NBSS: (behaviour) Health Behaviour Change

Question 1

Explain the acronym OARS.

Answer 1

• Open questions - allow you to elicit patient perspective fully and identify their capability and motivation.
• Affirm - recognise the positive attributes of the patient - helps to avoid defensive behaviours
• Reflect - use short statements to confirm you’re listening
• Summarise - allows you to check in with the patient that you have a correct understanding of their situation.

Question 2

What is the acronym SMART?

Answer 2

Specific

• Define precisely what/where/when/how the goal will be achieved.

Measurable

• Define parameters to allow recognition of when the goal is complete (e.g. able to prepare 4 new healthy meals).

Achievable

• Make sure goals are realistic for the patients level of confidence/skill.

Relevant

• Ensure the goal meets the patient’s needs otherwise motivation is low.

Timely

• Set a time limit for completion of the goal.

Question 3

what are the BCTs recommended by the NICE

Answer 3

• Goal setting and planning
• Feedback and monitoring
• Social Support
• “If-then” planning

Question 4

Definition of EBP Evidence-based practice includes which of the following:
A: Best available evidence
B: Individual clinical experience
C: Patient values
D: All of the above

Answer 4

D

Question 5

Which of the following best describes the acronym OARS used in Motivational Interviewing?
A: Open questions, affirming, reflecting summarizing, summarise decision
B: Open posture, affirm, reflective listening, summarise
C: Open posture, affirm decision, reflect plan, summarise
D: Open questions, affirm, reflective listening, summarise

Answer 5

D

Question 6

a patient is overweight and their health is at risk, using motivational interviewing techniques how might you respond to this?

A - inform them about the health consequences of the behaviour
B - challenge their attitudes about the behaviour
C - ask them what benefits losing weight might offer them
D - discuss the social impact of the behaviour

Answer 6

C