Giving information and behaviour change Flashcards

1
Q

Practical use of Transtheoretical model

A

Precontemplation - create doubt, increase awareness of risks and benefits

Contemplation - help weigh up risks and benefits, strengthen patient’s self-efficacy

Preparation - help pt determine what they might do

Action - help pt determine clear course of action

Maintenance - Help pt identify and use strategies to prevent relapse

Termination - give encouragement

Relapse - help pt renew process of change

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2
Q

How can you start to help a patient through pre-contemplation to contemplation?

A

State diagnosis/problem

Personalise message

Offer support

Assess problem awareness

Assess and clarify knowledge

Assess and attend to feelings

Assess readiness to change and build commitment

(Use reflective statements to clarify what patient says/means)

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3
Q

How can you help a patient move from contemplation to action?

A

Explain options and alternatives provide specific recommendations

Ask for a decision and start negotiating a plan for a trial

Assess and reinforce skills and resources

Anticipate problems

Identify and mobilise support

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4
Q

How can you help a patient move from action to maintenance?

A

Offer support

Arrange a follow-up

Check an reaffirm agreed plan

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5
Q

Role of SMART Targets in consultation

A

Specific

Measureable

Attainable

Relevant

Time related

Helps with goal setting for patients, particularly in action>maintenance stages

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6
Q

Strategies for supporting a patient in relapse

A

Offer support

Normalise

Assess how patient is thinking/feeling (cognitive/emotional),
attitude to future action (behavioural),
commitment to re-attempt (stage),
how this will be acheived (envisioning)

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7
Q

What are the main difficulties in providing information?

A

Doctors underestimate the time spent giving information, give to much information

Use of technical language to provide information

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8
Q

Factors that affect how involved a patient is in descision making

A

Patient age

Gender

Severity of illness

Length of illness (acute/chronic)

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9
Q

Objectives of giving information

A

To gauge the correct amount and type of information

To provide explanations that the patient can remember and understand

To use an interactive approach to ensure a shared understanding

To involve the patient and plan collaboratively to the level that the patient wishes

offering an opinion and discussing significance of problems

discussing investigations and procedures

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10
Q

Health belief model applied to taking medicine

A

Can be affected by:

Percived susceptibility to illness/adverse outcome

The perceived efficacy of the medicine

Percieved Barriers:
The danger of becoming “immune over time”
The danger of addiction and dependence
The unnaturalness of manufactured medicines
The anti drug attitude
Balancing risks and benefits
Managing everyday life

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11
Q

Health belief model applied to communication about medication

A

Risks not worth benefits

Discrepancy between the doctor’s and patient’s perception of risk
Doctor is unclear about advice

Patient has not understood/accepted information
Does not fit patient’s beliefs

Patient may disagree with advice

May understand/agree but too difficult (Impractical/ Expensive)
May have secondary gains from illness

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12
Q

Things to consider when promoting behvaiour change

A

Cognitive level: information - assess awareness, knowledge, explain facts, provide information

Attitude: beliefs, intentions, motivation

Instrumental level: assess cues, conditions, consequences. Practice necessary skills

Planning and coping: assess coping skils, plan reminders, teach behavioural skills

Social: assess support and resources.

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