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Introduction Brief Clinical Interventions Beginning the Brief Clinical Intervention Stages of Change Stages of Change Information 4 A’s, 5 R’s SOC & Main Interventions Quick Reference Active Living BCI Tool using Stages of Change Healthy Eating, Healthy Weights BCI Tool using Stages of Change Low Risk Drinking BCI Tool using Stages of Change Tobacco-free Living Smoking Cessation Intervention (4 A’s Program) BCI Tool using Stages of Change Resource Options Links Health Promotion Calendar Health Connection Flyer Call to Action Health Professionals –Take the Challenge Endnotes

4 A's 5 R's & Main Interventions

4 A's
Ask	Advise	Assist	Arrange

5 R's
Relevance Find out why a change is personally relevant to the client.
Risks Get the client to tell you what the risks are of not changing.
Rewards Get the client to tell you what the rewards would be if they do change (better health, etc.)
Roadblocks Find out the client’s barriers to changing, and encourage client to consider how they might address these.
Repetition Every time the client visits, run through the intervention.

Stages of Change & Main Interventions

Precontemplation
(Not Thinking)

Raise awareness

Contemplation
(Thinking)

Emphasize benefits

Increase awareness

Preparation
(Planning)

Assist with strategies

Set a start date

Provide resources

Action
(Doing It)

Focus on gains

Work on plans to resist temptations

Maintenance
(Staying on Track)

Congratulate

Focus on rewards

Work on relapse prevention

Relapse
(Oops)

Encourage to learn from the experience and try again when ready

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Last Updated - Monday, August 20, 2007