Giving information and behaviour change Flashcards Preview

DISC > Giving information and behaviour change > Flashcards

Flashcards in Giving information and behaviour change Deck (12):

Practical use of Transtheoretical model

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


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

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)


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

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


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

Offer support

Arrange a follow-up

Check an reaffirm agreed plan


Role of SMART Targets in consultation





Time related


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


Strategies for supporting a patient in relapse

Offer support 



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


What are the main difficulties in providing information?

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

Use of technical language to provide information 



Factors that affect how involved a patient is in descision making

Patient age


Severity of illness

Length of illness (acute/chronic)


Objectives of giving information

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


Health belief model applied to taking medicine

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



Health belief model applied to communication about medication

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


Things to consider when promoting behvaiour change

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.