Dates: 29-30 June 2019
Course: Leader: Dr Vanessa Bogle
About the course
How many patients do you currently treat whose overall health and wellbeing could be significantly improved by some simple behavioural changes be it exercise, diet or something else?
How often do you suggest a behavioural change to your patients who initially agree it would be a good thing to do yet they fail to make the changes?
Perhaps we are all going about it the wrong way! The key to success with patients making beneficial behavioural changes may lie in the way we are communicating with our patients.
Every interaction between a patient and a health care practitioner presents an ideal opportunity to have a helpful conversation about behavioural changes. However, initiating behavioural changes and sustaining such changes are seldom easy, presenting major challenges for practitioners and patients alike. Applying the techniques of Motivational Interviewing (MI) in patient interaction may make this communication process more effective.
Motivational Interviewing is defined as:
“A collaborative, goal-oriented style of communication with particular attention to the language of change, designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion” (Miller and Rollnick, 2013).
MI is an evidence-based, person-centred style of communication originating in the counselling field. MI provides a method that can be used to help people make decisions about change that are meaningful for them. The approach can be used across a wide range of health-related behaviours, including physical activity, food and nutrition, alcohol use and smoking making it particularly useful for osteopaths and other manual therapists considering the overall health of their patients.
The training will be delivered using an interactive model, focusing on experiential learning. It will include supervised practice, group discussion, demonstrations, small group work, analysis of practice/feedback on MI skills development, DVD footage, questions and answers, and to a lesser extent didactic learning via brief presentations. Materials will be presented in different ways to accommodate different learning styles within an enjoyable learning environment.
Summary of Osteopathic Practice Standards (updated) covered in this course
A Communication and patient partnership - A1, A2, A5,
B Knowledge, skills and performance - B1
- Participants understand and are able to put into practice the ‘spirit’, processes, skills and strategies of MI.
- Participants leave with an alternative framework to work with their patients.
- Participants have increased confidence in their skills to help patients make behavioural changes.
09:00 - 09:30 Registration
09:30 - 10:00 Introductions, housekeeping and training aims/outcomes.
10:00 - 10:30 Current practice and challenges – small group discussion regarding current practice and challenges faced when facilitating behavioural change.
10:30 - 10:45 BREAK
10:45 - 12:30 The complexities of behaviour change – group exercise to reflect on current style of communication used when facilitating change. A didactic presentation on the commonly held beliefs about why patients do not change and the concept of ambivalence. Group exercise on the effects of using a persuading/coercing style of communication. Practice session on the use of an evoking style. Introduction to the concepts of change talk and sustain talk and how to spot them via didactic presentation and a practical exercise – ‘how to spot ambivalence’.
12:30 - 13:30 LUNCH (included)
13:30 - 14:00 The MI origins and evidence for MI – didactic presentation
14:00 - 15:00 What is MI? (‘MI spirit’, processes, micro-skills, strategies and expressing empathy). Didactic presentation – 3 styles of communication, with a focus on the use of a ‘guiding style’. Didactic presentation on the characteristics of the ‘spirit’ of MI. The importance of expressing empathy – group exercise and video. MI micro-skills (open-ended questions, affirmations, reflecting listening and summarising) overview, known as OARS.
15:00 - 15:15 BREAK
15:15 - 17:30 OARS – practice session on how to use OARS, including a video demonstrating reflecting listening skills.
09:00 - 09:30 Recap of Day one
09:30 - 10:15 How to provide advice and exchanging information, avoiding falling into the ‘expert trap’, using the Elicit-Provide-Elicit (EPE) technique – didactic presentation and practice session.
10:15 - 10:45 Agenda setting – via didactic presentation
10:45 - 11:00 BREAK
11:00 - 12:30 MI Strategies – introduction to the strategies via didactic presentation and practice session, including setting the agenda, how to explore and building motivation to change and how to develop discrepancy between the patient’s current behaviour and their goals.
12:30 - 13:30 LUNCH (included)
13:30 - 14:00 Responding to change talk – how to respond to change talk via a group exercise
14:00 - 15:00 Planning for change, goal setting and lapse/relapse prevention – via didactic presentation and practice session
15:00 - 15:15 Break
15:15 - 16:30 Putting it all together – practice session using OARS and MI strategies.
16:30 - 17:00 Summary, questions, reflections and close
17:00 - 17:30 Evaluation
This course is suitable for practitioners in roles that involve conducting one-to-one consultations and having conversations with patients to support them to initiate and sustain behavioural changes across a range of health-related issues.
About the course leader
Dr Vanessa Bogle is a Chartered Psychologist (Health), is on the British Psychological Society Register of Coaching Psychologists and is a member of the International Motivational Interviewing Network of Trainers (MINT). She also holds a BSc(Hons) in Fitness and Health and a Master Practitioner Diploma in Eating Disorders and Obesity. She is a skilled and experienced practitioner, trainer and lecturer.
As well as delivering training in MI and health promotion, she currently also works clinically in the areas of eating disorders and weight management. In addition, she works one day per week within an NHS Psychiatry Liaison Department, providing psychological therapy to patients with mental health disorders and those with co-morbidities, to help them adjust to living with a long-term condition. She has previously held various positions within the NHS, including working in the primary care setting (supporting patients with established diabetes/CVD to increase their levels of physical activity), in cardiac rehabilitation and in public health/health promotion roles.
The UCO regrets that no refunds can be made for cancelled places unless a substitute participant can be found. The UCO cannot guarantee that any course will run. In the event of your course being cancelled, all paid fees and deposits will be refunded in full.