HealthChange® Methodology

HealthChange® Methodology is a health service delivery methodology that enables health service providers to embed person-centred care into clinical consultations, care planning, discharge planning, disease management, health promotion, rehabilitation, return to work and other health services

It promotes and enables the use of evidence-based best practice by service providers and adherence to evidence-based treatment, lifestyle and referral recommendations by patients, clients and other health service consumers.

The methodology can be applied face to face, via telephone, in groups and via mobile technology.

HealthChange® Methodology provides a clinical practice decision framework that enables health service providers to systematically and consistently deliver person-centred health services for improved client health literacy, shared decision making, self-management and behaviour change.

HealthChange® Methodology promotes shared decision making in a way that balances clinical duty of care with a consumers' rights to make fully-informed and considered decisions about their health. The focus is on achieving the best clinical, health and quality of life outcomes possible for each person, given their unique circumstances.

HealthChange® Methodology requires practice change. The methodology guides practitioners to conduct their consultations in a way that allows them to recognise and address potential client adherence barriers before they occur. The methodology does not add time to consultations. It restructures consultation tasks to align with the client or patient’s information needs and hence supports client health literacy and motivation to act on recommendations. It can save clinicians considerable time by avoiding unnecessary assessment, education and circular conversations, by reducing ‘no show’ appointments and by reducing the number of clients that don’t take effective action for their health.

The methodology enables person-centred behaviour change principles to be utilised in a systematic and consistent way in consultations and conversations. It provides clinicians and organisations with an evidence-informed behaviour change pathway to complement usual clinical pathways for the prevention or treatment of chronic conditions and rehabilitation from injury or illness.

 HealthChange® Methodology: An integrated suite of tools

HealthChange® Methodology is comprised of an integrated suite of tools and a decision support framework to help clinicians and other service providers to work more effectively and efficiently with health consumers.

  1. A simple, evidence-informed, conceptual behaviour change pathway: to help service providers to quickly assess client or patient readiness to take action on recommendations.
  2. A set of clearly defined Person-Centred Practice Principles: to operationalise person-centred care and communication and make these measurable.
  3. A functional way of thinking about barriers to action and facilitators for change: to enable health service providers to recognise and understand the most common types of barriers to engaging in treatment recommendations.
  4. A set of Essential Behaviour Change Techniques: to identify and address potential barriers to action when they are present.
  5. A 10 Step Decision Framework to guide health service providers: to know when and why a patient or client is unlikely to adhere to recommendations and to apply the appropriate principles and techniques to help them to understand their conditions and treatment options; identify personal motivators; make fully-informed decisions; take actions, and self-regulate for improved outcomes.
  6. A simple set of consultation tools: to guide categorise, clarify and document treatment, lifestyle and referral actions to be taken by patients or clients.
  7. A set of skills development, quality assurance and capacity building tools and mechanisms: for frontline staff and organisations to assist, measure and track staff transfer of training into practice and to capture client behaviour change data for correlation with clinical outcomes.

Theoretical Foundations

The model draws from similar principles and techniques to those used in motivational interviewing, solution-focused coaching and cognitive behavioural therapy. However, it differs from these approaches in that it builds on all of these skill sets and provides an overarching framework for the integration of these approaches and others into specific clinical or health promotion programs. It also refines the techniques used in these other practice models for easier, more effective use in the brief time frames required by clinical consultations and health services.

HealthChange® Methodology integrates numerous models and theoretical concepts from the evidence-based health behaviour change literature. It bridges the gap between behaviour change theory and practice in the domain of health service provision. See an extract from Gale and Skouteris (2013) for a two-page summary of the theory base or view the Evidence-based Behaviour Change Non-negotiables conference presentation and other videos in our Video Library.

To support its training, HealthChange Australia provides skills development, quality assurance and capacity building tools and mechanisms for clinicians and health services to assist, measure and track transfer of behaviour change support skills from training into practice.

For a list of publications and articles relating to HealthChange® Methodology, see Publications and Articles in our Resource Library.
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