- Describe your goal in writing.
- Set your end date.
- Identify what you need to do daily in order to achieve your goal by the target end date. (You MUST be realistic about what YOU can do.)
- Log your daily progress.
- Change your daily actions as necessary to stay on track.
Health goal success can then be predicted by the patients’ adherence to their plans (tracking daily/weekly progress towards the health goal). Nothing inspires new successes like past ones. For example, watching weight drop, watching blood pressure improve, etc. inspires staying the course.
This feedback is essential. Imagine starting out on a road trip and not tracking your progress on a map.
- Stop smoking
- Choose good nutrition
- High blood cholesterol
- Lower high blood pressure
- Be physically active every day
- Aim for a healthy weight
- Manage diabetes
- Reduce stress
- Limit alcohol“
- Brisk walking.
- Gardening and yard work.
- Moderate to heavy housework.
- Pleasure dancing and home exercise.
- Hiking or jogging.
- Stair climbing.
- Bicycling, swimming or rowing.
- Aerobic dancing or cross-country skiing.
- Take a walk for 10 or 15 minutes during your lunch break
- Take stairs instead of escalators and elevators.
- Park farther from the store and walk through the parking lot.
Simply stated (very simply) people trained in MI work with subjects to identify their desired health goals, realistic timeframes to achieve the goals, realistic daily/weekly steps and how to track their progress.
The appeal of MI to Red Boat Care is its patient-centered focus. Instead of relying strictly on prescriptive medical advice, MI works with patients to figure out how their preferences can be leveraged in their own health plans. This may improve outcomes, especially in cases where the patient has some ambivalence about their goals or treatment.
- Describe your goal: Lose 20 lbs.
- Set your end date: 20 lb weight loss 6 months from now.
- Identify your daily (or weekly) steps:
- Start taking stairs.
- 15 minute walk at lunch.
- Park farther from destination.
- Track your daily/weekly progress:.
- Daily/weekly take your weight.
- Daily/weekly log your specific activities.
Medical Adherence is a key component of a successful health plan and therefore has been a key consideration in Red Boat Care’s product design. Medical Adherence has received particular recognition for the case of taking medications. There are a lot of factors that impact patients taking the correct medication at the correct time. They can forget to take it, not be able to afford the medication, not believe it is necessary, etc.
Paying homage to the importance of medical adherence we have included the following questionnaire in our product to flag potential medication adherence roadblocks:
- What is your confidence in your diagnosis?
- Do you understand your diagnosis?
- Is your medication working?
- Does your medication have any side effects?
- How expensive is your medication?
- Seeing day to day progress.
- Knowing the right medications were taken.
- Knowing the right activities were performed.
- Knowing what helps a care recipient take a medication or perform a necessary activity.
- Having all medical and contact information is available any place, any time.
- Having enough help to give someone necessary care.
or their primary caregiver
- Healthcare of a family member can be a long journey.
- The health of the caregiver and the person receiving care can be dependent on their obtaining help.
- Getting that help requires assembling an enabled team.
- What is needed? - The medications, activities and appointments.
- Who needs to do it? – Which caregiver is scheduled for this time of day.
- Why is it needed? – What is the reason for the medical activity?
- What happened? – Notes and task complete.
- Need to cover the daily care needs: From rides to appointments to administering medications.
- Need to cover the different care times: Different times of day.
Red Boat Care offers software for caregivers for the same reasons banks offer electronic banking.
- Recording information: Electronic entry instead of writing on paper.
- Sharing information: Electronic transport instead of physical (allowing secure access any place, at anytime, on any device).
- Finding information: Electronic search instead of physical (physical search is prohibitively slow).
- Securing information: Electronic and physical security instead of just physical.
- Improving health day by day.
- Taking the correct medications at the correct time.
- Performing the correct activities at the correct time.
- Sharing heathcare information; what works and what does not.
- Accessing essential health information any place, any time (especially when a care recipient has a medical event).
- Knowing when a medication was changed and why.
 An easier way to set and achieve health goals (https://www.health.harvard.edu/mens-health/an-easier-way-to-set-and-achieve-health-goals)
 Lifestyle Changes for Heart Attack Prevention http://www.heart.org/en/health-topics/heart-attack/life-after-a-heart-attack/lifestyle-changes-for-heart-attack-prevention
 KNOW THE FACTS ABOUT Heart Disease (CDC) https://www.cdc.gov/heartdisease/docs/ConsumerEd_HeartDisease.pdf
 Heart Disease Risk Factors (CDC) https://www.cdc.gov/heartdisease/risk_factors.htm
 Why Should I Be Physically Active? American Heart Association https://www.heart.org/-/media/data-import/downloadables/pe-abh-why-should-i-be-physically-active-ucm_300469.pdf
 Motivational Interviewing - Third Edition -Helping People Change - William R. Miller and Stephen Rollnick (2012)
 Shared Decision Making and Motivational Interviewing: Achieving Patient-Centered Care Across the Spectrum of Health Care Problems https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4018376/
 Heart Failure: Monitoring Your Weight & Fluid Intake https://my.clevelandclinic.org/health/diseases/17243-heart-failure-monitoring-your-weight--fluid-intake
 Heart Failure: Tracking Your Weight https://www.fairview.org/sitecore/content/Fairview/Home/Patient-Education/Articles/English/h/e/a/r/t/Heart_Failure_Tracking_Your_Weight_82087
 Adherence to Long-Term Therapies - Evidence for action (World Health Organization 2003) https://www.who.int/chp/knowledge/publications/adherence_full_report.pdf?ua=1
 “The word “adherence” is preferred by many health care providers, because “compliance” suggests that the patient is passively following the doctor’s orders and that the treatment plan is not based on a therapeutic alliance or contract established between the patient and the physician”, Osterberg NEJM 2005