Client Cases

Sharing Case Stories

HealthChange Australia promotes case stories from clinicians using HealthChange® Methodology to show other professionals how the behaviour change tools and techniques improve client health outcomes. Use the HealthChange Australia case-study library to view interesting cases and success stories.

To write up and submit your own case study, click here for the case study tools.

Case Studies for Download or Viewing

1. Female with MS and acute ankle sprain
The physiotherapist describes how she applied HealthChange® Methodology to work with a client with an acute ankle sprain and other health complications.

2. 4 year-old girl with a lisp
The client is a 4 year-old girl with a mild to moderate inter-dental lisp who was concerned by the impact of not being understood by carers and family members. The clinician worked with the client to identify why speech improvement was important to her. The speech pathologist identified intrinsic motivators and together they developed a targeted plan for improvement.
3. Shift-working male with metabolic syndrome
The exercise physiologist tells how she changed her approach with a shift-working man on a mine site to achieve better exercise, nutrition and health outcomes.
4. 8 year-old with literacy difficulties
The speech pathologist worked with the client who had a history of learning difficulties to improve his reading and spelling. The clinician identified his desire to read books he loved and to not repeat a year at school as motivators for change.
5. Overweight, sedentary male with chronic back pain 
The client in this case had back and neural pain and believed these issues were limiting his ability to be active which was in turn contributing to weight, shortness of breath and stress. The clinician worked to help the client understand that by improving flexibility, core strength and adding some moderate intensity exercise this could benefit not exacerbate the symptoms. By breaking down the goals into small steps the client achieved some great results and many other spontaneous behaviour changes. 
6. 16 year old with Bulimia 
The clinician in this case assisted the teenage client to increase her willingness to work on maintaining weight following a rapid loss through reduced food intake and purging. Importance in doing this was initially very low (3 out of 10). This was due to the presence of cognitive barriers including unhelpful beliefs and lack of knowledge about what to eat and how much to eat to prevent weight gain. The client moved from purging 2-3 times per day to nil purging after the initial session and improved outcomes on a number of other health factors.
7. Busy mum with weight and fertility issues 
This case illustrates how the practitioner assisted the client to identify an intrinsic motivator for working on her health (referred for weight management with low importance). In focusing on increasing fertility as a general goal (instead of weight), the client was willing to engage in activities that then impacted positively on her weight, eating behaviours, activity levels, energy levels, stress levels and her family's overall health and well-being
8. Middle aged man with morbid obesity, back pain, depression, hypertension, GORD, gastic stapling and unable to work
The consultation was conducted by an Exercise Physiologist. The client initially worked on healthier food choices, and eventually increased his activity levels and reduced his weight. The client identified an intrinsic motivator to be his desire not to let his son down, by not being able to do the things that other parents do for their children.
9. Female with bicep tendonitis and neck pain
The practitioner is a Physiotherapist in private practice who saw the client for work-related bicep tendonitis and neck pain. The client was initially very anxious believing that all pain means damage or danger.


10. Vietnam veteran with recent T2 Diabetes Melitus diagnosis, hypertension, hyperlipidaemia and complex psychosocial issues adding to stress
The practitioner is a Practice Nurse and Diabetes Educator who saw the patient in the context of developing a GP Diabetes Management Plan. The patient was shocked and overwhelmed to receive a diagnosis of diabetes from his GP, and had low confidence in being able to make the required changes to his lifestyle. HbA1c was 9.5% (poor control) at diagnosis. This dropped to 5.8% (normal control) at his 6 month review, with BMI dropping from 28 to 23 during this time.
11. Voice issues secondary to nerve damage from surgery
This patient was referred by her GP for voice issues secondary to nerve damage caused during surgery to the cervical neck (had left vox implant inserted for partial vocal cord palsy). She said that her voice 'runs out' by the end of the day, but was reluctant to engage in voice exercises to assist the situation (too hard to 'fit in' the exercises to her day). The Speech Pathologist was able to reinforce the patient's motivation to take action and to create strategies to increase her confidence in being able to do this.

12. Male Vietnam Veteran with IGT and obesity
This patient was referred by his GP for treatment of IGT and obesity. He had previously attended a diabetes prevention education program where he was told to make many changes in a short period of time. He became angry in response to being told what to do. This led to behavioural avoidance and obvious resistance during the initial consultation. Building the therapeutic alliance and identifying an intrinsic motivator helped the patient feel that he had choice and control back in his life. This acted as a precursor to many motivational, behavioural and physiological outcomes including: improving anger management in response to health practitioners, increased exercise levels and improved nutrition, normal OGTT and controlled blood pressure.