CARE PLANNING:CARE PLANNING:CARE PLANNING:CARE PLANNING:

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Behavior ChangeBehavior ChangeBehavior ChangeBehavior Change

RURAL HEALTH CONFERENCE 2017

INTRODUCTIONS

� “Having the knowledge, confidence, and skills to take

care of one’s health and health care.”2

� “Recently, studies have demonstrated that one’s

activation level predicts outcomes over several years, and

that when the activation levels change, many outcomes

change in the expected direction.”2

PATIENT ACTIVATION

NEURAL PATHWAYS IN THE BRAIN

What is the typical medical provider - patient

relationship?

PRIORITIES

Patient – Health Care Provider Partnership

• Emphasizing patient ownership, patient responsibility

• Health Professional as an expert consultant on health issues

• Patient as an expert on her/himself

Our brain loves habits. They are an effective and efficient

way to operate.

Habits allow our brain to:

• conserve energy

• through accomplishing routine tasks

• without thinking about them.

Think positive; negative goals leave a

_____________________.

Make your goal

______________________,

not general.

Focus on _______________,

not outcomes.

_____________ steps lead to success.

___________ it to an

existing habit.

Choose a(n) ____________ target date.

Change your ________________.

___________ on Board

“Health Choices are not made in a vacuum. When faced with a health

event, people follow the treatment advice of friends and family 86 percent

of the time.”3

References:

1. Lickerman, Alex, MD, “The Diffusion of Responsibility: Why Assigning Responsibility to Groups Doesn’t Work”, Psychology Today, internet

2. Greene, Jessica, PhD.; Hibbard, Judith H, Dr PH; Alvarez, Carmen, PhD, RN, NP-C, CNM; Overton, Valerie, DNP “Supporting Patient

Behavior Change: Approaches Used by Primary Care Clinicians Whose Patients Have an Increase in Activation Levels”; Annals of Family

Medicine, March/April 2016, http://www.annfammed.org/content/14/2/148.full.pdf+html

3. Dixon-Fyle, Sundiatu, PhD; Gandhi, Shonu; Pellathy, Thomas; Spatharou, Angela, PhD “Changing Patient Behavior: The Next Frontier in

Healthcare Value”, Health International, 2012

4. Markman, Art, PhD, Smart Change: Five Tools to Create New and Sustainable Habits in Yourself and Others, 2014

5. Fogg, BJ, “Forget Big Change, Start with a Tiny Habit”: BJ Fogg at TEDxFremont, December 5, 2012

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