Behaviour Changes

Question 1

Adherence

Answer 1

• lack of adherence = lack of effectiveness
• pts need to be supported not blamed
• patient-tailored interventions are required
• HPs need to be trained in adherence
• MDT approach needed

Question 2

Motivational Interviewing - R.U.L.E

Answer 2

Use when individual is less ready for change

R = resist inclination to put right a pts behaviour

U = understand/explore pts own motivations

L = listen with empathy

E = empower the pt / encourage hope and optimism

Question 3

Change and sustain talk

Answer 3

CHANGE TALK
- expressing a wish to change
- expressing ability to make change
- sees need to change
- express commitment to change

SUSTAIN TALK
- expressing desire for status quo
- reduced confidence in being able to make change
- unable to commit change

Question 4

Preparatory Change Talk

Answer 4

desire to change = I would like to

Ability to change = I would be able to

Reason to change = it would enable me to

Need to change = I must / I can’t go on like this

Question 5

Decisional Balancing

Answer 5

benefits of changing vs costs of changing

benefits of not changing vs costs of not changing

Question 6

Trans Theoretical Model

Answer 6

Prochaska and DiClemente

Precontemplation
Contemplation
Preparation
Action
Maintenance

Question 7

Self-Efficacy

Answer 7

= belief in one’s own capability to ac complish a certain task by one’s own actions

May increase when:
- explore barriers and identify ways to overcome them
- reflect on experiences of successful behaviour change
- access good social support
- successfully achieve a realistic goal

General Self-efficacy Scale