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The SCIP Technique Promoting Behaviour Change – An Introduction.

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1 The SCIP Technique Promoting Behaviour Change – An Introduction

2 Who are we? We are always looking for work that employs our knowledge and skills and helps to improve patient care. We would be happy to talk to you if you about potential projects or consultancy. Find out more at First Contact Clinical Community Interest Company Providing solutions to challenge the health related problems found more commonly in disadvantaged areas and communities. Integrity We mean what we say, and do it. Quality We never compromise on quality. Passion Our beliefs drive our actions. Pioneers We create new and innovative solutions from problems. Together Strong individuals, stronger team. Our values

3 Aim To explore how motivate those at risk of vascular disease in a time efficient way using a structured behaviour change tool

4 The NHS Health Check Combines screening, communication of risk and lifestyle advice to reduce: – the impact of CVD for individuals – the time required to care for CVD patients by health professionals – the cost associated with CVD in the NHS

5 Which requires….. Maximum uptake of screening in the target group Accurate communication of CVD risk and lifestyle advice Some people to make difficult lifestyle changes

6 ….and possibly a new conversation

7 Todays Training Three Minute Motivation The New Conversation Behaviour Change ABC The SCIP Technique Skills Rehearsal Sweet and Sour Takeaway

8 Exercise One - Part 1 Using the worksheet provided come up with as many reasons to achieve the actions highlighted in each of the boxes.

9 Exercise One - Part 2 Following the instructions on your worksheet now complete the second part of exercise one!

10 Three Minute Motivation

11 Exercise One - Inner Conflict Reasons not to change Reasons to change Reasons to stay the same Reasons not to stay the same

12 A: Ambivalence No ChangeChange Ambivalence Whats good about now Whats bad about now Whats good about change To want to and not want to at the same time… Whats bad about change

13 No ChangeChange Ambivalence B: Beware the Righting Reflex

14 C: Change Conversations Think about how we might do things differently? Ask rather than advise Listen more and talk less

15 Behaviour Change ABC A: Ambivalence B: Beware the Righting Reflex C: Change Conversations Adapted from Motivational Interviewing in Health Care by Rollnick, Miller and Butler

16 One Problem! How do we have an effective change conversation, that moves the person out of ambivalence and towards change in a busy setting without using the righting reflex to manage the time?

17 The SCIP Technique SHARE the risks COMPARE to the benefits discuss IDEAS make a PLAN No ChangeChange Ambivalence I could…. I should…… I might… I WILL

18 SCIP Charts

19 SCIP: Skills Rehearsal Dave is a 43 year old with a CVD risk factor of 27% during his Health Check he disclosed he drank 8-10 units of alcohol 3 to 4 times a week. SCIP: Demonstration

20 Exercise Two Using the SCIP training template have a different conversation aimed at raising motivation to commit to reducing alcohol consumption.

21 Useful Tips 1.If you are doing all the speaking you are directing. Resist the righting reflex – ask an open question (what....? How.....? Where.....? Tell me about......?) and listen to the answer. 2.Dont PUSH the changer to the next stage before they are ready but dont help them to get stuck – beware chronic contemplators. Ask what would have to happen to help them move on....? 3.Remember the patients ideas, thoughts and feelings are more important than yours – get them to share whilst you try not to. 4.If you get stuck: stop – directing and pushing just creates further resistance

22 Sweet and Sour Takeaway What have you enjoyed? What have you not liked? What will you take away?

23 This session is supported by Three Minute Motivation Increasing Physical Activity Smoking Cessation SCIP Healthy Eating Drug & Alcohol SCIP

24 The SCIP Technique Questions and Answers

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