W6 behaviour change counselling Flashcards
Individual approach counselling
Behaviour change counselling is individual-level even when done in groups
- understand the consequences of behaviour
- feel positive about the benefits of behaviour change
- recognise how social factors and physical contexts affect behaviour
- plan change and explicit coping strategies
Major goals of a person-centred approach
- Elicit and understand the person’s perspective i.e., knowledge, concerns, expectations, needs, feelings, thoughts, preferences
- Understand the person in their unique psychosocial context
- Develop a shared understanding of the change process which is concordant with the person’s values
Advantages of person-centred approach to behaviour change
- promotes clients understanding and involvement in decisions
- reduces unnecessary actions and reduces costs
- demonstrates respect, support and compassion
- promotes trust, positive experiences and lasting outcomes
- improves confidence and job satisfaction of professionals
- improves quality and efficiency of systems and services
- improves access to appropriate services
Behaviour change practitioners require communication skills to
- elicit and reflect clients’ thoughts, emotions, preferences, and expectations
- recognise, respect and respond to clients’ needs and concerns
- individually tailor information about response options, benefits, and risks
- collaborate with clients to develop a plan for action
Core components of person-centred approach
- Building the relationship
- Establishing the agenda
- Eliciting and understanding the client’s perspective
- Responding to concerns
- Providing information
- Shared decision making
- Enabling the desired behaviour
Person-centred communication includes two processes
Task oriented processes e.g., agenda setting, eliciting clients’ perspectives, providing information.
Affective processes, which are the socioemotional exchanges associated with e.g., building rapport, expressing empathy/respect
Why is shared decision making important
- people have a perspective which interventionists do not have, in particular regarding psychological and social issues, which can impact on change
- it can increase use of beneficial options and decrease use of options without clear benefits
- people’s active involvement with the change process increases adherence and positive outcomes
- of a philosophical right, given the person lives with the consequences of behaviour change decisions e.g., risks , benefits, social reactions
- ethically, a person has a fundamental right to be involved with the change process
Shared decision making involves
- eliciting preferences and opinions throughout the interaction
- ensuring the client is well informed about, and understands, e.g., required behavioural standards, contributing factors, consequences, change options and associated implications
- providing professional guidance and expert opinion e.g., evidence-based information
- enabling informed decision making
- enabling change, including empowering the client’s autonomy, facilitating support and resources, advocacy and systems assistance
5As behavioural counselling: initial
- Assess
- Advise
- Agree
- Assist
- Arrange
5As: assess
- current behaviour -> quantity, quality, frequency, features
- knowledge -> required standards, rationale, beliefs about consequences
- feelings and thoughts about change -> emotions, motivation, beliefs about consequences
- barriers and enablers to change -> influences
- readiness for change -> intentions, influences
Theoretical domains framework
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The COM-B model of behaviour
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5As: advise
- share information
- > expert knowledge, confirm understandings, correct misperceptions personalised to clients interest and concerns
5As: agree
- shared commitment
- collaborative goal setting -> support and encouragement
BCT taxonomy 1-16
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