Brief Interventions 1 Flashcards
What are harmful behaviours
Excessive smoking
Excessive drinking
Excessive eating or little physical activity
Case a big health burden individually and socially
What is the largest cause of preventable disease and premature death
Smoking
How does drinking relate to disease
Implicated in more than 60% of diseases
How does physical activity relate to mortality
Physical activity contributes to 1 in 6 deaths
What is BI
The term for giving advice to patients to help them change a variety of harmful behaviours
What is the purpose of Bi
Doctors don’t have enough time therefore we can give advice opportunistically to promote change with time efficiency
What is MECC
When the opportunity arises in a health consultation, we can bring up advice therefore making every contact count
How does BI work generally
We identify a risk factor, explain how best to change it and then signpost to the relevant resources to get help
What does VBA focus on
Focuses on how to stop a harmful behaviour through a mindful delivery of advice
How addictive is smoking
Inhaled tobacco smoke is as or more addictive than heroin or cocaine
What are problems with advice to stop
Negative message that nags the patient as they have already heard it before - it can bring up conflict and denial in the smoker and thus is a long frustrating process
Do smokers know they should stop?
70% of smokers want to stop - 83% wish they had never started
What are the 3 key elements to stopping smoking successfully
Wanting to stop smoking - but willpower is not enough.
Good quality support and evidence based treatments are also needed
What is better than advising to stop
Advice on HOW to stop smoking
What is VBA for smoking
A simple from of advice designed for busy clinicians to be used opportunistically in less than 30 seconds in almost any consultation with a smoker by telling them how to stop and directing them appropriately
What are the 3 parts of VBA, related to smoking
ASK - establish smoking status
ADVISE - The best way to stop is through a combination of support and treatment
ACT - offer support and treatment
What does VBA NOT do
It doesn’t challenge the addiction therefore doesn’t advise smokers to stop, ask how much they smoke, or ask if they would like to stop
What should you do if patient doesn’t want to quit
Don’t push them to stop, make it clear that the door is always open when they’re ready
What are the benefits of VBA
Brief Records status Non confrontational opportunistic Informative Engaging Evidence based
How many smokers relapse after quitting
70%
What is the effectiveness of VBA
Giving 51 VBAs generates 1 long term quitter - therefore less than 30 minutes generates 1 quitter
How long should we keep a record of smoking history even if someone has quit smoking
3 years after quit date
What is IBA for alcohol
Identification and Brief Advice
How many adults drink in Britain
57%
