How to do brief interventions with people preparing for and taking action

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Remember that a person's ability to make a change will be influenced by the wider environment. Changes to the wider environment can help to support and sustain a person's change, or structures and processes can prevent a person from carrying out his or her commitment to change.

point.gif (93 bytes)   See 'Changing the Wider Environment' in this chapter

What to do:

Examples

Health staff:   That was a worry that heart attack! How are you feeling now?
Person: Bit better, still got pain
Health staff: Have you thought about making some changes to what you eat and drink now that you're back home again?
Person: Yeah. I'm thinking I should lose some of this weight. The doctor said I should
Health staff: That's a good idea. It would help you feel a lot better and there'll be less chance of you having another heart attack. Have you thought about how you can lose some weight?
Person: I need to look at what I eat, maybe get some exercise
Health staff: There's a video and some other information you may want to look at. And we can arrange for a nutrition worker to come and talk about what sort of things you might eat and drink, to help you lose weight. The nutrition worker will be able to help you to plan how long it might take to lose some weight, and ways to cope when it seems too hard to stick to that diet.
Person: That sounds good, I'll look at that video now if that's ok
Health staff: Great. If you want to talk about it afterwards, I'll be here.
Person: I've been thinking about that test, and that picture you showed me. I'm worried about my liver. I want to do something about my drinking
Health staff: So what do you want to do about it?
Person: I've got to stop drinking. It's no good any more
Health staff: It's a good idea. How do you think you'll do that?
Person: I'll just stop. Too hard to cut down - better to stay away for a while from my friends who drink. Like that Charlie did. He stopped. Just like that.
Health staff: Are you going to stop straight away? Will that be easy?
Person: No, but I'm going to that outstation at the weekend - do some hunting. Maybe I'll stay there for a little while. There's no grog there.
Health staff: That's sound like a great idea. What about your family, will they go too?
Person: Yes, they like staying there
Health staff: Is there somebody there who can bring you in if you need to come back?
Person: Yeah, we'll have that truck. Anyway, I'll be eating good tucker. I'll be feeling good soon, I reckon
Health staff: Well, if you need to come back, come and see me. You'll be fine though.

 

point.gif (93 bytes)   Remember, some people try many times to change a behaviour before they are able to maintain the change. These 'lapses' are a normal part of the change process

 

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