Supporting the
Process
Self Management Program
In the North Simcoe Muskoka
This program is mandated and financially
supported by the Ministry of Health.
The opinions of this talk do not necessarily
reflect those of the Ministry of Health
 Understand
patient self management
 Watch
and assess a healthcare provider’s
behaviour of patient behaviour change
 Review
aspects of behaviour change process
 Review
behaviour changes interview techniques
 Leave
time for discussion
People with chronic health conditions
often need education, coaching and
other interventions
to help them gain
the confidence, knowledge, skills and
motivation
to manage the physical, social and
emotional impacts of the disease.
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people are often living with more than
one chronic condition
Research shows the impact of self
management skills in
◦ disease control
◦ stress management
◦ reduced stress upon primary care
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Research shows a 90 billion a year
cost on productivity and health care
costs
Patients who are effective in self
management have learned the skills
has reduced their reliance on primary
care
Video has been removed.
It is property of Institute of
Healthcare Communications
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I do not have the
power to convince
Maybe I am going
about it the wrong
way
I can’t find a way to
influence patients
I bring it up less and
less because I do not
get anywhere
• Should she have
“the power”?
• Aware that she
may need skills
• needs to find
strategies to
promote
behavioural change
• Feels defeatedrisk of burnout
It involves building a relationship over
time
 Three stages:
Before the Visit
During the Visit
After the Visit
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Assess
Advise
Agree
Assist
Arrange
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Key elements
1 Assess before advise
skills of open ended enquiry, assess
agenda, assess patient conviction and
convidence
2 Build rapport
3 Tailor the plan
4 Follow up
 Create
an integrated,
system –wide approach to
self management support
◦Current efforts to promote,
deliver and evaluate self
management support are
often fragmented
 Enable
primary health care
providers and those who
work with patients deliver
self management support
as a part of routine care
 Broaden
and deepen
efforts to reach more
Canadians who need self
management supports
 Engage
patients and
informal caregivers as a key
part of any systematic
approach
Health
Culture
Change is
a two
armed
approach
Project
Individuals
6 week
workshops
Peer trainer
workshops
Healthcare
providers
4.5 hour
workshops
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Workshops on request to all
healthcare organizations and groups
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Join the workshop Friday November 9
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Opportunity to be a workshop
facilitator