Major role in contributing towards motivation.

Psychological factors: Depression, anxiety or phobia induced by illness,  life- style changes or medication effects, may hinder the ability to comply with  the desired health behaviour changes.

Psychosocial factors: These may prevent patients from expressing concern for their health. They may lack confidence in the health professional or simply be unable to cope with dietary changes at  that particular point of  time because of the degree of illness or personal problems.

Physical factors: The drugs or illness may induce pain, fatigue or depression which might block desire or ability  to follow health care instructions.

Personal factors: There may be a language barrier or a lack of transportation or money  for  clinic visits.

Counselor-related factors: A personality conflict may exist between  the patient and counselor.