Table 2: Thanksgiving conversation responses.

Cognitive level Patient’s possible responses Assessment of responses
Above average I will go visit my family, and we always have a blast.
Hopefully you won’t get mad that I will break my diet that day. [Chuckles]
Is aware of plans for future with comments on past. Aware of healthy dietary
standards and temporary change during family reunion.
Average I'll go visit my family. I’m not sure what time I need to be there or what I need to bring. Is not bothered by the limited awareness of times or family’s wishes.
This laissez-faire attitude is likely to be repeated in following treatment recommendations.
Below average I don't know. I don't like going. [Feeling frustrated with clinician] Limited awareness about the importance of the gathering and is unable to explain what
prevents the experience from being positive. Reflects limited awareness of the consequences of non-adherence.
Learning weakness Not sure, I have to call my family and see what I am supposed to do.
[Conveys uncertainty on how to respond] Responds with a topic vaguely connected to the holiday or family.
Aware of limitations and recognizes the need for help with details.
Changes conversation to topic not relevant. May distort treatment recommendations.
Intellectual disability Is unable to understand, and the physician will need to find a more reasonable form of verbal interaction. Usually are accompanied by family or caretakers that explain reasons for visit.

Adapted from Delgado SV, et al. (2015) [16].