1 / 20

Fundamentals of Behavior Change Across the Lifespan

aldis
Download Presentation

Fundamentals of Behavior Change Across the Lifespan

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Fundamentals of Behavior Change Across the Lifespan Jeffrey Goodie, PhD Sara Kass, MD Mark Stephens, MD Pamela Williams, MD Brian Unwin, MD

    2. Workshop Activities Presentation on background of health behavior change principles Video example of traditional and better attempts at behavior change Four interactive case studies

    3. Why learn methods for effective behavior change?

    4. End State Causes of Death

    5. Modifiable Risk Factors “Actual Causes of Death in 2000”

    6. Why don’t providers discuss behavior change?

    7. Why Don’t Providers Discuss Behavior Change? Smoking Cessation Example Too time-consuming (42%) Not effective (38%) No confidence in ability (22%) Unpleasant personal experience (18%) Low confidence in knowledge (16%)

    8. How have you seen physicians interact with patients who are resistant to change?

    9. Traditional Approaches (Advice Giving) Arguing for change Trying to persuade patient to make change Assuming the expert role Lecturing the patient Asking close-ended questions Criticizing, shaming, or blaming Trying to shock the patient into changing Collaboration: Counseling invovles a partnership that honors the client’s expertise and perspectives. The couselor provides an atmosphere that is conducive rather than coercive to change Evocation. Resources and motivation for change are presumed to reside w/n the client. Intrinsic motivation for change is enhanced by drawing on the client’s own perceptions, goals, and values Autonomy Affirm the client’s right and capacity for self-direction. Confrontation: Override the client’s impaired perspectives by impoising awareness and acceptance of “reality” that the client cannot see or will not admit. Edcuation. The client is presumed to lack key knowledge, insight and/or skils that are necessary for change to occur. The counselor seeks to address these deficits by providing enlightenment Authority. Conselor tells the client what he or she must doCollaboration: Counseling invovles a partnership that honors the client’s expertise and perspectives. The couselor provides an atmosphere that is conducive rather than coercive to change Evocation. Resources and motivation for change are presumed to reside w/n the client. Intrinsic motivation for change is enhanced by drawing on the client’s own perceptions, goals, and values Autonomy Affirm the client’s right and capacity for self-direction. Confrontation: Override the client’s impaired perspectives by impoising awareness and acceptance of “reality” that the client cannot see or will not admit. Edcuation. The client is presumed to lack key knowledge, insight and/or skils that are necessary for change to occur. The counselor seeks to address these deficits by providing enlightenment Authority. Conselor tells the client what he or she must do

    10. Traditional Approaches (cont) (Advice Giving) Labeling Focusing on what pt “is” or “has” rather than on what he/she does Being in a hurry Using clear, forceful tactics to try to get through Claiming preeminence “I know what is best for you”

    11. Instead of asking: “Why isn’t this person motivated?” Consider asking: “For what is this person motivated?”

    12. Components of “Motivation” Motivation is a person’s expressed degree of readiness to change and is directly impacted by: Importance Person wants to Confidence person wants to change, but does not perceive that they are able to

    13. Motivation-Enhancing Style Collaborative Provider is a partner with the patient Evocation Empathic and active listening Autonomy Respect for pts right for self-direction

    14. Strategies for Improving Motivation Build rapport Ask permission Agree on agenda Assess Importance, Confidence, Readiness

    15. Strategies for Improving Motivation Explore Importance Examine pros and cons Do a little more Scaling question Build Confidence Scaling question Brainstorm solutions Past efforts

    16. Meta-Analysis of Adaptations of Motivational Interviewing Compared to No Treatment / Placebo

    17. Enhancing Likelihood of Change in the Motivated Patient Set goals Specific, Measurable, Attainable, Realistic, Track Write out plan/goals Behavioral Rx Address potential barriers Develop relapse prevention plan

    18. Considerations for Video and Case Studies Recognize differences in importance, confidence, and readiness to change Apply different approaches to behavior change contingent on patient’s motivation to change

    19. Video

    20. Case Studies

    21. Take Home Points Family Physicians are uniquely suited to address behavior change across the lifespan Readiness for change is a function of importance and confidence Adapt behavior change approach to patient’s readiness for change

More Related