Health Behaviour Change

1. Health Behaviour Change Supporting the Process

2. Disclosure SelfManagement Program In 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

3. For the next 20 minutes… • 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

4. What is patient self management ? 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.

5. Increasing importance • 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

6. Outcomes of Self Management • 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

7. See video of orthopaedic surgeon stating opinion on patient self care Video has been removed. It is property of Institute of Healthcare Communications

8. 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 • 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

9. The Power to Convince

10. Process of Maturity

14. Need to learn more skills

15. The cycle of self management support in Primary Health Care • It involves building a relationship over time • Three stages: Before the Visit During the Visit After the Visit

17. 5 A’s of Self managment • Assess • Advise • Agree • Assist • Arrange

18. The healthcare provider is the intervention • Key elements 1 Assess before advise skills of open ended enquiry, assess agenda, assess patient conviction and convidence 2 Build rapport 3 Tailor the plan 4 Follow up

20. methods and strategies to promote behavioural change

24. Recommendation 1 • Create an integrated, system –wide approach to self management support • Current efforts to promote, deliver and evaluate self management support are often fragmented

25. Recommendation 2 • Enable primary health care providers and those who work with patients deliver self management support as a part of routine care

26. Recommendation 3 • Broaden and deepen efforts to reach more Canadians who need self management supports

27. Recommendation 4 • Engage patients and informal caregivers as a key part of any systematic approach

29. Feels defeated -risk of burnout

31. Health Culture Change is a two armed approach

34. Workshops on request to all healthcare organizations and groups • Join the workshop Friday November 9 • Opportunity to be a workshop facilitator