Lecture 18- Delivering exercise consultations effectively Flashcards
Implementation intentions
Connecting one event with another: when x happens, I will do y.
Make exercise a priority: In practice through action plans that specify…..
when, how and where behaviour will take place. With a reminder of why
An example of an action plan
After dinner, I will run around logan park for 30 minutes (to reach my goal of running the 10K; because I know how I will feel good after)
Connect with barrier planning (perceived behaviour control)
If its raining, I will do an online yoga class instead
Purpose of consultation:Physical activity consultations should
-Be collaborative conversation about behaviour change, not prescriptive
-Support the individual to make decisions about their physical activity behaviour
Consiltation will be structured differently depending on stage of change
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Outcome of the consultation is affected by the interaction
between you and your client
Motivational Interviewing
A collaborative, person centred form of guiding to elicit and strengthen motivation to change -Individual generates the rationale for change
If you are Motivational interviewing then you are also supporting the persons
autonomous motivation aswell
Motivational interviewing purpose
To elicit and strengthen personal motivation to change
What does it look like when you achieve Motivational Interviewing
By creating “change talk” (readiness to change)- argument for change created by a discrepancy between current and values (their ambivalence)
what does ambivalence mean
When they have reasons to change and also have reasons to stay the same
Important (why should I change?) and Confidence (how will I do it?) will lead to
Readiness (a state of mind)
What is your role in motivational interviewing
To get the person talking and exploring their ambivalence
Listen and asking good queations
by giving expert information/advice -where appropriate
Allow person to ask what info they require/want
Motivational interviewing you are guiding rather than….
Directing -structure a discussion rather than dominate the conversation
Dont assume because the information is important….
your client wants to hear it
what is the most important technique in motivational interviewing
Asking questions and responding
Asking open ended questions and why??
Encourages expressions of thoughts, feelings, experiences, opinions values and motivations.
Change rulers and follow up questions
You could used scales
e.g How important is it to you (confident are you) to start exercising? If 0 was not important (confident) and 10 was very important (confident) what number would you give yourself?
Another important technique
Importance of listening and responding
Reflective listening
Responses that demonstrate you have heard and understood what was said without judging
- follow up with a question to get person talking again
Ten tips improving your listening
1.Stay focused
2.Detect emotions
3.Ask questions
4.Dont Interrupt
5.Dont Pre-Empt
6.Recap Key Facts
7.Pen and Paper at the Ready
8.Say it again
9.Watch the stereotypes
10.Be Aware of listening Barriers
Technique 3
Giving advice
Giving advice
Providing advice is important but is counter productive when it is done in a persuasive manner
- avoid coming across as the expert assuming client needs info
- Give the information, let the client interpret it
Why these types of questions work
-Does not assume beliefs and attitudes
-Person is doing most of the talking understanding their own situation
-Creates a rapport
-Supports autonomy
-Leads to a more positive outcome
When you get is wrong you will know
You will hear resistance
- Denial, arguing, putting up objections, reluctance
Yes, but….
why can you get it wrong and get resistance
Occurs because you have imparted your opinions and moved toward a pressuring approach, or misinterpreted their motivation
To resolve the mistake
Step back and rethink the conversation, rather than argue
Moving from Why to How
Transition from building motivation to a plan of action
“From what we have just discussed, where does that leave us?
Moving from why to how
Facilitate the plan do not prescribe the plan
-Lets brainstorm a few ideas on how you could fit more physical activity into your life?
-What can you think of that might get in your way of carrying out your plan?
