Choices and Changes: Motivating Healthy Behaviors
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.
- 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 the 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. There is now a large body of evidence that indicates that clinicians can have a positive impact on the health behaviors of our patients.
We can influence a wide variety of behaviors that include:
- Self-management strategies that enhance chronic illness outcomes (e.g., self-monitoring, diet and exercise)
- Adherence to specific treatment recommendations (e.g., medication use)
- Avoidance, reduction or cessation of unhealthy behaviors (e.g., smoking or excessive drinking)
- Adoption of healthy behaviors (e.g., stress management techniques)
- 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.
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 provide continuing medical education for physicians.
The Institute for Healthcare Communication designates the half-day Choices and Changes workshop for a maximum of 4.25 AMA PRA Category 1 Credits™ and the full-day Choices and Changes workshop for a maximum of 7.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Institute for Healthcare Communication and the University of Pittsburgh School of Nursing are collaborating to jointly provide this program. Nurses completing the program requirements and submitting an evaluation tool will receive a maximum of 4.25 continuing nursing education contact hours. The University of Pittsburgh School of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Continuing education (CE) credit may be available to non-physician, non-nurse participants. IHC will provide a certificate of completion, which can be submitted to learners’ respective accrediting organizations. IHC is pleased to provide any necessary documentation to help learners gain CE credits for completion of this activity.