brief interventions tutorial

Question 1

what do the 5 A’s Stand for?

Answer 1

• ASK
  -ADVISE
• ASSESS
  -ASSIST
  -ARRANGE

Question 1

describe ASK I the 5 A’s

Answer 1

-identify all patients at every visit - record all information for the behavioural risk factors in question

Question 2

describe ADVISE in the 5A’s

Answer 2

provide basic advice on the negative health effects in a non-judgemental manner
-clear and personalise advice

Question 3

describe ASSESS in the 5A’s

Answer 3

• determine the willingness and confidence to make a quit attempt
  -use MI communication skills, and the TTM model to identify the stage of change

Question 4

describe ASSIST in 5A’s

Answer 4

help the patient to develop strategies for changing their behaviour - goal setting, behavioural support etc

Question 5

describe ARRANGE in the 5a’s

Answer 5

arrange a follow up appointment within 1 month, to provide further support, refer to a specialist service for more support .. document the intervention

Question 6

what does OARS stand for?

Answer 6

-Open ended questions
-Affirmation
-Reflective listening
-Summarising

Question 7

what are tips for open ended questions?

Answer 7

• open ended - cannot be answered in 1 word
  -encourages the patient to talk and express themselves
• helps to establish trust and acceptance

Question 8

what is the 80:20 rule ?

Answer 8

the patient should do 80% of the talking, and the healthcare professional the other 20%

Question 9

describe the 0-10 scaling exercise

Answer 9

• solution focussed approaches to help the patient think about and articulate their reasons for changing their behaviour
  -eg on a scale from 0-10, how important is it for you to (insert behaviour)