Personal barriers such as nurses not valuing health promotion work as part of their role, lack of time, fear of damaging the professional-patient relationship, lack of confidence in the effectiveness of behavior change interventions, the practitioner’s own lack of confidence, and dissonance between their lifestyle choices and those that they should be promoting, have all been cited as reasons for avoiding lifestyle conversations (Kelley and Abraham 2007, Taylor et al 2011, Elwell et al 2013).