Behaviour change model

Question 1

List the stages in the behaviour change model

Answer 1

• Precontemplation
  (not ready)
• Contemplation
  (getting ready)
• Preparation
  (ready)
• Maintenance
  (Sticking to it)
• Relapse
  (Learning)

Question 2

List the role of the practitioner in the:

precontemplation stage

Answer 2

Here, the patient has not thought about making changes.

The practitioners role is to raise awareness for the need for change, and helps the patient voice any concerns

Question 3

List the role of the practitioner in the:

contemplation stage

Answer 3

Here, the patient is thinking about making changes. The practitioner should:

• weigh up pros and cons of change
• suggest alternatives to the cons
• help the patient believe in their ability to change

Question 4

List the role of the practitioner in the:

preparation stage

Answer 4

Here, the patient is ready to make change. The practitioner should identify ways/ set goals for the patient to be able to implement changes

Question 5

List the role of the practitioner in the:

maintenance stage

Answer 5

The practitioner and patient should identify ways to keep the changes in place and prevent relapse

Question 6

List the role of the practitioner in the:

relapse stage

Answer 6

The practitioner should help the patient deal with the consequences of relapse and identify what they want to do next

Question 7

Recognise the importance of motivational interviewing

Answer 7

• MI is about collaborating with the patient. The practitioner acknowledges the patient’s expertise about themselves
• It enables the practitioner to help the patient activate their own motivation by informing them reasons for change in a personalised approach
• It recognises that although the patient informs and advises their patient, they acknowledge that the patient has the right and freedom to not change

Question 8

List the various homecare therapeutic agents

Answer 8

Toothpaste

Mouthwash

Tooth mouse

Anti-bacterials

Therapeutic chewing gums

Diet measures

Question 9

Describe toothpastes in caries prevention and periodontal disease

Answer 9

• Stannous fluoride is antibacterial
• Pyrophosphates reduce supra- gingival calculus
• Triclosan is antibacterial reduces gingivitis MS and LB
• NeutroFluor5000 Plus arrests enamel, dentine and root lesions

Question 10

Describe mouthwashes in caries prevention

Answer 10

• Savacol is antibacterial, contains CHx. Do not use within 2 hours if sodium lauryl sulphate is in the toothpaste (this can inactive the CHx and the fluoride uptake for teeth from the toothpaste)

Question 11

Describe toothmouse in caries prevention

Answer 11

Increases calcium and phosphate for enamel uptake