Lecture 18- Delivering exercise consultations effectively

Question 1

Implementation intentions

Answer 1

Connecting one event with another: when x happens, I will do y.

Question 2

Make exercise a priority: In practice through action plans that specify…..

Answer 2

when, how and where behaviour will take place. With a reminder of why

Question 3

An example of an action plan

Answer 3

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)

Question 4

Connect with barrier planning (perceived behaviour control)

Answer 4

If its raining, I will do an online yoga class instead

Question 5

Purpose of consultation:Physical activity consultations should

Answer 5

-Be collaborative conversation about behaviour change, not prescriptive
-Support the individual to make decisions about their physical activity behaviour

Question 6

Consiltation will be structured differently depending on stage of change

Answer 6

Pre-contemplation
Contemplation
Preparation
Action
Maintenance

Question 7

Outcome of the consultation is affected by the interaction

Answer 7

between you and your client

Question 8

Motivational Interviewing

Answer 8

A collaborative, person centred form of guiding to elicit and strengthen motivation to change -Individual generates the rationale for change

Question 9

If you are Motivational interviewing then you are also supporting the persons

Answer 9

autonomous motivation aswell

Question 10

Motivational interviewing purpose

Answer 10

To elicit and strengthen personal motivation to change

Question 11

What does it look like when you achieve Motivational Interviewing

Answer 11

By creating “change talk” (readiness to change)- argument for change created by a discrepancy between current and values (their ambivalence)

Question 12

what does ambivalence mean

Answer 12

When they have reasons to change and also have reasons to stay the same

Question 13

Important (why should I change?) and Confidence (how will I do it?) will lead to

Answer 13

Readiness (a state of mind)

Question 14

What is your role in motivational interviewing

Answer 14

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

Question 15

Motivational interviewing you are guiding rather than….

Answer 15

Directing -structure a discussion rather than dominate the conversation

Question 16

Dont assume because the information is important….

Answer 16

your client wants to hear it

Question 17

what is the most important technique in motivational interviewing

Answer 17

Asking questions and responding

Question 18

Asking open ended questions and why??

Answer 18

Encourages expressions of thoughts, feelings, experiences, opinions values and motivations.

Question 19

Change rulers and follow up questions

Answer 19

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?

Question 20

Another important technique

Answer 20

Importance of listening and responding

Question 21

Reflective listening

Answer 21

Responses that demonstrate you have heard and understood what was said without judging
- follow up with a question to get person talking again

Question 22

Ten tips improving your listening

Answer 22

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

Question 23

Technique 3

Answer 23

Giving advice

Question 24

Giving advice

Answer 24

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

Question 25

Why these types of questions work

Answer 25

-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

Question 26

When you get is wrong you will know

Answer 26

You will hear resistance
- Denial, arguing, putting up objections, reluctance

Yes, but….

Question 27

why can you get it wrong and get resistance

Answer 27

Occurs because you have imparted your opinions and moved toward a pressuring approach, or misinterpreted their motivation

Question 28

To resolve the mistake

Answer 28

Step back and rethink the conversation, rather than argue

Question 29

Moving from Why to How

Answer 29

Transition from building motivation to a plan of action

“From what we have just discussed, where does that leave us?

Question 30

Moving from why to how
Facilitate the plan do not prescribe the plan

Answer 30

-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?