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Block 2 > Making Every Contact Count > Flashcards

Making Every Contact Count Flashcards

1
Q

What percentage of the UK’s disability adjusted life years lost are attributable to tobacco, hypertension, alcohol, being overweight or being physically inactive (i.e. behavioural patterns)?

A

40%

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2
Q

Define the Making Every Contact Count (MECC).

A

An approach to behaviour change that utilises the millions of day-to-day interactions that organisations + individuals have with other people to support them in making positive changes to their physical & mental health + wellbeing

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3
Q

What does Making Every Contact Counts (MECC) mainly enable healthcare professionals to do?

A

Opportunistic delivery of consistent + concise healthy lifestyle information enabling individuals to engage in conversations about their health at scale across organisations + populations

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4
Q

What is the responsibility of organisations in the Making Every Contact Counts (MECC) initiative?

A

Provide staff with leadership, environment, training + information to deliver MECC

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5
Q

What is the responsibility of staff in the Making Every Contact Counts (MECC) initiative?

A

Have the competence + confidence to deliver healthy lifestyle messages, encourage people to change behaviour + direct them to support services

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6
Q

What is the responsibility of patients in the Making Every Contact Counts (MECC) initiative?

A

Seek support + take action to improve own lifestyle

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7
Q

How does Making Every Contact Counts (MECC) encourage people to make healthier choices for their health?

A
  • Systematically promoting the benefits of healthy living
  • Asking individuals about their lifestyle + responding appropriate
  • Taking appropriate action i.e. give information, signpost or refer to support service
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8
Q

Why is Making Every Contact Counts (MECC) a brief intervention?

A

It could just be a short conversation that may just put someone of the first step to better health + wellbeing - a ‘chat for change’

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9
Q

What lifestyle issues does Making Every Contact Counts (MECC) cover?

A
  • Healthy eating/maintaining healthy weight
  • Taking regular physical activity
  • Smoking cessation
  • Drinking alcohol within recommended limits
  • Mental health + wellbeing
  • Sexual health
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10
Q

What is Making Every Contact Counts (MECC) not meant to be?

A
  • Another job in busy working day
  • Being a specialist
  • Being a counsellor or providing ongoing support
  • About telling somebody what to do + how to live their live
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11
Q

What is the main point of Making Every Contact Counts (MECC)?

A

Help other people to know how they can improve their own health + wellbeing

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12
Q

Why does the Making Every Contact Counts (MECC) intervention mean you save time?

A

You spend less time discussing a subject as you can refer to a service that has the time + skills to go into more depth

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13
Q

What are the benefits of Making Every Contact Counts (MECC)?

A
  • Most serious illnesses caused/perpetuated by unhealthy lifestyles
  • Adopting healthier lifestyles can have a huge +ve effect on people’s health
  • Can be the trigger to change
  • Ideal for most settings
  • Skills needed are generic
  • Quick + cost-effective
  • Evidence based
  • Effects persist for 2-4 years afterwards
  • Reduced acute admissions/A&E attendance
  • Improved + quicker outcomes from treatments e.g. wound healing
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14
Q

How much can positive health behaviours impact a person’s health?

A

Being a non-smoker, keeping within alcohol limits + having recommended vitamin C from fruit/veg -> 14 year difference in life expectancy compared with patients that done the opposite

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15
Q

What effect will being poor have on an individuals health?

A

People living in the poorest areas will, on average, die 7 years earlier than people living in richer areas + spend 17 more years living with ill health

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16
Q

The commitment to reduce health inequalities is a priority for the health system drawing upon the ___ __ to address the wider health determinants.

A

Marmot Review

17
Q

How can Making Every Contact Counts (MECC) aid health inequalities?

A

Preventing poor health + promoting healthy living is essential to reduce health inequalities + sustain the NHS for future generations

18
Q

Why does Making Every Contact Counts (MECC) fit in with the NHS’s roles?

A

NHS organisation has a responsibility to protect + improve overall health + wellbeing of staff + service users

19
Q

What is the main case for Making Every Contact Counts (MECC)?

A

Duty of care

20
Q

How long does a Making Every Contact Counts (MECC) intervention have to be to have an impact?

A

30 seconds

21
Q

Why is Making Every Contact Counts (MECC) beneficial for patients?

A
  • Most people want to be healthy + improve health
  • Patients welcome opportunity to talk to staff about lifestyle issues but don’t start conversations themselves/think staff are too busy to talk
  • Makes it easier for people to make those changes
22
Q

Why is Making Every Contact Counts (MECC) beneficial for staff?

A
  • Satisfaction of making a difference to patient’s life
  • Increased confidence in patient contacts
  • Improve own lifestyle
  • Enhance skillset
23
Q

What is the key to understanding patient’s behaviour?

A

The behaviour change wheel

COM-B model

24
Q

What are the 3 circles of the behaviour change wheel?

A

Innermost: sources of behaviour
Middle: intervention functions
Outer: policy

25
Q

What does the COM-B model say influences behaviour?

A

Capability
Opportunity
Motivation (key one)

26
Q

How can you put behaviour change into practice?

A
  1. Define behavioural problem
  2. What target behaviour will address the problem?
  3. Clear plan of what, when + how patient will do the target behaviour (consider others involved)
  4. Assess using COM-B if they have the 3 factors needed to change behaviour
  5. Reflect, evaluate, monitor + adapt if necessary
27
Q

What questions could you ask to start the Making Every Contact Counts (MECC)conversation?

A
  • How do you feel about your health + wellbeing today?
  • What could you change to make your lifestyle healthier?
  • On a scale of 1-10 how important is it for you to make your lifestyle healthier?
28
Q

What can you do if a patient does not want to change a health behaviour?

A

DO NOT force them, leave the door open + perhaps send them away with some information in case they change their mind

29
Q

What can you do if a patient is ready to change a health behaviour?

A

Offer them a package of support

30
Q

How do you continue the Making Every Contact Counts (MECC) conversation?

A
  • Listen to what client tells you
  • Reflect back: “so what you are saying is…” or “can I just check…”
  • Take action: provide info, signpost or make a referral
31
Q

How can you provide very brief Making Every Contact Counts (MECC) advice?

A

A - Ask
A - Advise
A - Act/refer

32
Q

How can you provide brief Making Every Contact Counts (MECC) advice?

A 
A - Assess
A - Advise
A - Agree
A - Assist
A - Arrange/refer
33
Q

What should you remember when you are delivering Making Every Contact Counts (MECC) intervention?

A 
L - Look interested
I  - Involve yourself by responding
S - Stay focused on info giving
T - Test your understanding
E - Evaluate what is not being said
N - Neutralise your feelings
34
Q

Who can Making Every Contact Counts (MECC) interventions be carried out on?

A 
Patients/clients
Colleagues
Carers/family
Family
Friends

ANYONE

35
Q

When can you raise a lifestyle issue?

A
  • As part of existing assessment/info gathering
  • Any day-to-day contact with patient/client
  • When you hear someone mention a lifestyle problem
  • When you can see that support with a lifestyle issue may be of help
36
Q

How can you monitor the impact of Making Every Contact Counts (MECC)?

A
  • Record intervention where possible
  • Ask again if you see patient again
  • Refer to evidence base
37
Q

If you do a Making Every Contact Counts (MECC) intervention, patients may:

A
  • Appreciate that you encouraged them to make changes they had been considering for some time
  • Be grateful you have taken the time to talk to them
  • Make connections between lifestyle + what they want from life
  • Live longer + healthier lives because of what you did

Block 2 (45 decks)

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