Chronic Conditions Self Management - A Pocket Guide for Occupational Therapists in Singapore

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The 5As The 5As construct was developed as a strategy for smoking cessation. It is now a structure used to help clients living with chronic conditions make difficult changes in their lives (Glasgow, Goldstein, Ockene & Pronk, 2004). 1. Assess: What is the client’s beliefs, behavior and knowledge? 2. Advise: Provide information that the client needs to know to consider making change. 3. Agree: Set collaborative goals with the client based on client’s interest and confidence in his/her ability to change the behaviour. 4. Assist: Help the client to identify barriers to change and problem solve. 5. Arrange: Work out a follow up plan with the client, e.g. phone reviews, home or clinic visits.

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