12-Ask Tell Ask 2018-12-21

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Ask-Tell-Ask

An Effective Way to Give Information and Advice


Version date: 12 December 2018

Ask-Tell-Ask (also called Elicit-Provide-Elicit) uses the Spirit of Motivational Interviewing to increase the
chances that people will be ready, willing, and able to act on information or advice. Choose from the
options below or use the space to write down what fits best for you.

Step Options, Tips and Examples

Option 1: Permission to give information and advice:


ASK #1 □ “Is it ok if we talk about ... ?”
□ “Would you like to know more about ... ?”
for □
1) permission OR
OR Option 2: What they already know or want to know:
□ “What do you know about ... ?”
2) what they □ “There are several things we could talk about, so where should we start?”
know or want to □ “What information can I help you with?”
□ “You already know a lot about ... , but are there any questions you still have?”
know □
* For information about what to do when you have an obligation or when people ask for information,
see next page

1. Make sure the information fits the person and is focused on the present.
□ “You said that ... is on your mind right now.”
TELL 2. Provide the information in a neutral way. The purpose is to give information, not
change their minds.
information □ “Sometimes people in this situation ... , ... , or ... ”
respectfully, □ “Let’s look at the (questionnaire/survey/screening) results together ... “
3. Focus on one or two key messages that the person wants to know.
clearly, □ “There are two things to think about right now ... ”
and in small 4. Use plain language (short sentences and familiar words).
amounts 5. Use pictures and handouts when they are helpful.
6. Emphasize choice and options by avoiding words like “can’t,” “must,” or “have to.”
□ “There are three choices about where to go from here... ”

Option 1: What they thought:


ASK #2 □ “What do you think about that?”
1) what they □ “I wonder what this all means to you?”
□ “I wonder how you think we might best proceed?”
thought
OR
OR Option 2: Use teach-back to make sure there is understanding:
2) use teach- □ “I’d like to make sure I did a good job explaining. Could you say it back to me so I know I
was clear?”
back to make □ “If someone asked you what we talked about today, what would you tell them?”
sure there is □ “Can you show me how you are going to (use this equipment/complete this form/….) so I
know that I explained it well?”
understanding

Based on Miller W and Rollnick S, 2012, Chapter 11


www.centrecmi.ca
[email protected]
Special cases: A rule or a professional or legal obligation:

□ A rule: “There are some important things to know about working together, and I want to make
sure you understand what they are.”
□ A professional obligation: “As your counsellor/nurse/doctor/etc. I’m very concerned about . . .
I’d like your thoughts on what I just told you.”
□ A topic you must discuss: “There’s something I need to tell you. I noticed something in your lab
tests/screening results/questionnaire and I wonder what you will think about it.”
□ A reporting requirement: “As you know, our conversations are confidential, but there is an
important exception. The law requires me to report . . . I want our work together to be helpful,
and I want to be sure you understand this responsibility I have.”

People ask me for advice, can’t I just tell them what to do?

Be careful when giving advice, because you can fall into the expert trap. The
expert trap is when you give people advice based solely on your ideas and it
doesn’t fit for them.
Here are two things to remember when asked for advice:

Here are two things to remember when asked for advice:


1. Emphasize choice.
“I can’t tell you what to do, but I can tell you what others have done.”
“Something you could try if you want to is . . .”
2. Instead of giving one piece of advice or a single idea, offer a menu of
choices. This is a special kind of Ask-Tell-Ask, sometimes called a
behavioral menu.
1. ASK: “Would you like to hear some ideas others have used or that
might fit for you?”
2. TELL: Share two or three ideas all at once. Use the last idea to
encourage one of their own. “Some things you could try are . . . or
maybe you’ve had an idea while I was talking.”
3. ASK if any of these ideas might work.

Based on Miller W and Rollnick S, 2012, Chapter 11


www.centrecmi.ca
[email protected]

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