Communication Skills Flashcards
What kind of behaviours would you want to address in a dental setting to prevent disease and maintain good oral health?
OH
Diet
Regular dental attendance
Trauma prevention
Alcohol intake
Tobacco use
Consumption of fizzy drinks
Sugar intake: adults in g per day
No more than 30g of free sugars a day (7 cubes)
Sugar intake: 7-10yrs in g per day
24g (6 sugar cubes)
Sugar intake: 4-6yrs in g per day
19g (5 sugar cubes)
Main points for effective communication of health messages
Provide the correct amount and type of information, aid accurate recall and understanding, incorporate the patients views.
COM-B model
This model identifies three factors that need to be present for any behaviour to occur: capability, opportunity and motivation.
COM-B model: capability
Capability: appropriate skills, knowledge etc
Opportunity: location, tools, support
Motivation: does it fit with health goals, beliefs and values
What is the most preventable cause of ill-health and premature death in Scotland?
Smoking
Alcohol-related mortality rates for those living in the most deprived areas are _____ times the rate for those in the least deprived areas.
six times the rate for those in the least deprived areas.
The rate of alcohol-related hospital admissions for those living in the most deprived areas are almost _____ times the rate for those in the least deprived areas.
nine times
SMART goals
S - specific
M - measurable
A - attainable
R - relevant
T - time bound
Rollnick et al 2008 - “RULE” four principles for motivational interviewing
R - resist the urge to change the individual’s course of action through didactic (instructive) means
U - understand it’s the individual’s reasons for change, not those of the practitioner, that will elicit a change in behaviour
L - listening is important; the solutions lie within the individual, not the practitioner
E - empower the individual to understand that they have the ability to change their behaviour.
Motivational interviewing: OARS
Open-ended questions
Affirmations
Reflections
Summaries
What is the most effective way of altering health behaviours according to Yevlahova and Satur (2009)?
Motivational interviewing intervention were found to be the most effective way of altering health behaviours.
What has proven to be the most effective way to reduce smoking?
VBA (very brief advice) advising people on the support available to them is more effective in helping people to stop smoking than just advising them to stop. The evidence is that a combination of behavioural support and medication provides the best possible chances of stopping smoking and staying stopped.