the scip technique promoting behaviour change – an introduction
Post on 29-Mar-2015
225 Views
Preview:
TRANSCRIPT
The SCIP Technique
Promoting Behaviour Change – An Introduction
Who are we?
We are always looking for work that employs our knowledge and skills and helps to improve patient care. We would be happy to talk to you if you about potential projects or consultancy. Find out more at www.firstcontactclinical.co.uk .
First Contact Clinical Community Interest Company“Providing solutions to challenge the health related problems
found more commonly in disadvantaged areas and communities.”
IntegrityWe mean
what we say, and do it.
QualityWe never
compromise on quality.
PassionOur beliefs drive our actions.
PioneersWe create new and
innovative solutions from
problems.
TogetherStrong
individuals, stronger team.
Our values
Aim
• To explore how motivate those at risk of vascular disease in a time efficient way using a structured behaviour change tool
The NHS Health Check
• Combines screening, communication of risk and lifestyle advice to reduce:
– the impact of CVD for individuals– the time required to care for CVD patients by health
professionals – the cost associated with CVD in the NHS
Which requires…..
• Maximum uptake of screening in the target group• Accurate communication of CVD risk and lifestyle
advice• Some people to make difficult lifestyle changes
….and possibly a ‘new conversation’
Today’s Training
Three Minute Motivation The New Conversation Behaviour Change ABC The SCIP Technique Skills Rehearsal Sweet and Sour Takeaway
Exercise One - Part 1
• Using the worksheet provided come up with as many reasons to achieve the actions highlighted in each of the boxes.
Exercise One - Part 2
• Following the instructions on your worksheet now complete the second part of exercise one!
Three Minute Motivation
Exercise One - Inner Conflict
Reasons not to change
Reasons to change
Reasons to stay the same
Reasons not to stay the same
A: Ambivalence
No Change Change
Ambivalence
What’s good about
now
What’s bad about now
What’s good about
change
“To want to and not want to at the same time…”
What’s bad about
change
No Change Change
Ambivalence
B: Beware the Righting Reflex
C: Change Conversations
Think about how we might do things differently?
Ask rather than advise Listen more and talk less
Behaviour Change ABC
A: Ambivalence B: Beware the “Righting Reflex” C: Change Conversations
Adapted from “Motivational Interviewing in Health Care” by Rollnick, Miller and Butler
One Problem!
How do we have an effective “change conversation”, that moves the person
out of ambivalence and towards change in a busy setting without using
the righting reflex to manage the time?
The SCIP Technique
SHARE the risks COMPARE to the benefits
discuss IDEAS make a PLAN
No Change Change
AmbivalenceI could….
I should……I might…
I WILL
SCIP Charts
SCIP: Skills Rehearsal
Dave is a 43 year old with a CVD risk factor of 27% during his Health Check he disclosed he drank 8-10 units of alcohol 3 to 4 times a week.
SCIP: Demonstration
Exercise Two
• Using the SCIP training template have a different conversation aimed at raising motivation to commit to reducing alcohol consumption.
Useful Tips1. If you are doing all the speaking you are “directing”. Resist the
righting reflex – ask an open question (what....? How.....? Where.....? Tell me about......?) and listen to the answer.
2. Don’t PUSH the changer to the next stage before they are ready but don’t help them to get stuck – beware “chronic contemplators”. Ask what would have to happen to help them move on....?
3. Remember the patients ideas, thoughts and feelings are more important than yours – get them to share whilst you try not to.
4. If you get stuck: stop – directing and pushing just creates further resistance
Sweet and Sour Takeaway
What have you enjoyed?What have you not liked? What will you take away?
This session is supported by
• Three Minute Motivation• Increasing Physical Activity• Smoking Cessation SCIP• Healthy Eating• Drug & Alcohol SCIP
The SCIP Technique
Questions and Answers
top related