ࡱ> Q[( /0/ 0DTimes New RomanXXA 0DArialNew RomanXXA 0" DArial Unicode MSXA 0"@ .  @n?" dd@  @@`` TLh[K    $%&'()*+,-.0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXY 0AA0 33@wuʚ;2Nʚ;g41d1dD 0Vp@ pp<4!d!d$w 0XA<4dddd$w 0XA 80___PPT10 ppPMOTIVATE ME TO COMPLY$ _How do you define motivation? How do you define compliance? It might be worth having clarity.``$_ 11A DEFINITION OF MOTIVATION &$(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. P$$}$9BEHAVIOURAL CHANGE OCCURS WHEN FIVE FACTORS ARE PRESENT:-::$9  I want to do it. I can do it what is asked of me. (Self efficacy.) It will be an advantage to me to do it, or i can avoid a disadvantage. I will work at it. (Effort) I will persist at it. (Time.)$     COMPLIANCE IS RECOGNISABLE IN:-!!$   Orientation to the problem. Recognising it as a PERSONAL problem. Searching for a solution. Applying the solution. Maintaining the gains. 0$,  i  5IVE( #Let us understand the five factors.$$$# WANT TO? $ {What are the reasons for the person to do what you require of them? BECAUSE, BECAUSE, BECAUSE! Use the freakin word! .|E$7$.j    (CBECAUSE PROVIDES REASON, AND REASON IS IMPORTANT IN MOTIVATION.DD$C SEASON OF REASON$ uPeople are much more likely to be motivated to be compliant when we provide them with REASONS for them to do so. xvVg$g$g$g$g$t  .0(Never forget, the human brain tries to MAKE SENSE OF, to UNDERSTAND, to FIND MEANING. To motivate people often all we have to do is provide meaning. Hg$g$$33  GOOD REASON 0 '$(You are subtly forcing them to think about it by giving them reasons to do so, and is especially powerful when we provide them with a GOOD REASON. F'$ '$'$(PIt is at its most powerful when the person is motivated by THEIR good reason. \Q<'$'$ '$g$(;    HIERARCHY.  g$  LPerson s good reason to be motivated. Your good reason. (Strive for maximal congruence, i.e. same reasons) Your reasonable request as to how it will be done. <g$g$g$g$g$g$g$2g$g$g$g$g$g$G$  CAN DO IT. $  PIf a person does not believe that they can carry out the steps and influence the outcome they won t even try. Or, as soon as they hit an obstacle they give up. S.F.P..$$ ADVANTAGES / CATASTROPHE.$  lHelp the person identify the advantages of being compliant and the catastrophe is in not being compliant. Hmk$g$g$$k     ADVANTAGES OF COMPLIANCE    People are motivated to be compliant (change behaviours) when they COGNITIVELY RE-EVALUATE the impact on their lives of NOT BEING COMPLIANT. vF$$$7$g$0    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. R $_$1$$33(i  & EFFORT IS MINIMAL.$ People like the  no-effort solution to life s problems. Habits are efficient ways of doing things. Once a habit is established we have compliance.  Habits are at first as cobwebs, at last as chains. Jg$6g$G$33 U2 KEEP IT UP. $Our minds love habits and routines. Once your mind acquires a habit, it resists change irrespective of whether what you are doing is good or bad for you. ($  PERSISTENCE. $  By far the bulk of medication regimes are abandoned in the first twelve months, if not in the first thirty days! Follow up, remind. 2r'$'$   RULE OF THUMB.'$  UTo motivate a person to change BEHAVIOURS, INCREASE THE REASONS FOR THEM TO DO SO.\V+'$'$'$)'$ V  RULE OF THUMB.'$  ;To maximise compliance IDENTIFY AND REMOVE THE OBSTACLES.r<'$'$'$'$#'$  1 RULE OF THUMB.'$  hTo keep them compliant REMIND THEM OF THE REASONS THEY CHOOSE TO DO IT, DECREASE THE OBSTACLES. f'$'$0'$'$'$'$'$'$''f  RULE OF THUMB.'$  nTWICE AS MUCH EFFORT SHOULD BE PUT INTO ESTABLISHING THE REASONS TO CHANGE AS IN REMOVING THE OBSTACLES. rnK'$'$!'$'$n  !"zProchaska and Diclemente s Transtheoretical Model of Change.,><$$Z         "#PRECONTEMPLATORS (definition) Xg$c$ g$c$>      4Unaware, 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. <eET                   (            #$`PRECONTEMPLATORS  to encourage contemplation. ~1g$c$g$g$c$"$<     RAISE AWARENESS. Information - emphasise prevention. Educate - directly and other means. Explain issue and your concern. Interpret findings and results. Provide feedback on changes.dg$g$g$G$  #  #       $%`PRECONTEMPLATORS  to encourage contemplation. p1g$c$g$g$c$<     UTILISE EMOTIONAL LEVERAGE. Build it up, bring it down. It doesn t have to be this way. 3C s Cause, Consequence and Cure. {g$g$=g$g$c$g$C$T >      %&CONTEMPLATORS (definition)D'$ '<      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. @g$G$  "  3  '  =     &'*CONTEMPLATORS- to encourage Preparation T+g$g$g$$    EXPLORE REGRET. Tempest does fugit UTILISE DISCREPANCY. Current v s ideal self. Healthy v s unhealthy behaviour. Values v s behaviour. g$g$33g$g$Og$$$                   '((CONTEMPLATORS- to encourage Preparation ))g$$    ?MOTIVATIONAL INTERVIEWING. Most applicable with contemplators. F@g$33%g$33$33<  #   ()2PREPARERS  (definition) L g$g$g$<       Decisional balance has tipped. Advantages of change out weigh costs. Attempts to implement recommendations. Usually have a plan to be implemented in next 6 months. No plan? Provide / negotiate one. @g$G$  %  &  1               )*"PREPARERS - to encourage Action. b# '$'$'$'$J       SUPPORT ANY CHANGES, -more likely to persist. BE ACTIVELY INVOLVED. Follow up! Remove obstacles. NEGOTIATE TREATMENT GOALS. -This makes success measurable, provides feedback. GIVE THREE CHOICES. zFZZeZZeeee e eeg g  e $e$4(e(,e,0e04e48A8          1     *+.ACTION  (definition) 0'$<       Implementation of treatment plan. Not synonymous with PERMANENCY or COMMITMENT. Action is a learning phase. 20% of target group are in action. nZZ#ZZ"'$&$.'$ & $ '$'$'$&$"'$&$  $    -       +,HACTION  to encourage Maintenance. N%'$'$'$$    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. ZWZZCZg g e e ee$ee@ee e       @  "       ,.4MAINTENANCE  (definition)R %% '<      pContinuation of negotiated treatment plan. Can take up to seven years to establish. Planned review essential. q+g$g$)g$ g $g$g$G$T*  (     -/BMAINTENANCE  to avoid Relapse. J" '$#$'$<       lRELAPSE PREVENTION. Identify high risk situations. Upskill. Problem solving. Relaxation. Read the road. ^m'$'$X'$ ' $J     2  DESIDERATA (   Speak your truth quietly and clearly, and listen to others, even the dull and ignorant, they too have their story. 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'2 MOTIVATE ME TO COMPLY."System7--p-@"Arial-. "2 ,How do you define .-@"Arial-. 2 6% motivation?.-@"Arial-. "2 MHow do you define .-@"Arial-. 2 W$ compliance?.-@"Arial-. -2 nIt might be worth having .-@"Arial-. 2 w/clarity..-՜.+,0    {On-screen ShowH %# )Times New RomanArialArial Unicode MSDefault DesignMOTIVATE ME TO COMPLYA DEFINITION OF MOTIVATION :BEHAVIOURAL CHANGE OCCURS WHEN FIVE FACTORS ARE PRESENT:-!COMPLIANCE IS RECOGNISABLE IN:-5IVE WANT TO?Slide 7SEASON OF REASONSlide 9 GOOD REASON Slide 11 HIERARCHY. CAN DO IT.ADVANTAGES / CATASTROPHE.ADVANTAGES OF COMPLIANCEADVANTAGES OF COMPLIANCEEFFORT IS MINIMAL. KEEP IT UP. PERSISTENCE.RULE OF THUMB.RULE OF THUMB.RULE OF THUMB.RULE OF THUMB.>Prochaska and Diclementes Transtheoretical Model of Change.PRECONTEMPLATORS (definition) 1PRECONTEMPLATORS to encourage contemplation. 1PRECONTEMPLATORS to encourage contemplation. CONTEMPLATORS (definition)+CONTEMPLATORS- to encourage Preparation )CONTEMPLATORS- to encourage PreparationPREPARERS (definition) #PREPARERS - to encourage Action. ACTION (definition) %ACTION to encourage Maintenance. MAINTENANCE (definition)"MAINTENANCE to avoid Relapse. DESIDERATA  Fonts UsedDesign Template Slide Titles%Root EntrydO)`@Current User>SummaryInformation(PowerPoint Document(H "_$  John BoyleJohn BoyleRoot EntrydO) pՁ@Current User,SummaryInformation(PowerPoint Document(H _$ noelnoelohn Boyle  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root EntrydO)Current UserSummaryInformation(PowerPoint Document(H DocumentSummaryInformation8