motivation-assessment
Scannednpx machina-cli add skill rhavekost/clinical-toolkit/motivation-assessment --openclawMotivation Assessment
Description
This skill provides tools to assess readiness to change and tailor interventions accordingly. Use the brief readiness ruler for fast assessment and URICA access guidance for a more comprehensive profile.
Quick Reference
| Assessment | Items | Time | Purpose | Output | When to Use |
|---|---|---|---|---|---|
| Readiness Ruler | 1-3 | <1 min | Rapid stage estimate | 0-10 rating | Quick triage, routine visits |
| URICA (access guidance) | 32 | 5-10 min | Detailed readiness profile | Stage scores | Treatment planning, complex cases |
Assessment Tools
Brief Readiness Ruler
Full assessment and documentation: ā assets/readiness-ruler.md
URICA (University of Rhode Island Change Assessment) Access Guidance
Full assessment and documentation: ā assets/urica.md
Interactive Administration (Optional)
Use this mode when the clinician says "start" or "administer" readiness screening.
- Readiness Ruler: Ask the 0-10 rating(s) (importance, confidence, readiness) and record scores.
- URICA: Use the official form and scoring guidance; have the patient complete it, then record 1-5 responses and compute stage scores.
- Summarize the stage profile, identify the dominant stage, and offer stage-matched guidance.
Clinical Workflow
- Select tool (brief vs comprehensive)
- Administer readiness ruler or URICA
- Score and identify dominant stage
- Match intervention to readiness level
Documentation
Use the templates in each asset file.
Additional Resources
- Stage-based intervention guidance: references/stage-matching.md
- TTM measures (public domain guidance): references/ttm-measures.md
References
- See references files in this skill and shared clinical references.
Source
git clone https://github.com/rhavekost/clinical-toolkit/blob/main/dist/consumer/claude/motivation-assessment/SKILL.mdView on GitHub Overview
Provides tools to assess readiness to change and tailor behavioral interventions. Use the brief readiness ruler for fast triage and URICA access guidance for a more comprehensive readiness profile that informs treatment planning.
How This Skill Works
Clinicians select between a brief readiness ruler for a fast assessment or URICA for a detailed profile, administer the tool, and score results to identify the dominant stage. Readiness Ruler yields 0-10 scores for importance, confidence, and readiness in under a minute; URICA uses 32 items to generate stage scores for treatment planning. The resulting stage profile guides stage-matched interventions.
When to Use It
- Quick triage during routine visits
- Intake or initial assessment to gauge readiness
- Planning behavioral interventions based on motivation
- Complex treatment planning requiring a detailed readiness profile
- Ongoing care with stage-based guidance to tailor interventions
Quick Start
- Step 1: Select tool (brief readiness ruler or URICA) based on case complexity.
- Step 2: Administer the chosen tool and record scores.
- Step 3: Score, identify the dominant stage, and apply stage-matched guidance.
Best Practices
- Choose the tool that matches case complexity (brief ruler for quick checks, URICA for depth).
- Administer and score consistently according to the asset templates.
- Record scores and identify the dominant stage for each patient.
- Use the stage-matching guidance to select appropriate interventions.
- Document results using the templates in each asset file.
Example Use Cases
- A clinician uses the Readiness Ruler for a 1-minute triage during a routine visit.
- A patient with moderate readiness completes URICA to inform a detailed treatment plan.
- Scores reveal a dominant contemplation stage, guiding a stage-matched brief intervention.
- Results are documented using the provided templates in assets.
- Stage-based guidance references are consulted to choose interventions.
