introduction to behaviour change Flashcards
1
Q
what is the problem with behaviour change
A
- is a complex process and can be struggle
- ambivalence is a normal part of process
- limits to what can be achieved with advice alone
2
Q
why is good communication important
A
- to build rapport
- ## good rapport directly correlates with patient behaviour change
3
Q
what are the 3 consulting styles
A
- directing
- following
- guiding
- need to be able to use all 3 in a consultation
4
Q
what is directing
A
- delivery of expert advice
- traditionally dominant within healthcare
- best employed when there is good rapport between patient and dentist
- should be well-timed, personally relevant and delivered in such a way as to engage the patient
5
Q
what is following
A
- utilising listening skulls, and occurs in situations where sensitivity is not required such as when patient is upset
- goal of the clinician is not to solve patients problems immediately
- aims to provide support and encouragement in difficult situations such as breaking bad news
6
Q
what is guiding
A
- more complex then other two
- patient and clinician work together to help patient identify their goals
- useful for those unsure about change
7
Q
what are the 4 main communication skills for guiding style
A
- OARS
- o =open questions (gives deeper understanding for patient view)
- a= affirmation (demonstrate appreciation for efforts)
- r=reflective listening (take elements picked up from patient and reflect back)
- s= summary
8
Q
why is how you ask questions important
A
- provides valuable information
- gives opportunity for patient perspective
- never give advice without gathering all information first
- helps clinician understand patient
9
Q
how do we provide support
A
- demonstrates an appreciation for patients efforts and reinforces positive acts
- can build patients confidence that they can change
- people respond to positive encouragement rather than shaming
10
Q
how do you convert understanding
A
- reflective listening
- acknowledge that you hear what they said and understand
11
Q
how do you get information across
A
- assess what patient already knows and understands
- provide further information
- find out what the information means for the patient
12
Q
how do you bring it all together
A
- summary
- summarise what they have told you and reflect it back to them
13
Q
what are important features for behaviour change counselling
A
- not blaming them for their ill health
- patient-centred method
- directive- practitioners are encouraged to provide clear structure to consultation
- negotiation - patient encouraged to make positive changes in collaboration with practitioner
14
Q
what is the cycle of behaviour change
A
precontemplation contemplation preparation action maintenance relapse
15
Q
what are the 3 different categories for behaviour change
A
precontemplators
contemplators
preparation
