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Active RX

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by

John Barlow

on 16 September 2013

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Transcript of Active RX

By Matt D. Essex, MS & Wayne T. Phillips, PhD
Outline of Workshop
WHY ActiveRx exists (i.e., our purpose)
Rationale for Why • How • What
HOW we set ourselves apart
Autonomy Supportive/Lifestyle Approach/Enhanced Communication
WHAT unique services we provide
Services that support active aging
ActivEvaluation
Strength-based Wellness / Lifestyle Emphasis / Long-term Focus
Fall prevention
Disease Management
‘Strengtherapy’
Active Physical Therapy
WHY
> HOW > WHAT
What is our purpose?
“The Golden Circle”: Belief Based Communications
WHAT
HOW
WHY
OUTSIDE-IN / CONVENTIONAL
INSIDE-OUT / REMARKABLE

Always Lead with “WHY”…
Why does ActiveRx exist?
Why does ActiveRx believe what we believe?
Why does it matter…?
WHY
ActiveRx Exists
To redefine aging
through research, advocacy and - most importantly – providing the place and the system for those who believe as we do that aging can be productive, enjoyable and even welcomed so long as you choose how you age wisely.

Therefore, we desire to be a primary resource for intentional aging.
WHY
ActiveRx Exists
We believe
that the current healthcare system is inadequate in its serving of the older adult population’s health-related needs and desires, especially the facilitation of long-term, meaningful lifestyle changes that maintain and improve independence and quality of life.
We believe that there is no greater place to serve in all of healthcare than this, and also that it is our responsibility to fill this evident void on a national level.
Core
Company
Values
Innovation
Mutual Respect
Compassion
Community
Serving
Integrity
Stewardship
Excellence
Humility
Core
Company
Values
“The goal isn’t to do business with people who need what [we] have, it’s to do business with people who believe what [we] believe”
- Simon Sinek
ActiveRx Core
Healthcare
Beliefs
Wellness
Proactive Rehabilitation
Exercise is Medicine
Disease Prevention
Aging in Place
Functional Independence
Engagement with Life
Autonomy
f
The ActiveRx Experience:
Aligning the Why,

How
and
What…
WHY
Our purpose is to redefine aging as it exists today
HOW
We provide a patient centered culture and the optimal environment for a true autonomous healthcare partnership to be established between our patients and providers.
WHAT
We deliver wellness-oriented services through physical therapy, strengtherapy and fall prevention programs that focus on building strength, enhancing function and promoting life-long active aging.
WHY
Our Focus
Why do we utilize skilled physical therapists as our gatekeepers?
Why do we focus on older adults and active aging?
Why do we focus on strength?
Green Meadow Template Background from Vector.me
HOW
Our Environment & Culture
HOW
Our Environment & Culture
Continuous emphasis on Communication and Autonomy
Intentionally designed to suit the needs and desires of our market
Warm, inviting, friendly, caring, serving, encouraging and hopeful
Low volume model = more time with each patient
One on one care provided by Skilled Physical Therapists
Graduation to our Wellness-oriented Strengtherapy System provided by skilled Strength Therapists
WHAT
Our Healthcare Delivery System
Disease Management
ActivEvaluation & Active PT/rehab
Wellness-oriented, Evidence-Based Assessments, Diagnosis and Treatment
Strengtherapy
Strength-based Wellness Approach
Lifestyle Emphasis/Long-term Focus
Special Programs
Fall Prevention
What’s Your Why?
WHY

>
HOW
>

WHAT
HOW
we do what we do.
‘He who knows others is learned. He who knows himself is Wise’ (
Lao Tse 6thC BC
)
‘Seek first to understand then to be understood’
Steven Covey, ‘7 Habits’ – The Fifth Habit
It’s all about COMMUNICATING!
It’s all about COMMUNICATING!
Evidence-Based Approach
ActiveRX
ActiveRX
• Motivational Research
• Coaching Research
• Behavioral Styles Research
Programming Section:
“Moving Forward in Wellness”
“Health-Focused Physical Therapy: The 'Why', the 'How', and the Evidence”
“Pitching In: The Physical Therapy Practitioner's Role in Physical Activity and Fitness Promotion”
“Stepping Up to the Challenge: Promoting Positive Behavioral Change in Your Patients and Clients”
“The Standardized Physical Therapy Wellness Visit: Background and Best Practices of Exercise Prescription”
Programming Section:
“Moving Forward in Wellness”
“Health-Focused Physical Therapy: The 'Why', the 'How', and the Evidence”
“Pitching In: The Physical Therapy Practitioner's Role in Physical Activity and Fitness Promotion”
“Stepping Up to the Challenge: Promoting Positive Behavioral Change in Your Patients and Clients”
Wellness
How can I get … ?
Here’s the foundational question that people-oriented professionals always ask or obsess about …
“How can I motivate (i.e. get) people to behave
themselves, learn better, perform well, act responsibly, come to therapy, continue with therapy, etc.?”
We see and hear many examples of this …
“I’ve done my best to get them to do ‘it’, designed programs, reminded, called, cajoled, etc. But they never do it!!”
How can I create … ?
• It turns out (as decades of research has shown) that this is
the wrong question, based on the wrong premise. A far more
relevant question is …
How can I create the conditions within which people will motivate themselves to come to, or continue with, therapy?

Motivational Research
(Self Determination Theory)

Autonomy
• Feeling of volition, choice and responsibility / control


What kind of choices support Autonomy?
‘HOW’
What kind of challenges elicit Competence?

Competence
• Feeling of confidence to change and accomplish goals


Relatedness
• Feeling of being respected, understood, valued

What kind of conversations inspire Relatedness?
Autonomy - Interactive
Present options (Where Possible)
Examples/Ideas?
Examples/Ideas?
Let them make the decisions (Where Possible)
Examples/Ideas
What did they learn? (From making or not making goal)

What is coming up for you here?
Competence- Interactive
Present clear, non-judgmental info about behavior and/or Outcomes
NOTE: “Start from where you are” is a good ‘starting point’!
“What I can tell you is …” or “What I know about that is …. “
Compared to “You are much worse than/at a higher risk than …”
Compare “I like the way you did ….” with “Good Job”,
Compare “This time try it with …. “ vs
“This time don’t do it like …”
Provide directed positive feedback
“These (Outcomes) put you at about ….. compared to other people your age”
What is coming up for you here?
THEY are the expert on themselves!
They are the only source of information on themselves and what is important to them. THIS is what will bring them back to ARx
Relatedness- Interactive
Discover and focus on what is important to them
Words create worlds
Purposefully consider your vocabulary
What you ‘transmit’ is not always what they ‘receive’
(you are the expert on PT/ST!)
What went well vs what went badly
What is coming up for you here?
Autonomy-Supportive Conditions
What you focus on grows!
Strengths are built on positive language and positive focus
Are about building strengths not correcting weakness
Are about asking positive questions.
“If you focus on successes you will find more successes,
if you focus on problems you will find more problems”
Three ‘Similar’ Questions – Three Different Directions
What could this look like in the Center?
How have you modified your approach for greater patient interaction and communication?
Do you find success with a particular approach to patients?
What are your most successful questions?
What prompts the change?
What is the best/most effective part of your session?
Does it change from patient to patient?
What is coming up for you here?
What could this look like in the Center?
HOW
Coaching-Related Approach
‘What did you learn?’
vs “Why didn’t you make your goal?’
‘What is important to you?’
vs (or as well as) “What is your Goal?”
‘What do you want?’
vs (or as well as) ‘’What is your ‘issue’/complaint?”
Asking ‘Coach-Like’ Questions
What is coming up for you here?
Who you see is NOT who you get!
THIS IS WHO YOU ARE WORKING WITH
This is what you see
This is
what you
DON’T see!
HOW
Strategies
Relate: Everything comes back to the
WHY
Connect
: What is important to them
Stories
: Tell your WHY
Listen
: Elicit their WHY
Create
: Autonomy-Supportive situations
Ask:
Positive
, Coach-like Questions
Questions
Thank You
Full transcript