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Behaviour Change and Supporting Motivation to Self-Manage within CKD


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Behaviour Change and Supporting Motivation to Self-Manage within CKD

A new holistic approach to long term condition management has been embraced by a group of clinicians in Greater Manchester who manage patients with chronic kidney disease (CKD).

Clinicians were offered specialised training sessions delivered by Chris Bundy, Chartered Health Psychologist from the University of Manchester. During these sessions, entitled ‘Supporting Motivation and Managing Behaviour Change’, clinicians learnt about:
 

  • the principles of behaviour change
  • how to identify emotional and other barriers to change
  • how to help patients make the necessary lifestyle changes such as stopping smoking, reducing weight and taking part in more exercise to self-manage their condition.


This training, delivered through the Greater Manchester CLAHRC, was developed as part of the second phase of the CKD project, to improve opportunities for patients (both with CKD and other long-term conditions) to self-manage, address lifestyle issues and up skill-clinicians to enable them to discuss behaviour change with patients who have long term conditions.

Chris, who has ten years experience of delivering these sessions to clinicians involved in the management of people with diabetes and psoriasis, showed participants how to use motivational techniques to support and enhance self-management and change behaviour. Chris said: “The techniques used are all evidence based. The sessions provide motivational interviewing skills and a basic understanding of the Cognitive Behaviour Therapy (CBT) approach and assessment skills. Recent research has highlighted the need to adapt CBT skills for application in the context of long term conditions and supporting motivation to self-care is a necessary part of long-term conditions management.”

John Humphreys, Knowledge Transfer Associate, said: “This training has provided clinicians with additional tools to use in order to provide the best possible care for their patients. Many CKD patients have other long term conditions and the risk factors associated with CKD are applicable to these too. The use of CBT as part of a more holistic approach can be successful in lowering risk factors – such as high blood pressure – in patients with multiple conditions by addressing lifestyle issues and empowering patients to manage their own conditions.”

Those clinicians who attended gave positive feedback about the learning and felt it gave them extra confidence to discuss lifestyle choices with their patients. Clinicians who attended the training have been encouraged to put their learning around CBT into practice during consultations.

 

Date Published: 22/02/2012

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