The SCIP Technique

Promoting Behaviour Change – An Introduction

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First Contact Clinical Community Interest Company“Providing solutions to challenge the health related problems

found more commonly in disadvantaged areas and communities.”

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Aim

• To explore how motivate those at risk of vascular disease in a time efficient way using a structured behaviour change tool

The NHS Health Check

• Combines screening, communication of risk and lifestyle advice to reduce:

– the impact of CVD for individuals– the time required to care for CVD patients by health

professionals – the cost associated with CVD in the NHS

Which requires…..

• Maximum uptake of screening in the target group• Accurate communication of CVD risk and lifestyle

advice• Some people to make difficult lifestyle changes

….and possibly a ‘new conversation’

Today’s Training

Three Minute Motivation The New Conversation Behaviour Change ABC The SCIP Technique Skills Rehearsal Sweet and Sour Takeaway

Exercise One - Part 1

• Using the worksheet provided come up with as many reasons to achieve the actions highlighted in each of the boxes.

Exercise One - Part 2

• Following the instructions on your worksheet now complete the second part of exercise one!

Three Minute Motivation

Exercise One - Inner Conflict

Reasons not to change

Reasons to change

Reasons to stay the same

Reasons not to stay the same

A: Ambivalence

No Change Change

Ambivalence

What’s good about

now

What’s bad about now

What’s good about

change

“To want to and not want to at the same time…”

What’s bad about

change

No Change Change

Ambivalence

B: Beware the Righting Reflex

C: Change Conversations

Think about how we might do things differently?

Ask rather than advise Listen more and talk less

Behaviour Change ABC

A: Ambivalence B: Beware the “Righting Reflex” C: Change Conversations

Adapted from “Motivational Interviewing in Health Care” by Rollnick, Miller and Butler

One Problem!

How do we have an effective “change conversation”, that moves the person

out of ambivalence and towards change in a busy setting without using

the righting reflex to manage the time?

The SCIP Technique

SHARE the risks COMPARE to the benefits

discuss IDEAS make a PLAN

No Change Change

AmbivalenceI could….

I should……I might…

I WILL

SCIP Charts

SCIP: Skills Rehearsal

Dave is a 43 year old with a CVD risk factor of 27% during his Health Check he disclosed he drank 8-10 units of alcohol 3 to 4 times a week.

SCIP: Demonstration

Exercise Two

• Using the SCIP training template have a different conversation aimed at raising motivation to commit to reducing alcohol consumption.

Useful Tips1. If you are doing all the speaking you are “directing”. Resist the

righting reflex – ask an open question (what....? How.....? Where.....? Tell me about......?) and listen to the answer.

2. Don’t PUSH the changer to the next stage before they are ready but don’t help them to get stuck – beware “chronic contemplators”. Ask what would have to happen to help them move on....?

3. Remember the patients ideas, thoughts and feelings are more important than yours – get them to share whilst you try not to.

4. If you get stuck: stop – directing and pushing just creates further resistance

Sweet and Sour Takeaway

What have you enjoyed?What have you not liked? What will you take away?

This session is supported by

• Three Minute Motivation• Increasing Physical Activity• Smoking Cessation SCIP• Healthy Eating• Drug & Alcohol SCIP

The SCIP Technique

Questions and Answers