Motivating Resistant Patients : Influencing Behaviors to Improve Outcomes

Patients' health behaviors often contribute to the onset of their diseases, and their continued behavior can either help or hinder their progress. Healthcare providers need motivational strategies that respect the individual's state of mind but result in behavior changes that improve the patient's outcomes. In this special report, "Motivating Resistant Patients: Influencing Behaviors to Improve Outcomes," HIN's panel of experts described how their organizations meet the challenges of motivating patients who are resistant to change. You'll hear from Rick Botelho, MD, professor of family medicine at the University of Rochester Family Medicine Center, Richard Citrin, PhD, vice president of EAP solutions at UPMC Health Plan and former vice president of Integrated Care Management, Corphealth Inc. and Barbara Rutkowski, EdD, medical manager, St. Mary's Managed Care Services on the strategies that their organizations have developed to meet these challenges. This 40-page report is based on the February 2, 2005 audio conference "Beyond Giving Information & Advice: Motivating Resistant Patients" during which Botelho, Citrin and Rutkowski described their organizations' initiatives and program results. You'll get details on: -A stepped approach to behavior change; -Strategies that get through to resistant patients; -Sustaining participation; -Tips for engaging patients; and -Involving patients in change.Table of Contents What It Means to Change -The Benefits Continuum -The Risk Continuum -Understanding Patient Resistance -Metaphors to Motivate Practitioners -A Model for Continuing Professional Development -Dissecting the PARE Improvement Cycle -A Stepped Approach to Micro-skills Development: Defining -Motivational Practices and Skills -Motivational Principles -Clarifying Issues About ChangeIntegrated Disease Management: A User-Friendly Model Targeting Resistant Patients -SMART Strategies That Get Through to Resistant Individuals -Valuing Individual Patient Perspective -What We've Learned About Individual Patient Perspective -Setting SMART Goals -Adding Predictive Modeling to the Mix -Components of Healthy Lives Plan -Program Builds on Population Model Management Process -Improved Outcomes in Diabetes -Ideas to Sustain Participation -DM Program Stratification by Age -Healthy Lives Member Survey Results 2004 -Member Survey Finds Overall Satisfaction, Improved OutcomesBeyond Giving Advice: Motivating Resistant Patients -Six-month Mean/Median Costs for High-Risk Coached Group -Predictability Results -Reaping Savings in Healthcare Costs, Leaps in Patient Satisfaction -Member Health Perception Driving Force for Change -Four Key Questions to Determine Change Potential -Tips for Engaging Patients -Involving Patients in ChangeQ&A: Ask the Experts -Engaging Identified Plan Members -Motivating Metaphors -Breaking Down Patients' Resistance -Approaches for Larger Populations -Customized Solutions for Chronic Ilnesses -Health Coach Training -How Behaviorists Communicate with PCPs -Recognizing Readiness to Change -When an Employer Mandates HRAsBotelho, Richard J. is the author of 'Motivating Resistant Patients : Influencing Behaviors to Improve Outcomes', published 2005 under ISBN 9781933402260 and ISBN 1933402261.