Health Behaviour Change

Supporting the Process

Self Management ProgramIn the North Simcoe Muskoka

This program is mandated and financially supported by the Ministry of Health.

The opinions of this talk do not necessarily reflect those of the Ministry of Health

Disclosure

Understand patient self management

Watch and assess a healthcare provider’s behaviour of patient behaviour change

Review aspects of behaviour change process

Review behaviour changes interview techniques

Leave time for discussion

For the next 20 minutes…

People with chronic health conditions often need education, coaching and other interventions

to help them gain the confidence, knowledge, skills and motivation

to manage the physical, social and emotional impacts of the disease.

What is patient self management ?

people are often living with more than one chronic condition

Research shows the impact of self management skills in ◦disease control ◦stress management ◦reduced stress upon primary care

Increasing importance

Research shows a 90 billion a year cost on productivity and health care costs

Patients who are effective in self management have learned the skills

has reduced their reliance on primary care

Outcomes of Self Management

See video of orthopaedic surgeon stating opinion on

patient self careVideo has been removed.It is property of Institute of Healthcare Communications

I do not have the power to convince

Maybe I am going about it the wrong way

I can’t find a way to influence patients

I bring it up less and less because I do not get anywhere

Surgeons comments• Should she have

“the power”?

• Aware that she may need skills

• needs to find strategies to promote behavioural change

• Feels defeated- risk of burnout

The Power to Convince

Process of Maturity

Need to learn more skills

It involves building a relationship over time

Three stages:Before the VisitDuring the VisitAfter the Visit

The cycle of self management support in Primary Health Care

Assess Advise Agree Assist Arrange

5 A’s of Self managment

Key elements

1 Assess before adviseskills of open ended enquiry, assess agenda, assess patient conviction and convidence

2 Build rapport3 Tailor the plan4 Follow up

The healthcare provider is the intervention

methods and strategies to promote behavioural change

Create an integrated, system –wide approach to self management support◦Current efforts to promote, deliver and evaluate self management support are often fragmented

Recommendation 1

Enable primary health care providers and those who work with patients deliver self management support as a part of routine care

Recommendation 2

Broaden and deepen efforts to reach more Canadians who need self management supports

Recommendation 3

Engage patients and informal caregivers as a key part of any systematic approach

Recommendation 4

Feels defeated -risk of burnout

Health Culture

Change is a two

armed approach

Project

Individuals

6 week workshops

Peer trainer workshops

Healthcare providers

4.5 hour workshops

Workshops on request to all healthcare organizations and groups

Join the workshop Friday November 9

Opportunity to be a workshop facilitator