Helping you live a healthy life with a chronic condition

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Introduction and Workshop Overview

Historically, patient motivation and behaviour were viewed as the domain of the patient. The implied assumption was that the health care provider could do little more than provide information to influence the patient’s actions; however, we now know this to be an inaccurate assumption about the dynamic that takes place between clinician and patient. The Choices and Changes workshop is designed to acquaint the participant with the literature, theory and techniques for promoting change in health behaviour.

This workshop was developed in response to the requests of health care providers for an educational process that would be helpful in facilitating patient behaviour change to improve or enhance health and diabetes outcomes. The “Choices & Changes” workshop was developed and licensed by the Institute for Healthcare Communication

Workshop goals:

  • To provide health care provider with conceptual models for effective health care provider -patient communication and facilitation of patient health behaviour change and self-management.
  • To provide health care provider with opportunities for practice and feedback to improve their own clinical interviewing and behaviour change counseling skills
  • To provide health care provider with an opportunity to reflect upon their practices as clinicians, teachers and individuals participating in an educational experience.

Workshop Overview:

  • This workshop is divided into two sections. The first section is designed to help the health care provider identify their own convictions (attitudes, beliefs, values and perception of roles) and confidence in facilitating patient behaviour change and illness self-management. Research studies have demonstrated great variance among health care providers in their convictions and confidence as facilitators of change. Self-assessment of attitudes, knowledge and skills is an important first step towards mastering procedures for working with patients to facilitate behaviour change.
  • The second section of the workshop presents several techniques and skills for facilitating patient health behaviour change and supporting self-management
  • At the end of the workshop, the health care provider will be asked to select two techniques to incorporate into your daily practice. It is encouraged that these techniques are trialed, as one would for any clinical trial.

Evidence Base:

The program draws heavily upon the research and evidence base of:

  • Albert Bandura and Alan Marlatt
  • Edward Deci, Richard Ryan & Geoff Williams
  • William Miller and Stephen Rollnick
  • James Prochaska and Carlo DiClemente
  • Edward Wagner and Russell Glasgow
  • Robert Anderson and Martha Funnell

While these researchers do not always agree about the nature of patient motivation or about interventions to enhance motivation, there are many areas of agreement. This workshop emphasizes these agreements.


  • 4.5 hour workshop
  • 4 hours of mentorship following successful workshop completion
  • Workbook materials provided

For more information about hosting a workshop at your location or to locate a workshop near you please contact the Self-Management Project at (905) 895-4521 ext 6656.

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These sessions were very interesting and informative where participants were also invited to share things that they found helpful through brainstorming… this was a very positive experience for me and I would recommend it to anyone with a chronic condition