FRAMES

FRAMES brief intervention

• Feedback
• Responsibility
• Advice
• Menu for change
• Empathy
• Self-efficacy

Here is an example using alcohol overuse:

• Feedback
  • Provide feedback about the patient’s alcohol use and related problems and the risks associated with them, as well as general information about alcohol-related harm.
  • Feedback can include a comparison between the patient’s alcohol use and population norms.
• Responsibility
  • Acknowledge the patient is responsible for their own behaviour and that they can make choices about their alcohol use.
• Advice
  • Provide clear advice about the current and future potential harms associated with continued alcohol use.
• Menu for change
  • Provide the patient with a range of alternative strategies to choose from to help them cut down or cease alcohol use.
  • Examples include:
    • Alcohol use monitoring,
    • engaging in alternative activities instead of alcohol use,
    • identifying high-risk situations and strategies to avoid them,
    • providing other self-help resources.
• Empathy
  • Deliver the brief interventions using a warm, empathic and understanding approach.
• Self-efficacy
  • Build the patient’s confidence in their ability to make a positive change in their alcohol use.