Choices and Changes: Motivating Healthy Behavior
Clinicians frequently express frustration about their capacity to influence patient behavior, especially when they see the negative impact of that behavior on their patients’ health outcomes. A patient’s difficulty giving up smoking, following a diet, or sticking to a treatment plan often creates frustrations for both the clinician and the patient. Clinicians recognize that patients’ behaviors and adherence to treatment plans are essential to producing positive health outcomes, especially among patients with chronic illness. Clinicians are well-versed in how specific behavioral changes can improve patients’ health, but are typically ill-equipped to help patients make changes.
Choices and Changes: Motivating Healthy Behaviors is designed to help clinicians influence patients’ health behaviors. Drawing upon the research evidence in behavior change, Choices and Changes is directed to the needs of clinicians working within the constraints of contemporary clinical practice. It provides clinicians with efficient and effective tools to help them to motivate patients’ health behavior changes and adherence to treatment plans.
The Choices and Changes curriculum is usually presented as a half-day workshop; it is also available as a full-day workshop or a one-hour Grand Rounds presentation. The workshop format provides clinicians with an opportunity to explore their own beliefs about the change process and learn about the relevant research evidence. The program also provides clinicians with specific, brief and efficient communication strategies that can be utilized as part of a typical office visit.
- Duration 1/2 Day, 1 Day
- Accreditation Approved for CE
- Available To Clinicians
- Course InformationDownload PDF
Choices and Changes: Motivating Healthy Behaviors is appropriate for a wide range of clinicians, at every stage of their careers. Physicians, nurses, nurse practitioners, physician assistants, case managers, diabetes educators, social workers, psychologists, pharmacists, physiotherapists, addiction counselors, health coaches, health educators and dieticians have benefitted from this program.
The workshop can accommodate 6 to 24 participants to ensure optimal experiential learning in small and large group exercises.
The Choices and Changes workshop is based on theories and models of change, communication and education. Guiding models and theories include the conviction and confidence model, motivational interviewing, social cognitive theory, self-determination theory, and the transtheoretical model of health behavior change, of which the stages of change model is a key component. Participants learn specific strategies and skills to apply these models in the setting of brief office visits. Choices and Changes teaches skills that are consistent with motivational interviewing; it is not affiliated with the Motivational Interviewing Network of Trainers (MINT).
The workshop is divided into three parts:
- Summary of research about health behavior change. The research evidence shows that clinicians can have a positive impact on patients’ health behaviors including self-management strategies that enhance chronic illness outcomes; adherence to specific treatment recommendations; avoidance, reduction or cessation of unhealthy behaviors; and adoption of healthy behaviors.
- Clinicians’ roles and ideas and beliefs about change.
- Focus on patients. Change models, skills and specific strategies are applied to our work with our patients to help patients change their health behaviors and improve their ability to self-manage their conditions.
The optional expanded full-day workshop includes more in-depth subject matter content and additional practice opportunities via small group exercises using video cases.
The one-hour Grand Rounds presentation provides a brief overview of key concepts and an abbreviated video case study and discussion opportunity.
The Choices and Changes workshop provides clinicians with opportunities to reflect on their role as facilitators of change and practice specific skills. By the end of the workshop participants will be able to:
- Describe two theoretical models of behavior change that can guide conversations with patients;
- Demonstrate three motivational interviewing core skills;
- Describe the four key elements of the visit with a patient/client; and
- Put into practice two techniques to use in clinical settings to influence change.
The Choices and Changes workshop consists of brief lectures, interactive exercises, videotaped case studies and skills practice with peers to build participant awareness, knowledge, skills and confidence regarding health behavior counseling. Case examples frame realistic issues involving patients with diabetes, hypertension, asthma and cardiovascular disease; patients who smoke or use alcohol problematically; and patients reluctant to follow through with plans for screening or treatment. Workshop materials include an extensive annotated bibliography.
At the end of the workshop, participants are asked to commit to trying out one or two new motivational/behavior change counseling strategies for several weeks and then to evaluate the outcomes associated with these approaches.
The Institute for Healthcare Communication (IHC) takes responsibility for the content, quality, and scientific integrity of this CME /CE activity. IHC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for clinicians. This workshop is designated by IHC as a continuing medical education activity meeting the criteria for up to 4.25 hours (half-day) and up to 7.0 hours (full-day) in Category 1 of the Physician’s Recognition Award of the American Medical Association.
IHC is accredited by the American Academy of Family Physicians (AAFP) to provide prescribed credit for continuing medical education programs. This activity has been reviewed and is acceptable for up to 4.25 prescribed credit hours by the American Academy of Family Physicians.
IHC also maintains a co-provider relationship with the University of Pittsburgh, School of Nursing, accredited by the American Nursing Credentialing Center (ANCC) to provide continuing nursing education (CNE).