Behaviour change Flashcards
Give examples of non-adherent behaviour
Overuse
Missing doses
Changing dose amount and frequency
Stopping from taking it
The WHO report stated that what % of medicines prescribed for long term illnesses are not taken as directed?
30-50%
What is compliance?
The extent to which the patient’s behaviour matches the prescriber’s recommendations
What is adherence?
The extent to which the patient’s behaviour matches AGREED recommendations from the prescriber
What is concordance?
Extent of shared understanding between HCP and patient
What is persistence?
The act of continuing the treatment for prescribed duration.
“Duration of time from initiation to discontinuation of therapy”
What drives non adherence?
Timeline- how long will this last?
Cultural and personal beliefs about illness or medication
How much do i need this medicine?
What others think e.g. social norm
What is self-efficacy?
How does this relate to adherence?
Individual’s belief in their ability to execute a particular behaviour
Low self-efficacy - low adherence e.g. with insulin, knowing how and when to administer it themselves
What is the COM-B model of behaviour?
Explains the reasons why someone may engage in a particular behaviour, by dividing them into 3 components that interact with each other
CAPABILITY - Physical and mental
OPPORTUNITY- factors outside the persons control e.g. access, social support
MOTIVATION- persons thoughts, emotions and habits
BEHAVIOUR
What are examples of behaviour change techniques?
Goal setting e.g. SMART
Self monitoring
Weighing up pros and cons of a decision
What does SMART goals stand for?
Specific- is there enough detail?
Measurable- how will you know when you have achieved your goal?
Attainable - what are the obstacles?
Relevant- is this the best way to achieve your target?
Timely- what is your deadline?
What are the 4 phases of the MRCF?
- Introduction and setting the scene
- Data collection and problem identification
- Actions and solutions
- Closing the consultation
What is motivational interviewing?
Spirit/way of approaching the consultation
Focuses on why change before the how
Collaborative communication style for strengthening a person’s own motivation and commitment to change
Increase self-efficacy e.g. can use a scale of how they feel they are with certain tasks like taking their medication and important to produce a behaviour change
What does OARs stand for in consultation techniques?
Open questions
Affirm- build patient’ beliefs that a behaviour change is possible, recognising the patient’s strengths
Reflective listening. Reflect with statements rather than questions, and have “you” as the subject
Summary- try not to ask a long series of questions
