how change agent chooses appropriate treatment interventions

Why do you need a transition agent?

Apr 24, 2017 · The eight-stage change prepare: This procedure, created by John P. Kotter, the Konosuke Matsushita Professor of Leadership, Emeritus at the Harvard Business School, …

How to choose the right change agent?

Build Agents' belief in the outcome of the project. Identify and align rewards for Agents. Invest in Agents' skill development through quality Change Agent training. Plan for Agent succession. …

What is the focus of activity for an individual change agent?

Mar 01, 2022 · The Stages of Change model4 is useful for selecting appropriate interventions. By identifying a patient's position in the change process, physicians can tailor the intervention, …

How do Clinicians choose the right treatment for each patient?

Jan 01, 2016 · Planning and assigning a patient to a treatment that optimizes gains and fits the patient's needs is a shared objective among clinicians. However, selecting the most …

What are the responsibilities of a change agent?

What are 5 characteristics of a change agent?

What steps can change agents take to facilitate change?

What makes you an effective change agent in health care?

Why change agent is important in an organization?

What are the challenges of being a change agent?

How change agents can effectively manage and implement change in organization?

What are the key capabilities required by a change consultant change agent in contemporary Organisations?

What are the advantages of using an external change agent an internal change agent?

How can a nurse be an agent of change?

How to be a change agent?

Warning bells go off when we see 5 Change Agents who are assigned to the transformational change project 20% of their time. It is far better to have one really solid Change Agent, than it is to divide the role amongst multiple people. While in the ideal world it is a full-time, dedicated job, that’s not always possible. So select people with the right skills and personal characteristics and follow these tips as you create your change network: 1 Build Agents' belief in the outcome of the project 2 Identify and align rewards for Agents 3 Invest in Agents' skill development through quality Change Agent training 4 Plan for Agent succession. (Not if, but when)

What is transition management?

Transition management is a challenging task that requires highly-skilled people who guide the organization through the uncertainty of change. In other words, you need Change Agents to implement change.

What is the responsibility of an agent?

AGENTS: Agents have responsibility from planning through execution of the change. At least part of their performance evaluation is based on the success of this implementation. Agents must therefore know that they are accountable, and that they are being evaluated on implementation success.

What are the two techniques used in primary care?

Two techniques useful in the primary care setting are the Readiness to Change Ruler and the Agenda-Setting Chart. 26, 27 The Readiness to Change Ruler, which is incorporated in Figure 1, 4, 26, 27 is a simple, straight line drawn on a paper that represents a continuum from the left “not prepared to change” to the right “ready to change.” Patients are asked to mark on the line their current position in the change process. Physicians should then question patients about why they did not place the mark further to the left (which elicits motivational statements) and what it would take to move the line further to the right (which elicits perceived barriers). Physicians can ask patients for suggestions about ways to overcome an identified barrier and actions that might be taken before the next visit.

What is maintenance and relapse prevention?

Maintenance and relapse prevention involve incorporating the new behavior “over the long haul.” Discouragement over occasional “slips” may halt the change process and result in the patient giving up. However, most patients find themselves “recycling” through the stages of change several times before the change becomes truly established.

What is the precontemplation stage?

PRECONTEMPLATION STAGE. During the precontemplation stage, patients do not even consider changing. Smokers who are “in denial” may not see that the advice applies to them personally. Patients with high cholesterol levels may feel “immune” to the health problems that strike others.

What is the goal of precontemplation?

The task for physicians is to empathetically engage patients in contemplating change ( Table 2). 6 During this stage, patients appear argumentative, hopeless or in “denial,” and the natural tendency is for physicians to try to “convince” them, which usually engenders resistance.

What is the role of a family physician?

One role of family physicians is to assist patients in understanding their health and to help them make the changes necessary for health improvement. Exercise programs, stress management techniques and dietary restrictions represent some common interventions that require patient motivation.

What is empirically supported treatment?

What are empirically supported treatments (EST)? It is assumed by most who would hear this term, that these treatments are based on rigorous empirical support. However, in reality the term has been defined to restrict evidence of efficacy to studies that have applied a RCT methodology. Accordingly, it is assumed that only this methodology will allow one to construct causal chains by which treatment can be seen to produce change. This is an overstatement of the value of RCTs as applied to psychotherapy research and an understatement of the role of other scientific methods to determine causal chains. However, while RCTs have provided clinical psychology with the assurance that psychotherapy works and is better than nothing, a reliance on this one methodology introduces limitations in clinical decision making ( Beutler & Forrester, 2014 ). In reality, the use of RCTs in psychotherapy have had to be modified to eliminate many of advantages of randomization. For example, in pharmacological research, neither the patient nor the clinician is aware of the treatment being offered. This kind of control is necessary to preserve the value of the randomization process. But, in psychotherapy, it is impossible for the principle participants to be blind to the treatment used. Likewise, in pharmacological research, each element of the treatment can be randomized, but in psychotherapy where the treatment is embodied within the persons giving and receiving it, the task of randomization is out of the question. Can one randomly assign therapists to different belief systems? Is culture a random event? Are preferences capable of being randomized across samples of patients and therapists? Yet all of these factors are embedded in the participants within psychotherapy and constitute aspects of the “treatment”. Clearly, not all—and maybe not even many--aspects of treatment can be randomly assigned to therapists and patients.

When did psychotherapy start?

Psychotherapy research has an extensive history that extends to the early 1900's. And through most of this history, eclectic and integrative approaches have been part of the scene. Even the early common factors approach to psychotherapy has been touted as an integrated approach to psychotherapy.

What is the second step in the STS system?

The second step in the process of developing the STS system was to identify common and specific characteristics of treatment whose effects are moderated by patient qualities. This step included the initial efforts to identify and measure distinguishing and resulted in the development of profiles that distinguished among treatments and sub-types of Cognitive Therapy. In addition to treatment factors that emerged in the literature reviews (e.g., Beutler et al., 2000, Castonguay and Beutler, 2006 ), efforts to define characteristics of treatment that distinguish different models of treastment, we also sought to develop treatment profiles.

What is STS in therapy?

The STS is a prototype of Integrative Therapy that is based on the identification and application of multiple empirically derived principles of change that reflect the role of mediators as well as the moderating effects that comprise therapy fit. This model is founded upon the argument that no particular treatment model works well universally, across all patients, and most interventions work well on some patients ( Beutler & Harwood, 2002 ). Logically, therefor, if the therapy environment and procedures can be tailored to each patient, higher improvement rates should be observed. However, it is also acknowledged that by defining psychotherapy broadly to include external moderators and mediators in addition to interventions, the parameters of influence, cannot be established if one relies solely on a single research methodology. RCT, widely considered the “gold standard” for validating psychotherapeutic influences accounts for a relatively small percentage of the change occurring among treated patients and has failed to illucidate clear differences in efficacy when RCT based therapies are compared to treatments as usual or even with one another ( Norcross and Lambert, 2006, Wampold, 2001 ). These failures alone underline the conclusion that other factors besides interventions and diagnosis alone inform optimal psychotherapy outcomes. Thus, multiple methods designed to reveal unveil effects are required to adequately test psychotherapy. We have reviewed three studies with diverse methodologies, all of which converge on similar results and offer these convergences as examples of how such studies can reveal causal chains.

What is the methodology of STS?

The methodology of STS was developed by the application of Aptitude Treatment Interaction (ATI) research designs which center on identifying client variables that mediate (i.e., facilitate) and moderate (i.e., differentially facilitate) the effects of interventions ( Beutler and Clarkin, 1990, Beutler et al., 2000 ). The STS principles which are encompassed in identifying the obptimal “FIT” of treatment for a particular patient, is highly dependent upon having a reliable and valid measure of: a) the patient's standing on the critical dimensions that mediate or moderate treatment, b) the active ingredients of the treatment as it is applied, and 3) outcome. Achieving the measurement tools required, proceeded in four steps, each one of which was linked closely to the derivation of factors that constitute Optimal Fit and Meaningful Change.

What are interventions grouped according to?

These interventions are grouped according to those that can be directed at the source (s) of most infectious and other disease-causing agents and those that can be directed at persons susceptible to such agents.

What is the relative emphasis of investigative and control efforts?

Relative emphasis of investigative and control efforts (intervention options) in disease outbreaks as influenced by levels of certainty about etiology and source or mode of transmission. Investigation means extent of the investigation; control means the basis for rapid implementation of control or intervention measures at the time the problem is initially identified. Plus signs indicate the level of response indicated, ranging from + (low) to +++ (high).

What is the severity of a problem?

The severity of a specific problem is a principal determinant of the urgency and course of a field investigation and of any early intervention. The greater the severity, the sooner a public health intervention is expected. The primary determinants of severity are the consequences of the event and the probability of the event occurring.

What are the primary determinants of severity?

The primary determinants of severity are the consequences of the event and the probability of the event occurring. Consequences to consider include the most common symptoms and syndrome caused, duration of illness, complications including hospitalization and case-fatality rates, need for treatment, and economic impact.

Is scientific work incomplete?

All scientific work is incomplete —whether it be observational or experimental. All scientific work is liable to be upset or modified by advancing knowledge. That does not confer upon us a freedom to ignore the knowledge we already have, or to postpone the action that it appears to demand at a given time.

What is culturally appropriate intervention?

Culturally appropriate interventions are interventions that take into account clients' communication styles, values and beliefs, and life experiences such that functional counseling relationships are formed and appropriate goals are attained. These interventions can range from the skills and strategies of traditional counseling approaches ...

What is empowerment in counseling?

For empowerment to occur, counselors should use empowering interventions throughout the counseling process. According to McWhirter (1991), empowering interventions start with the attitudes, beliefs, and person of the counselor or therapist. To be empowering, counselors should believe in the client's ability to make positive changes.

What is therapy in psychology?

Therapy is a process of interpersonal interaction and social influence that relies on effective communication (Sue & Sue, 2008). Both counselor and client must communicate adequately, in both verbal and nonverbal realms, for effective therapy to take place.

How do change agents work?

These change agents work to change systems from outside the organization. They are not members of the company they are trying to change and use various pressure tactics such as mass demonstrations, civil disobedience, and violence to accomplish their objectives. Typically, they offer options that are more radical than the community might accept. This usually results in the possibility of examining many different change alternatives.

What is change agent?

A change agent is anyone who has the skill and power to stimulate, facilitate, and coordinate the change effort. Change agents may be either external or internal. The success of any change effort depends heavily on the quality and workability of the relationship between the change agent and the key decision makers within the organization. In this article, I discuss change agent types, change agent roles, and characteristics of successful change agentry.

How does proximity affect change?

The greater the proximity between the change agent and the organization members, the more likely the change agent will be successful. Increasing proximity makes it easier to develop collaborative linkages. Proximity also facilitates the development of empathy between change agent and organization members. Proximity has relevance to open door policy and the visibility of the change agent during working hours.

How to change a client's behavior?

Counselors know that lasting change builds over time. Many counselors use a strategy called “motivational interviewing” to help clients move through the different stages of change: 1 Pre-Contemplation 2 Contemplation 3 Preparation 4 Action 5 Maintenance

What is the action stage of change?

In the Action stage of change, you begin to make headway on your goals. Your counselor will help you identify potential roadblocks and prepare strategies overcoming them . You might even receive homework from your counselor, tailored to helping you take the next step toward your bigger picture goal. Throughout this process, you’ll reinforce your rationale for change. You may encounter obstacles. Keeping your reason for change in mind will help you keep your eyes on the prize, building resilience as you encounter set-backs.

What skills do counselors use?

Counselors use skills like empathizing, using open-ended questions, reflective listening, and summarizing to help you make your own decisions about change. We respect your decision-making process.

What happens during pre-contemplation?

During the pre-contemplation stage, you may have some blind spots. You might not have considered changing a certain aspect of your life. Perhaps you’ve been pressured to come to counseling by a nagging spouse, or perhaps you’re are genuinely clueless about how a certain thought-pattern is adversely affecting you.

What do counselors teach?

Counselors teach skills for the successful completion of therapy. Every therapist has a unique toolbox of skills, based on their therapeutic orientation (ex. Cognitive-behavioral, existential, narrative, art therapy, psychodynamic, EMDR, Acceptance and Commitment Therapy, Gestalt, etc.).

What does a counselor do?

Your counselor will help you identify potential roadblocks and prepare strategies overcoming them. You might even receive homework from your counselor, tailored to helping you take the next step toward your bigger picture goal. Throughout this process, you’ll reinforce your rationale for change.

What is maintenance stage in therapy?

In the Maintenance stage, clients have achieved their stated goals and are hoping to continue their work through ongoing lifestyle change. This is the part in therapy where you’ll consolidate gains. You might reflect on all of the steps it took to get you here. It didn’t happen on accident! You’ll take stock of the skills, mindsets, and changes to your environment that you’ve made that allowed success to take place.