Health professionals with advanced skills in communication and psycho-education, and available support processes, such as clinical supervision, may be able to provide therapeutic strategies to meet specific supportive care needs.
There are a number of models that can guide these types of therapeutic sessions. Examples include:
- Chronic Illness Self-Management 5 A’s model.42
- Motivational Interviewing.43
The Five A’s Model of Self-Management Support is used to help people develop action plans particularly focused on their chronic illness. The model has been used by the QUIT program for smoking cessation and is helpful in a range of contexts. The Five A’s are:42
- Assess – the beliefs and knowledge of the person
- Advise – provide specific information that will enhance the knowledge of the person and correct any myths, tailored information provision
- Agree – work with the person to identify goals and priorities to achieve, develop an action plan for specific behaviour changes
- Assist - work with the person to identify barriers and establish some strategies to overcome these, suggest strategies to help achieve the goals
- Arrange – arrange a follow up phone call or visit to review achievements against goals set.
Hall, K, Gibbie, T., & Lubman, D.I. (2012). Motivational interviewing techniques. Facilitating behaviour change in the general practice setting. Australian Family Physician, 41(9): 660-66743
Watch the vignette Harold’s Story (or reflect upon an individual you have cared for in your local care setting and adapt the learning activity to meet their supportive care need)
- Summarise the evidence regarding smoking cessation for someone with lung cancer.
- Outline the components of a single brief counseling intervention you could provide for Harold in relation to his smoking.