MECC is an INVITATION to the person to find out about back pain prevention
MECC is PERSON-CENTRED: Value their experience. Be sensitive and responsive to their needs. They are the expert on themselves. Only they know what really interests, motivates or is important to them.
Top tips for back pain
Try not to rest in bed. Bed rest is bad for backs, being active even though it may be uncomfortable is better
2. HURT doesn’t usually equal HARM
Pain doesn’t usually equal harm. Most people will recover from back pain fairly quickly although the length of time it takes can vary from person to person and sometimes back pain can be recurrent
Either way, Keeping active is the best option. When you are physically active, experiencing initial soreness is common. It is important to keep active even so, and to remain active once the back pain has gone to prevent a re-occurrence
Motion is lotion.
Movement is medicine.
3. Take a simple painkiller
Behaviour change tips
Changing the incidence of any behaviour of an individual or population involves changing one or more of the following: capability, opportunity and motivation, relating to the behaviour itself or to behaviours that compete or support it (Michie et al. The Behaviour Change Wheel . 2014).
This is the COM-B Model of behaviour change:
Capability: The physical strength, knowledge, skills etc needed to perform the behaviour; the ability to overcome barriers to performance. Are there prompts or reminders to change? What would help the person feel more capable of making some small steps to change? What are their barriers to change and what will help them to overcome those barriers?
e.g. would you like some information about how doing some simple things every day to keep active can help reduce your risk of back problems?
Opportunity: There must be the opportunity for the behaviour to occur eg it is accessible? affordable? sufficient time to do it? are there prompts to do it?
e.g. Did you know there is lots of free information on the Change4Life website?
Motivation: The person must be more highly motivated to do the behaviour at the relevant time than not to do the behaviour, or to engage in some competing behaviour. Do they see the importance of back health? Can they imagine some of the benefits of making some changes?
e.g. If you keep active then you will be able to manage your back pain more effectively. If you had less back pain what sort of benefits would that bring you?
Think about COM-B in every conversation. What can you say to help the person feel more capable of change, feel more motivated to change, and to have the opportunity to change?