Par 2 - Motivation

Question 1

What is better: adherence or compliance?

Answer 1

Adherence!

• ACTIVE; positive elements
• patient adherence: development of behavior that promotes optimal health

Question 2

What type of motivation usu results in long term change?

Answer 2

Intrinsic motivation: long term change (Adherence)

- Extrinsic motivation: reinforcement (reward) or punishment; short term change

Question 3

What is the basis of motivational interviewing?

Answer 3

uncovering patient’s intrinsic motivations

Question 4

Between ___% of home health recommendations by the dentist is not followed (depending upon the study)

Answer 4

30-70% (non-adherent patients)

Question 5

___% of practitioners reports non-adherence as a problem.

Answer 5

75

Question 6

What is The Model of Health Behavior?

Answer 6

a model of processes which affect the development of health-related behaviors

beliefs/knowledge > attitudes > intentions > health behavior

Question 7

What are 2 causes of psychomotor incompetence?

Answer 7

1. inability due to physical limitation

2. pt has not learned proper skills

Question 8

What is the opposite of paternalism?

Answer 8

consumerism–where pt has power & control; provider must “sell” tx

Question 9

What type of client-provider relationship style do you want?

Answer 9

mutuality

Question 10

What are the levels of Bloom’s Taxonomy of Educational Objectives?

Answer 10

1. knowledge
2. comprehension
3. application
4. analysis
5. synthesis
6. evaluation

Question 11

What does Rosenstock’s Health Belief Model state?

Answer 11

Before a pt will take action, perceive threat must be HIGH. Only then will a person analyze.

Question 12

What is also known as Transtheoretical Model (TTM) of behavioral change?

Answer 12

The “Stages of Change” ModelQ

Question 13

What is your counseling approach in Precontemplation stage?

Answer 13

Provide Knowledge; emphasize positive.

• Precontemplation: Patients not aware of + consequences, no intention to change

Question 14

What is your counseling approach in Contemplation stage?

Answer 14

Cost-benefit analysis, especially compared to present behavior

• Patients aware of + consequences, may have intentions to change

Question 15

What is your counseling approach in Preparation/Readiness stage?

Answer 15

Rehearsals & demonstrations

• Patients take concrete steps to change.

Question 16

What is your counseling approach in Action stage?

Answer 16

Reinforcement techniques, encouragement, counseling if relapse.

• Patients engage in behavior change but for a short period of time.

Question 17

What is your counseling approach in Habit/Maintenance stage?

Answer 17

Provide encouragement,

counseling if relapse.

Question 18

What often leads to inertia?

Answer 18

Pain of loss (–> Loss aversion) is sometimes greater than the joy of gaining something.

Question 19

What are the 4 steps in self-mgmt programs?

Answer 19

1. specify goal
2. monitor behavior
3. implementation of self-mgmt strategies
4. follow-up: assessment & re-evaluate

Question 20

What is the Premack Principle?

Answer 20

Linking a well-establish activity w/ target behavior

Question 21

What is the alternate response training?

Answer 21

Engaging in response that interferes w/ or replaceds the havior to be reduced/eliminated

Question 22

What is a bigger problem: stopping too soon or stopping too late?

Answer 22

Stopping too soon.