Lecture 3 Flashcards
4x4 criteria for activity concern in MA
- individual recieved 1 or more schedule II opiod drugs
AND - from 4 or more different prescribers
AND - had them filled at 4 or more pharmacies
- DURING the specified period (ON THE RX)
describe the MA prescription monitoring program
Mass Prescription Awareness Tool
- collects info on schedule II-V drugs
- brings up patient history
- drugs that have potenital for abuse like narcotics, stimulants, and sedatives
analyzes the trends
each prescriber is given a number
define health behavior change
it is an INTRINSICALLY MOTIVATED CHANGE that happens OUTSIDE of the dental office in the EVERYDAY SETTINGS of patients lives
aspects of health behavior change to keep in mind? what do you use?
Clinical environment is important in how influential information is received
rationale to change FROM THE PT
- use open ended questions
ability to convey empathy is critical in influencing behavior change
have flexible approaches
be congnizant they may feel badly about their current health situation
dont expect the ‘quick change’
health behavior change must be devoid of?
devoid of gender, ethnic, cultural and age bias and be designed to be effective for persons of widely varied levels of formal education
major important summary of behavior modification
SLOW AND DELIBERATE PROCESS DEIGNED TO ALTER THE BEHAVIOR OF THE PATIENT
THERE ARE MANY TECHNIQUES WHICH ATTEMPT TO TEACH A PATIENT WHAT BEHAVIOR IS EXPECTED TO IMPROVE UPON THEIR CURRENT CONDITION AND/OR BEHAVIOR
our common default model?
Cognitive model
cognitive model defined as?
assumes?
defined as one’s ability to ‘know’ and ‘understand’
assumes knowledge—attitude—behavior change
if cognitive model was true then?
every patient encounter should result in favorable behavior change which would improve oral health status over time
List the behavior Modification Theories
**cognitive model is our common default
- Social Cognitive Theory
- Theory of reasoned action
- health belief model
- stages of change theory - multiple stages
- contemporary community health model
- the bio-psychosocial model of illness
Social Cognitive Theory
an individuals behaviors are motivated by two factors
- personal beliefs (cognitive factors)
- Social environment (one’s community, friends, and family)
deals with the concept of self-efficacy and
self-efficacy definition and what it is a product of
one’s perception of him/herself as being effective
product of PERSONAL BELIEFS which are formed within that person’s SOCIAL ENVIRONMENT
self-efficacy beliefs reflect an internal awareness that one is able to perform a specific attack
describe personal beliefs within the cognitive social model
personal beliefs/ cognitive factors
- SELF-EFFICACY - individual performs a particular behavior effectively and with good results
social environment with the cognitive social behavior
learning how to perform a specific behavior by watching others and receiving positive support or reinforcement
- typical pediatric patient model
social cognitive model often used in? individual is a product of?
used to demonstrate the effectiveness of oral health education
individual is a product of the environment and active in influencing the environment through the choices they make
describe theory of reasoned action
focuses only on BELIEFS ABOUT AN INTENDED BEHAVIOR
- in turn the individuals intentions are determined by their ATTITUDES AND BELIEFS about the behavior
- so this theory professes that the best predictor of behavior is an individuals intention/ motivation
ATTITUDES ABOUT THE RESULT OF BEHAVIOR INFLUENCE THE INTENTION TO ACTUALLY PERFORMING IT
Examples towards increasing individuals intentions to care for their oral health
- changing community/ societal norms
- school screening programs - motivating and supporting friends/ family
- parent/ child relationship, infleunce of friends - educating and reassuring
- patient/ hygenist relationship
describe the health belief model
this model places stronger emphasis on the DISEASE rather than the behavior as it assumes the individual has working knowledge of the biological manifestations of the disease
in the health belief model it considers that an individuals decision to change behavior is determined by
- perception of threat/ disease to personal health
- perceived effectivness of tx to reduce that threat or consequences (cost and benefits or efficacy)
- cues to action
- external or internal stimuli that serve as prompts to engage or disengage in the behavior
in the health belief model perception of threat to personal health is?
the individuals perception about SEVERITY of disease and the individual SUSCEPTIBILITY to the disease
IF AN INDIVIDUAL DOES NOT BELIEVE THEY WILL GET A DISEASE/ PROBLEM THEY ARE LESS LIKELY TO STOP THAT BEHAVIOR/ IMPROVE
in the health belief model perceived cost and benefits is? this model highlights?
highlights the importance of an individuals subjective reality
- based on personal assessment of the costs/ benefits and barriers to performing the suggested behavior
- if they perceive a lot of diffiuclty to task - may be less likely to change
health belief model is often used when?
to PREDICT the liklihood of a behavior or behavior change and to assess the need for behavioral interventions to assist in the change process
conveying to patients aspects like oral function is better and easier with natural teeth or most people are vulnerable to the development of oral disease are examples from which model
health belief model
stages of change model aka
transtheoretical model of behvioral change (TTM)
- pre-contemplation
- contemplation
- action
- maintenance
- relapse
