# Motivation Assessment

> Use when assessing readiness to change, planning behavioral interventions, or matching treatment approach to patient motivation. Provides URICA access guidance and a brief readiness ruler with stage-based guidance.

- Skill: `majiayu000/motivation-assessment` (Agent Skill, multi-file: 2 files)
- Install (CLI): `npx skillmds add majiayu000/motivation-assessment`
- Raw SKILL.md: https://api.skillmd.com/api/skills/majiayu000/motivation-assessment/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: majiayu000 (https://skillmd.com/u/majiayu000)
- Updated: 2026-09-09
- Page: https://skillmd.com/skills/majiayu000/motivation-assessment

---


# Motivation 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:**
→ [assets/readiness-ruler.md](assets/readiness-ruler.md)

### URICA (University of Rhode Island Change Assessment) Access Guidance

**Full assessment and documentation:**
→ [assets/urica.md](assets/urica.md)

## Interactive Administration (Optional)

Use this mode when the clinician says "start" or "administer" readiness screening.

1. **Readiness Ruler:** Ask the 0-10 rating(s) (importance, confidence, readiness) and record scores.
2. **URICA:** Use the official form and scoring guidance; have the patient complete it, then record 1-5 responses and compute stage scores.
3. Summarize the stage profile, identify the dominant stage, and offer stage-matched guidance.

## Clinical Workflow

1. **Select tool** (brief vs comprehensive)
2. **Administer** readiness ruler or URICA
3. **Score** and identify dominant stage
4. **Match intervention** to readiness level

## Documentation

Use the templates in each asset file.

## Additional Resources

- Stage-based intervention guidance: [references/stage-matching.md](references/stage-matching.md)
- TTM measures (public domain guidance): [references/ttm-measures.md](references/ttm-measures.md)

## References

- See references files in this skill and shared clinical references.