What is BAP?
BAP (Brief Action Planning) is a pragmatic, evidence-informed, and versatile MI-consistent tool designed to support patient self-management and facilitate health behavior change.
BAP (Brief Action Planning) is a pragmatic, evidence-informed, and versatile MI-consistent tool designed to support patient self-management and facilitate health behavior change.
A pre-cursor of BAP, entitled “UB-PAP” (“Ultra-Brief Personal Action Planning”) was initially developed by Steven Cole, circa 2002, as a patient self-management support tool for the Health Disparities Collaboratives for chronic conditions (e.g. diabetes, heart disease, depression, and asthma) in Federally Qualified Health Centers (FQHCs). UB-PAP was published by the AMA, used in health centers, and studied in dissertation research. Together with Connie Davis, Damara Gutnick, and Kathy Reims circa 2010, UB-PAP was revised into the current formulation of Brief Action Planning (BAP). Since then, BAP has been widely used in the US and internationally (e.g.16 peer-reviewed publications and thousands of “hits” on google searches).
Brief Action Planning is organized around three core questions:
This video of Mr. Carlson demonstrates the five foundational competencies of Brief Action Planning (BAP). Other core competencies of BAP include use of behavioral menus when necessary, (see Mr. Peters below), problem-solving for low confidence in an action plan, (see Mr. Weiss below), and use of nonjudgmental, affirming follow-up questions and statements to encourage continued brief action planning (not demonstrated on video; see BAP Guide and BAP Flow Chart).
This video demonstrates the use of a behavioral menu, one of the eight core competencies, for individuals who can benefit from suggestions to help empower choice, presented in an autonomy-supportive style (MI Spirit).
This video demonstrates the use of problem-solving for low confidence, as one of the eight core skills of Brief Action Planning (BAP).
[1] Lorig K, Ritter P, Stewart A, et al. Chronic disease self-management program: 2-year health status and health care utilzation outcomes. Med Care. 2001;39(11):1217-1223.
[2] Bodenheimer T, MacGregor K, Sharifi C. Helping patients manage their chronic conditions: California HealthCare Foundation; June 2005.
[3] Bandura A, Cervone D. Self-evaluative and self-efficacy mechanisms governing the motivational effects of goal systems. Jrnl Personality and Social Psychology. 1983;45(5):1017-1028.
[4] Bodenheimer T, Handley MA. Goal-setting for behavior change in primary care: an exploration and status report. Patient Educ Couns. Aug 2009;76(2):174-180
[5] Glasgow RE, Goldstein MG, Ockene JK, Pronk NP. Translating what we have learned into practice. Principles and hypotheses for interventions addressing multiple behaviors in primary care. Am J Prev Med. Aug 2004;27(2 Suppl):88-101.
BAP ™ is a registered trademark of Steven Cole, MD. It may be used without permission for patient care and research.
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