Behavioural Change + Addiction

Question 1

Name the 6 A’s of motivational interviewing for changing behaviour

Answer 1

Ask: risks, understanding, history
Advise: to change due to risks
Assess: readiness for change scale 1-10
Agree: set SMART goals
Assist: 5 r's (relevance, risk, rewards, roadblocks, repetitions ), strategies, groups, numbers, pamphlets, internet
Arrange: follow up

Question 2

What are SMART goals?

Answer 2

Specific
Measurable
Achievable
Relevant
Time-bound

Question 3

Addiction mini Questionnaire?

Answer 3

Cage questions
Ever felt you need to cut down?
Annoyed by people criticizing you?
Guilty?
Eye-opener

Question 4

If you stop smoking at 50 years old, by how many years do you extend your life?

Answer 4

9 years

Question 5

Which drug can be prescribed for maintenance treatment of heroin and morphine addiction

Answer 5

Methadone

Question 6

Name the 5 stages of willingness to change

Answer 6

• Pre-contemplation (no motivation)
• contemplation (mixed feelings. Want to stop but no attempts)
• preparation (high motivation, previous attempt, planning to attempt)
• action (recently quit )
• maintenance

Question 7

How assist patient to change behaviour?

Answer 7

5 r’s

• relevance: why is it important to you
• risk: possible negative outcomes of behaviour
• rewards: possible benefits
• roadblocks
• Repetition

+ tell them about methods to stop