MOTIVATE ME TO COMPLY How do you define motivation? How do you define compliance? It might be worth...

MOTIVATE ME TO COMPLY

How do you define motivation?

How do you define compliance?

It might be worth having clarity.

A DEFINITION OF MOTIVATION

Motivation can be defined as a concept used to describe the factors within an individual

which arouse, maintain and channel behaviour towards a pre-defined

goal.

BEHAVIOURAL CHANGE OCCURS WHEN FIVE

FACTORS ARE PRESENT:-I want to do it.

I can do it what is asked of me. (Self efficacy.)

It will be an advantage to me to do it, or i can avoid a disadvantage.

I will work at it. (Effort)

I will persist at it. (Time.)

COMPLIANCE IS RECOGNISABLE IN:-

Orientation to the problem.

Recognising it as a PERSONAL problem.

Searching for a solution.

Applying the solution.

Maintaining the gains.

5IVE

Let us understand the five factors.

WANT TO?

What are the reasons for the person to do what you require of them?

BECAUSE,

BECAUSE,

BECAUSE!

Use the freakin word!

BECAUSE

PROVIDES

REASON,

AND

REASON

IS IMPORTANT IN

MOTIVATION.

SEASON OF REASON

People are much more likely to be motivated to be compliant when we

provide them with REASONS

for them to do so.

Never forget, the human brain tries to

MAKE SENSE OF,

to UNDERSTAND,

to FIND MEANING.

To motivate people often all we have to do is provide meaning.

GOOD REASON

You are subtly forcing them to think about it

by giving them reasons to do so,

and is especially powerful when we

provide them with a GOOD REASON.

It is at its most powerful when the person is

motivated by

THEIR

good reason.

HIERARCHY.

Person’s good reason

to be motivated.

Your good reason.

(Strive for maximal congruence, i.e. same

reasons)

Your reasonable request as to how it will be done.

CAN DO IT.

If a person does not believe that they can

carry out the steps and influence the outcome

they won’t even try.

Or, as soon as they hit an obstacle they give up.

S.F.P.

ADVANTAGES / CATASTROPHE.

Help the person identify the advantages of being

compliant and the catastrophe is in not

being compliant.

ADVANTAGES OF COMPLIANCE

People are motivated to be compliant

(change behaviours)

when they

COGNITIVELY

RE-EVALUATE

the impact on their lives of

NOT BEING COMPLIANT.

ADVANTAGES OF COMPLIANCE

When the

actual consequences of being non-compliant out

weigh the perceived benefits of being

compliant

behavioural change is much more likely to occur.

EFFORT IS MINIMAL.

People like the “no-effort” solution to life’s problems.

Habits are efficient ways of doing things.

Once a habit is established we have compliance.

“Habits are at first as cobwebs,

at last as chains.”

KEEP IT UP.

Our minds love habits and routines.

Once your mind acquires a habit, it resists change irrespective of whether what you are doing is good or bad for you.

PERSISTENCE.

By far the bulk of medication regimes are abandoned in the first

twelve months, if not in the first thirty days!

Follow up, remind.

RULE OF THUMB.

To motivate a person to change BEHAVIOURS,

INCREASE THE REASONS

FOR THEM TO DO SO.

RULE OF THUMB.

To maximise compliance

IDENTIFY AND REMOVE THE OBSTACLES.

RULE OF THUMB.

To keep them compliant

REMIND THEM OF THE REASONS THEY

CHOOSE TO DO IT,

DECREASE THE OBSTACLES.

RULE OF THUMB.

TWICE AS MUCH EFFORT SHOULD BE

PUT INTO ESTABLISHING THE

REASONS TO CHANGE

AS IN REMOVING THE OBSTACLES.

Prochaska and Diclemente”s Transtheoretical Model of Change.

Relapse

Pre

Contemplation

Entry

Contemplation

Preparation

Action

Maintenance

Exit

PRECONTEMPLATORS (definition)

• Unaware, underinformed, uninformed.

• They avoid thinking, talking, reading problem, not relevant.

• Obstacles to change dominate thinking.

• May lack “SELF EFFICACY”.

• May have “tried and failed” in the past.

• No plan to change in next 6 months.

• Not ready for ACTION.

• 40% of target group.

PRECONTEMPLATORS – to encourage contemplation.

RAISE AWARENESS.

Information - emphasise prevention.

Educate - directly and other means.

Explain issue and your concern.

Interpret findings and results.

Provide feedback on changes.

PRECONTEMPLATORS – to encourage contemplation.

UTILISE EMOTIONAL LEVERAGE.

Build it up, bring it down.

It doesn’t have to be this way.

3C’s

Cause, Consequence and Cure.

CONTEMPLATORS (definition)

Acknowledge need to change, decisional balance not yet tipped.

Receptive to information, not yet ready for action.

Aware of advantages, focussed on costs.

Stereotyped as “procrastinators”, often frustrated with self.

40% of target group.

CONTEMPLATORS-

to encourage Preparation

EXPLORE REGRET.

Tempest does fugit

UTILISE DISCREPANCY.

Current v’s ideal self.

Healthy v’s unhealthy

behaviour.

Values v’s behaviour.

CONTEMPLATORS- to encourage Preparation

MOTIVATIONAL INTERVIEWING.

Most applicable with contemplators.

PREPARERS – (definition)

• Decisional balance has tipped.

• Advantages of change out weigh costs.

• Attempts to implement recommendations.

• Usually have a plan to be implemented in next 6 months.

• No plan? Provide / negotiate one.

PREPARERS -

to encourage Action. SUPPORT ANY CHANGES,

-more likely to persist.

BE ACTIVELY INVOLVED.Follow up! Remove obstacles.

NEGOTIATE TREATMENT GOALS.

-This makes success measurable, provides feedback.

GIVE THREE CHOICES.

ACTION – (definition)

• Implementation of treatment plan.

• Not synonymous with PERMANENCY or COMMITMENT.

• Action is a learning phase.

• 20% of target group are in action.

ACTION –

to encourage Maintenance. REMIND OF RISKS.

Relapse is always possible

ENCOURAGE SELF REWARD.This helps to maintain motivation.

CONTINUE SUPPORTIVE CONTACT.Ain’t no substitute for that good ol’ therapeutic relationship.

MAINTENANCE – (definition)

Continuation of negotiated treatment plan.

Can take up to seven years to establish.

Planned review essential.

MAINTENANCE –

to avoid Relapse.

RELAPSE PREVENTION.

Identify high risk situations.

Upskill.

Problem solving.

Relaxation.

Read the road.

DESIDERATA

“Speak your truth quietly and clearly,

and listen to others,

even the dull and ignorant,

they too have their story.”

Thank you for listening.