March 21, 2016 by Maryam Kebbe
Researchers from the University of Alberta and health care professionals from the Pediatric Centre for Weight and Health (PCWH), Edmonton, AB, recently attended a two-day workshop on HealthChange® Methodology.
HealthChange® Methodology is a methodology that integrates person-centered care (PCC) into health service delivery. PCC empowers clients to play an active role in decision-making about their health care and encourages health care providers to tailor services in a culturally appropriate manner and based on an individual’s personal preferences.
An important step towards integrating HealthChange® Methodology into clinical practice is to pay strict attention to assessing motivation of clients.
With the pilot phase of the RMI-Family project quickly approaching, interviewers will be conducting motivational interviewing with families, which is consistent with HealthChange® Methodology. The RMI-Family project uses PCC with a focus on assessing the motivation level of children and their parents to change lifestyle behaviors associated with excess weight. This is an important step in developing tailored care that is consistent with the needs of the family. In order to properly assess a family’s motivation, it is critical to ensure they have sufficient background knowledge on excess weight, such as adverse health consequences and treatment options. Patients with high RICk (Readiness, Importance, Confidence, knowledge) levels are more likely to be successful in managing obesity. Importance comprises motivation and prioritization, the basis of RMI-Family interview questions.
To better understand motivational drivers, it is key to note the following:
- i) Motivation that comes from within a person (intrinsic) is more likely to result in sustainable behavior change versus motivation that is driven by external factors, such as rewards
- ii) There is a distinction between motivation to lose weight and motivation to take action to lose weight.
Proper assessment of, and appropriate strategies to enhance motivation, are both consistent with person-centered care in the context of pediatric weight management. This approach is a prerequisite to building effective action plans and more likely to lead to higher adherence rates, better patient outcomes, and optimal health service delivery.