Par 2 - Motivation Flashcards
What is better: adherence or compliance?
Adherence!
- ACTIVE; positive elements
- patient adherence: development of behavior that promotes optimal health
What type of motivation usu results in long term change?
Intrinsic motivation: long term change (Adherence)
- Extrinsic motivation: reinforcement (reward) or punishment; short term change
What is the basis of motivational interviewing?
uncovering patient’s intrinsic motivations
Between ___% of home health recommendations by the dentist is not followed (depending upon the study)
30-70% (non-adherent patients)
___% of practitioners reports non-adherence as a problem.
75
What is The Model of Health Behavior?
a model of processes which affect the development of health-related behaviors
beliefs/knowledge > attitudes > intentions > health behavior
What are 2 causes of psychomotor incompetence?
- inability due to physical limitation
2. pt has not learned proper skills
What is the opposite of paternalism?
consumerism–where pt has power & control; provider must “sell” tx
What type of client-provider relationship style do you want?
mutuality
What are the levels of Bloom’s Taxonomy of Educational Objectives?
- knowledge
- comprehension
- application
- analysis
- synthesis
- evaluation
What does Rosenstock’s Health Belief Model state?
Before a pt will take action, perceive threat must be HIGH. Only then will a person analyze.
What is also known as Transtheoretical Model (TTM) of behavioral change?
The “Stages of Change” ModelQ
What is your counseling approach in Precontemplation stage?
Provide Knowledge; emphasize positive.
- Precontemplation: Patients not aware of + consequences, no intention to change
What is your counseling approach in Contemplation stage?
Cost-benefit analysis, especially compared to present behavior
- Patients aware of + consequences, may have intentions to change
What is your counseling approach in Preparation/Readiness stage?
Rehearsals & demonstrations
- Patients take concrete steps to change.
What is your counseling approach in Action stage?
Reinforcement techniques, encouragement, counseling if relapse.
- Patients engage in behavior change but for a short period of time.
What is your counseling approach in Habit/Maintenance stage?
Provide encouragement,
counseling if relapse.
What often leads to inertia?
Pain of loss (–> Loss aversion) is sometimes greater than the joy of gaining something.
What are the 4 steps in self-mgmt programs?
- specify goal
- monitor behavior
- implementation of self-mgmt strategies
- follow-up: assessment & re-evaluate
What is the Premack Principle?
Linking a well-establish activity w/ target behavior
What is the alternate response training?
Engaging in response that interferes w/ or replaceds the havior to be reduced/eliminated
What is a bigger problem: stopping too soon or stopping too late?
Stopping too soon.
