SDL PT 1 - Talking About Health Behaviour Change - (Smoking, Brushing, Overview) Flashcards

1
Q

SDL LOs

A
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2
Q

Lecture LOs

A
  • want to have an evidence-based structure to guide how to talk to patients about health behaviour change
  • this lecture gives an overview of an approach on how to talk about health behaviour changes
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3
Q

1
What is health behaviour change

2
What does it include?

A

1
- any behaviour change that affects health

2
In dentistry, most relevant behaviours are things like:
- tooth brushing
- interdental cleaning
- diet
- tobacco use
- alcohol intake
- regular dental attendance

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4
Q

What are the 3 steps of talking to a patient about behaviour change?

A

1 - Ask

2 - Advice

3 - Act

  • evidence based approach HENCE more effective than just telling the patient to change
  • patient centred approach HENCE ensures patients perspective is taken into account and work together with them
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5
Q

STEP 1 - ASKING ABOUT THE BEHAVIOUR

DOs?
DON’Ts

A
  • Deciding to talk about health behaviour change should be their choice

DO
- ask patient their permission to discuss
- if more than 1 health behaviour to talk about, ask the patient which one they’d like to talk about (providing choice, gloves the patient control)
= patient is most likely to want to talk about behaviour
they are mostly likely to change
- Use a mix of open and close ended questions
- engage in reflective listening
- provide affirmations (demonstrate appreciation for patients efforts)

DON’T
- just tell the patient that their will be a discussion
- go straight into telling patient advice

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6
Q

STEP 1 - ASKING ABOUT THE BEHAVIOUR

Why is it useful to ask the patient open and close ended questions?

A

CLOSE ENDED
- help you get specific info you need from the patient

OPEN ENDED
- explores how patient feels about a behaviour
- helps you understand their perspective
- helps you understand why the are behaving like that

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7
Q

STEP 1 - ASKING ABOUT THE BEHAVIOUR

1
What is reflective listening?

2
Why is useful?

3
Where do people go wrong with reflective listening?

A

1
involves making a summary statement/ paraphrasing in reply to what the patient has said

2
- can help the patient feel understood
- encourage the patient to elaborate + clarify what they meant
- ensures you have understood what they have said
- gives you time to process
- helps you maintain rapport with patient

3
- don’t paraphrase enough - give all the info back to patient
- can’t paraphrase or reflect back as weren’t listening to patient fully

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8
Q

STEP 1 - ASKING ABOUT THE BEHAVIOUR

Why is useful to provide affirmations?

A
  • can help patient to believe they have ability to change and have change so they continue these behaviours
  • importance as confidence + perceived confidence is a key factor in successful behaviour change

Extra
(- reinforce positive acts
- appreciate patients efforts)

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9
Q

STEP 1 - ASKING ABOUT THE BEHAVIOUR

What are the steps for asking about behaviour change?

A

1 - invite, rather than force a patient to discuss health behaviour change

= ask patient their permission to discuss

2 - encourage the patient to select the issue they feel most happy to talk about

= if more than 1 health behaviour to talk about, ask the patient which one they’d like to talk about (providing choice, gloves the patient control)
= patient is most likely to want to talk about behaviour
they are mostly likely to change

3 - Find out about health-related behaviour

  • Use a mix of open and close ended questions

4 - engage in reflective listening

= paraphrase back what the patient has said

5 - provide affirmations

= demonstrate appreciation for patients efforts

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10
Q

STEP 1 - ASKING ABOUT THE BEHAVIOUR

EGs of Q’s you may ask during each step of asking about behaviour change

A
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11
Q

STEP 2 - ADVISE ABOUT CHANGING BEHAVIOUR

There are different ways of providing this advice
What can this advice include?

EG’s of what you may say

A

Advice about:

  • how to change behaviour
  • the benefits of changing . How a behaviour change may help
    ↳ (DON’T ASSUME that change in oral health will be a
    motivating factor for change)
  • risks associated with behaviour

TIP
- Giving advice is a key step BUT the advice alone is unlikely to lead to behaviour change

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12
Q

STEP 2 - ADVISE ABOUT CHANGING BEHAVIOUR

When giving advice it’s important to use core communication skills to ensure effective communication

How would you give advice/ what are the steps (MAKE BETTER Q???) And EGs of what you may ask or say?

A
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13
Q

STEP 2 - ADVISE ABOUT CHANGING BEHAVIOUR

Why are these steps (from previous FC) useful for good communication?

A
    • by assessing what a patient already knows
  • contributing to their existing understanding
  • and then establish what the patient sees as the personal implications from that information
  • this means you’re exchanging info rather than just giving info
  • exchanging info increases the likelihood of the patient taking the info on board
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14
Q

STEP 2 - ACT - check interest in changing + ACT on patient’s response

1
What should you do 1st during this stage?

2
Ask patient if they’re interested you can…

A

EXTRA

  • giving advice = a key step BUT giving advice alone is unlikely to lead to behaviour change
  • need to offer help + support to change
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15
Q

STEP 2 - ACT - check interest in changing + ACT on patient’s response

For patients interested in changing what do you do?

A
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16
Q

STEP 2 - ACT - check interest in changing + ACT on patient’s response

For patients NOT interested in changing what do you do?

A