness ruler for alcohol consumption behavior.  I hope that I can test for validity and reliability of the readiness ruler for cardiac health behaviors in my poppulation.  It will make us much more confident to use the ruler.  Thank you so much for your suggestion and you article.

Pataraporn

 
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