Block 2: Week 4- Making Every Contact Count

Question 1

LO: Understand the importance of the Making Every Contact Count initiative

MECC:

What is MECC?

Answer 1

Brief intervention = chat for change, encourage people to make healthier choices

Systematically promote benefits of healthy living

Asking individuals about lifestyle

Responding appropriately

Action- information, signpost, referal

Question 2

LO: Understand the importance of the Making Every Contact Count initiative

MECC:

What is the philosophy + case for it?

Answer 2

Support individuals to make positive changes to physical + MH + wellbeing . Opportunistic delivery of cosistent + concise healthy lifestyle information

2) Duty of care

NHS has a responsibilty to protect + improve health and wellbeing of staff/ service users

Cost benefit

Question 3

LO: List the elements of lifestyle and behavioural choices important in the manifestation of common and important diseases

Lifestyle Issues covered by MECC?

Answer 3

1. Healthy eating
2. Regular physical activity
3. Stopping smoking
4. Drinking alcohol within recommended limits
5. MH
6. Sexual health

Question 4

LO: List the elements of lifestyle and behavioural choices important in the manifestation of common and important diseases

What are the limits/recommendations for the lifestyle behaviours:

• Healthy eating
• Healthy weight
• Physical activity
• Smoking
• Alcohol
• Mental health and wellbeing
• Sexual health
• Calculate units of alcohol

Question 5

What are the effectiveness of lifestyle services?

Percentages of smokes who wish to quit

Answer 5

1) 30 second approach: 1/40 long-term ex-smoker

£10,000 invested in brief advice could save £40,000

Example: Obesity.

77% agreed to attend

40% attended

12 months mean weight loss 2.43kg

2) 70% smokers want to quit

Question 6

List 5- ways to wellbeing

(? correct answer)

Answer 6

COM B model

Step 1) Define behaviour problem

Step 2) Target behaviour that’ll address problem

Step 3) Plan, who is to perform the target behaviours - pt/ service support/ family etc…

Step 4) Asses using COM B framework

Step 5) Reflec, evaluate, monitor

Question 7

What are the components to a lifestyle Hx?

Question 8

What are the frameworks for implemeting MECC?

• Very brief advice: 3As
• Brief intervention advice: 5As

Answer 8

Very Brief Advice:

• Ask
• Advice
• Act - refer

Brief Advice:

• Assess
• Advise
• Agree
• Assist
• Arrange- refer

Question 9

LO: Understand the principles of risk factors for common disease