To summarise, a brief intervention for obesity might sound like this:
Talking with patients about their weight:
| Ask about
diet/exercise with
ACTS |
- Ask to ask
Can I ask you about your weight?
- Concerns
Do you have any concerns?
- Typical day
Take me through a typical day’s
food/drink/exercise
- Special requirements
|
| Listen with OARS |
- Open questions
Tell me about…
- Affirmations
Acknowledge effort
- Reflections
So it makes you feel…
- Summaries
Have I got your story right?
|
| Elicit change talk with DARN |
- Desire
How would you feel if …
- Ability
How could you do this?
- Reasons
What are the benefits of change?
- Needs
What are the risks of no change?
|
| Share information with PAPA |
- Permission
Would you like information on…
- Ask
What do you already know about…
- Provide
Tailored information
- Ask
How might you use that?
|
| Ask |
- Can I ask you about your weight?
|
| Assess |
- Do you have any concerns…
- Take me through a typical day…
|
Advise
|
- Would you like some information on …
|
| Agree |
- How much weight do you want to lose?
- By when? How are you going to do that?
|
| Assist |
- What might get in your way?
- What would improve your confidence?
|
| Arrange |
- When would you like to come back?
- Would you find a referral / follow-up helpful?
|
Prevention
|
- Public health
- Early intervention
|
Behavioural
|
- Balanced diet
- Portion control
- Eating behaviour
- Exercise
|
Orlistat
|
- BMI>30 or 28 with
risk factors
- Discontinue after 3
months if <5%
weight loss
|
Tier 3 service
|
- BMI>40 or 35 with
complications
- Psychological
- Behavioural
- Consideration for
tier 4: surg
|
