Pt education and collaboration 2 Flashcards
What are the 5 A’s of behavioral theories?
- Address the issue
- Assess the clients
- Advise the clients
- Assist the clients
- Arrange for f/u
5 A’s: address the issue
- name problem
- present intervention
5 A’s: assess the clients
Determine where they are in the stages of change
5 A’s: advise the clients
- tell about their problem
- why they need to change
5 A’s: assist the clients
Negotiate an agreeable POC
5 A’s: arrange for f/u
- review progress
- address barriers
- renegotiate protocol
What are the theories of behavior?
- health belief mode
- transtheoretical model
- health LOC model
- self-efficacy model
Behavior theories: health belief model is based on
Subjective findings
Behavior theories: health belief model
Pt must
- be ready to change
- believe in benefit of making change
- align with clinician practice and medical views
Behavior theories: transtheoretical model focuses on
Motivation
Behavior theories: transtheoretical model
6 stages
- Precontemplation (no thought of change)
- Contemplation (considering)
- Preparation
- Action (implementing)
- Maintenance
- Termination (integrating change)
Why is collaboration important?
- empowering
- changes LOC
- utilizes skills
- improve satisfaction
Common barriers to collaboration
PT’s think that
- clients aren’t interested
- can’t do it
- won’t adhere
Common barriers to collaboration
Patients think that
- lack of time
- uncertain if goals will help
- inadequate knowledge
How do we improve collaboration?
- set specific goals
- OPN model
Improving collaboration: setting goals should NOT be confused with
Means to get there
What is the OPN model of collaboration? (Components)
Involved with pt setting goals
- free choice
- multiple choice
- confirmed choice
- force choice
- no choice
OPN model: free choice
- open-ended questions
- 100% involvement
OPN model: multiple choice
- offer suggestions to choose from
- 75%
OPN model: confirmed choice
- pt agrees with your recommendation
- 50%
OPN model: force choice
- ask for pt’s agreement with recommendation
- 25%
OPN model: no choice
- prescribes without question
- 0%