A lecture is an oral presentation intended to present information or teach people about a particular subject, for example by a university or college teacher. When I was younger I received frequent lectures from my mother on the particular subject of staying out too late. Though my mother was highly versed in the subject matter, and it was delivered with extreme intensity, it rarely resulted in knowledge that converted to behavior change in me. Relatedly, the number one PT intervention is “patient education.” How often do we engage in the seldomly effective lecture form of education versus the patient centered motivational interview form? There are so many facts supporting a healthy lifestyle of balanced eating, exercise, meditation, and human engagement yet facts do not change behavior and in fact when delivered in a lecture can have the opposite effect on our clients. Fortunately our profession is beginning to change and learn more about behavior change. The above RULE table is an easy reminder to share with your clinical team to stay focused on this approach. Personally, I still find that occasionally I revert back to my old school lecture teaching ways when with a client. However, I am now quicker to kick myself earlier to be still and listen. Patient care is a complicated dance and sometimes it is best to just shut up and allow the dance to happen.
Tim
––– Comments
Robert Wainner
Commented May 27, 2016
Tim, I love this, great info graphic and yes, acronym. Having been focused exclusively on coaching over the last few years, It's been interesting and fascinating to me to see the same coaching competencies being used with great effectiveness with patients (vs clients seeking to develop leadership skills, social/emotional intelligence and personal growth). This is particularly the case in area of chronic pain. Thanks for sharing here.