How to Help People Adopt Healthy Behaviors Terri
How to Help People Adopt Healthy Behaviors Terri Anne Flint, LCSW, Ph. D. Director - Employee Wellness & EAP Intermountain Healthcare
Intermountain Mission Helping people live the healthiest lives possible = helping people adopt healthy behaviors
Why a framework? How do I help a person get 150 minutes of moderate/vigorous activity/week?
Behavior Change Task Force Goal: Develop and Intermountain Behavior Change Model that will influence people to adopt behaviors that improve their health at an individual, group (team & family) and community level. This model will be used enterprise-wide to engage all patients, employees and consumers in living their healthiest lives possible.
Objectives/Implications Inform the way we communicate Inform the way we train employees (MI? ) Inform program development Inform how we prioritize and allocate resources Inform the way we invest in technology Inform the way we produce and distribute education • Inform the way we establish our financial incentives • • •
Who is on the team? Key Stakeholders of All Entities Nursing Patient Engagement Select. Health Medical Group Behavioral Health Human Resources Care Management MH Integration Li. Ve Well Communications Hospitals Shared Accountability
What is timeline? 1. Submit a Behavior Change Model to Patient Engagement Steering Committee and Li. Ve Well Steering Committee by end of 2 nd Quarter, 2015. 2. Prioritize sites/programs for application and develop implementation play by end of 3 rd Quarter, 2015. 3. Socialize the model during 4 th Quarter.
Where are we now? • • 3 rd Draft of Behavior Change Framework Agreement on key variables Still in discussion about the “picture” Beginning to discuss application Lifestyle CPM for Children Li. Ve Well for Employees & Families
What is your experience? • When was the last time you made a healthy behavior change? • Why did you decide to try the change? • Did you succeed at first or fail at first? • If you failed, why did you try again or keep trying? • Are you still doing the change? Why not?
Behavior Change Framework Draft • Action – specific target behavior with small, simple steps leading to desired outcome • Motivation – variables include education, readiness, pain, fear, hope, acceptance • Ability – resources such as money, mental effort, skill • Prompt – email, sticky note, text, alarm
The Context (culture) • Relationships – family, friends, providers • Environment – affordable fruits and vegetables, walking paths, treats • Mindset – Do we communicate fixed mindset or growth mindset messages?
B=MAT BJ Fogg The easier we can make it with prompts to remind us the more likely we can make changes – regardless of our level of motivation.
Outcome: What occurs after I take the action? What is the emotion when I do it? What did I expect (mindset)? How did others respond? • Positive, feel good – I can continue. • Somewhat difficult – Should I continue? • Very difficult, negative – I can’t do this. • Outcomes affect our next try at taking action
Application of the Model If I wanted you to move more (with the goal of 150 minutes/week), what could I do to influence your behavior?
Don't be too timid and squeamish about your actions. All life is an experiment. The more experiments you make the better. -Ralph Waldo Emerson
Is the action simple? Does the person have the ability to do the action? Have we identified a prompt Am I focusing on motivation, ability or prompt?
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