Dr. Laura MC Welschen The Development of the Training Concept Prof. dr. Giel Nijpels, Prof. dr. Henriette van der Horst
Goal EHLE project <ul><li>Empowering elderly to make informed choices about a healthy lifestyle </li></ul><ul><li>Ensuring...
Patient empowerment <ul><li>Definition:   </li></ul><ul><li>‘ Helping people to discover and use their own ability to gain...
How to empower people? <ul><li>The EHLE project: </li></ul>Communicate risks Motivate: why change? Goal setting: how to ch...
Relevance of empowering: theory <ul><li>Why do we think these 3 strategies will help us to learn elderly people to adopt a...
Theory of Planned Behaviour
Self-regulation theory Situational  stimuli Representation of danger Action plans Appraisal Identity Timeline Consequences...
Social network theory <ul><li>Individual actors are nodes, relationships are ties </li></ul><ul><li>Ties can be weak or st...
How to empower people? Communicate risks Motivate: why change? Goal setting: how to change?
Risk communication <ul><li>People underestimate risk of developing diseases/health problems </li></ul><ul><li>Result: peop...
Elements of risk communication <ul><li>Explanation of risks: which risks? How likely to develop?    visual representation...
Motivational interviewing <ul><li>Brief, client-centered counselling style, directed at optimising motivation of a person ...
Goal setting <ul><li>7 Stages: </li></ul><ul><li>1 – explanation of treatment and its rationale </li></ul><ul><li>2 –   de...
Example goal setting <ul><li>Problem: lack of physical activity </li></ul><ul><li>Goal: Perform physical activity for 30 m...
Summary: from concept    toolbox <ul><li>Theories    have helped us to fill our toolbox </li></ul><ul><li>Risk communica...
THANK YOU FOR YOUR ATTENTION <ul><li>[email_address] </li></ul><ul><li>EMGO+ Institute,  </li></ul><ul><li>VU University M...
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EHLE Training Concept

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EHLE Training Concept

  1. 1. Dr. Laura MC Welschen The Development of the Training Concept Prof. dr. Giel Nijpels, Prof. dr. Henriette van der Horst
  2. 2. Goal EHLE project <ul><li>Empowering elderly to make informed choices about a healthy lifestyle </li></ul><ul><li>Ensuring that consumers are not misled by advertisements and communication on health </li></ul><ul><li>Developing and delivering simple and clear messages on a healthy lifestyle </li></ul>
  3. 3. Patient empowerment <ul><li>Definition: </li></ul><ul><li>‘ Helping people to discover and use their own ability to gain mastery over their own health’ </li></ul><ul><li>People are experts on their own lifes  should be the decision-makers instead of health worker </li></ul><ul><li>Aim: </li></ul><ul><li>Central role of the elderly person, who must feel responsible for his/her own health </li></ul><ul><li>Collaborative partnership elderly person – health worker </li></ul>
  4. 4. How to empower people? <ul><li>The EHLE project: </li></ul>Communicate risks Motivate: why change? Goal setting: how to change?
  5. 5. Relevance of empowering: theory <ul><li>Why do we think these 3 strategies will help us to learn elderly people to adopt a healthy lifestyle? </li></ul><ul><li> Theoretical concept of the EHLE project </li></ul><ul><li>1. Theory of Planned Behaviour (Ajzen) </li></ul><ul><li>2. Self-regulation Theory (Leventhal) </li></ul><ul><li>3. Social Network Theory (Rogers) </li></ul>
  6. 6. Theory of Planned Behaviour
  7. 7. Self-regulation theory Situational stimuli Representation of danger Action plans Appraisal Identity Timeline Consequences Cause Control yes/no Symptoms & Signs Perceived time Image of death, disease, complications Smoking, dietary intake Medical treatment, lifestyle change
  8. 8. Social network theory <ul><li>Individual actors are nodes, relationships are ties </li></ul><ul><li>Ties can be weak or strong </li></ul><ul><li>A network approach draws attention to the social relations between nodes in a network  put interventions into network, for example with low SES </li></ul>Network A Network B
  9. 9. How to empower people? Communicate risks Motivate: why change? Goal setting: how to change?
  10. 10. Risk communication <ul><li>People underestimate risk of developing diseases/health problems </li></ul><ul><li>Result: people are not motivate to change their lifestyle </li></ul><ul><li>Therefore: </li></ul><ul><li>Risk communication  motivation  lifestyle </li></ul><ul><li>change  risk of developing diseases </li></ul>
  11. 11. Elements of risk communication <ul><li>Explanation of risks: which risks? How likely to develop?  visual representations </li></ul><ul><li>Benefits of behavioural changes (controllability self-regulation model)  risk will decrease </li></ul><ul><li> no focus on negative consequences </li></ul><ul><li>- Interview the person (attitude Theory of Planned Behaviour) </li></ul>
  12. 12. Motivational interviewing <ul><li>Brief, client-centered counselling style, directed at optimising motivation of a person </li></ul><ul><li>Expressing empathy : create respect to the person. Technique: reflective listening </li></ul><ul><li>Creating a gap between current behaviour – goal Technique: exploration of effect of behaviour  discrepancy with goal </li></ul><ul><li>3. Rolling with resistance : challenging resistance results in defence of the patient. Technique: consideration of new perspectives </li></ul><ul><li>4. Improve self-efficacy . Technique: affirm past succes (reinforcement), succes stories of others (modelling), express belief in person </li></ul>
  13. 13. Goal setting <ul><li>7 Stages: </li></ul><ul><li>1 – explanation of treatment and its rationale </li></ul><ul><li>2 – definition of problem </li></ul><ul><li>3 – setting achievable goals : SMART </li></ul><ul><li>(Specific, Measurable, Achievable, Relevant, Timed) </li></ul><ul><li>4 – generating solutions </li></ul><ul><li>5 – choice of preferred solution </li></ul><ul><li>6 – implementation of the preferred solution </li></ul><ul><li>7 – evaluation (in next session) </li></ul>
  14. 14. Example goal setting <ul><li>Problem: lack of physical activity </li></ul><ul><li>Goal: Perform physical activity for 30 minutes on 5 days a week </li></ul><ul><li>Brainstorm: go to gym, cycling, walking to supermarket etc. </li></ul><ul><li>Best solution: gym = expensive, cycling = not nice, walking = ok </li></ul><ul><li>Implementation </li></ul><ul><li>Did it work? No  change goal </li></ul><ul><li>Yes  continue and/or extend goal </li></ul>
  15. 15. Summary: from concept  toolbox <ul><li>Theories  have helped us to fill our toolbox </li></ul><ul><li>Risk communication, motivational interviewing, goal setting were used in each tool: </li></ul><ul><li>   EHLE toolbox: </li></ul><ul><li>Power point presentations on the 6 modules (communication, emotional health, nutrition, physical activity, medicines, smoking) </li></ul><ul><li>Videos </li></ul><ul><li>Brochures </li></ul><ul><li>Health diary’s and other supporting materials </li></ul><ul><li>Practical exercises, role plays </li></ul>
  16. 16. THANK YOU FOR YOUR ATTENTION <ul><li>[email_address] </li></ul><ul><li>EMGO+ Institute, </li></ul><ul><li>VU University Medical Center </li></ul><ul><li>Amsterdam </li></ul><ul><li>The Netherlands </li></ul>

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