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Empathy
Improving Health:
Changing Behaviour
NHS Health Trainer Handbook

DH INFORMATION READER BOX
Policy
HR / Workforce
Management
Planning /
Clinical

Estates
Commissioning
IM & T
Finance
Social Care / Partnership Working

Document Purpose

Best Practice Guidance

Gateway Reference

9721

Title

Improving Health: Changing Behaviour, NHS Health
Trainer Handbook

Author

British Psychological Society Health Psychology Team:
Susan Michie, Nichola Rumsey, Anna Fussell, Wendy Hardeman,
Marie Johnston, Stanton Newman, Lucy Yardley

Publication Date
Target Audience

Health Trainers and Health Trainer service providers

Circulation List

Description

Handbook to support Health Trainers in facilitating behaviour change Cross Ref

N/A

Superseded Docs

N/A

Action Required

No action

Timing

N/A

Contact Details

Rachel Carse
Health Trainer Programme healthtrainers@dh.gsi.gov.uk For Recipient’s Use

Improving Health:
Changing Behaviour
NHS Health Trainer Handbook
Written by the British Psychology Society Division of Health Psychology team:
Susan Michie, Nichola Rumsey,
Anna Fussell, Wendy Hardeman,
Marie Johnston, Stanton Newman and Lucy Yardley

Contents
Sections

Page

Introduction and the role of a Health Trainer

3

How to use this handbook

5

Sample meeting structure

5

Meeting scripts

9

How to assess clients

11

Finding out about your client

12

Encouraging people to change behaviour

14

Health Trainer competences checklist

15

Thinking about changing behaviour

16

Choosing a behaviour to change

16

Health Benefit Cards

17

Health Behaviour Check

19

Deciding to change

24

Balance Sheets (client worksheets)

25

Increasing confidence to change

28

Planning the behaviour change

30

Goal setting

30

SMART goals

31

SMART goals (client worksheet)

32

ABC forms

33

ABC example and blank



References: Gerberding, J.L. (2004). Actual Causes of Death in the United States, 2000, Journal of Department of Health (2004). Choosing Health: Making healthy choices easier Rollnick, S. and Miller, W.R. (1995). What is Motivational Interviewing? Behavioural and Department of Health (2006). Our health, our care, our say: A new direction for A.L., Earl, A.N. and Gillette, J.C. (2006) Conceptualizing the influence of social agents

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