| Greeting, set agenda for session |
|
| Review progress since previous session |
Discuss attempts with their self-management action plan Use O.A.R.S. Listen for what they did try, and what did work, affirm Resist the urge to immediately attempt solving their problems and barriers. Connect their thoughts and behavior back to the values as appropriate
|
| Reinforce all steps toward change, discuss lessons learned, and collaborate in problem-solving around barriers |
O.A.R.S. Listen for change talk Listen for ambivalence Summarize both sides of the ambivalence. Start with the reasons for not changing, followed by reasons for changing -“Let me see if I understand what you’ve said…” Ask: “Did I get it all”? -
Ask about the next step
Use E-P-E when sharing information
|
| Collaborate with new, revised, or continued Self-Management Action Plan |
Assess readiness for next step with self-management action plan, eg, with scaling questions). Negotiate a plan (revised or continued action plan). This could be a new or additional self-management area/goal, or continuation/revision of previous plan. Elicit patient choice, do not assign goals O.A.R.S. Listen for and respond to change talk Explore ambivalence when present Use EPE when information exchange is required, eg, to explain/rehearse self-management strategies Connect goals to patient values, strengths, and priorities when possible
|
| Elicit participant thoughts and feelings about the session |
O.A.R.S., eg, What seems most personally relevant to you of all that we discussed today? Reaffirm commitment to action plan and express optimism, eg, Is that what you plan to do? Explore ambivalence when present
|
| Briefly describe what patient can expect in next session and close |
|
