Health Behavior Change in the Dental Practice presents an overview of health behavior change, focusing on the spirit of motivational interviewing. Targeting the clinical application of the principles, the book applies lessons learned from the field of general and behavioral medicine to the dental practice. By presenting a series of clinical examples and accompanying dialogue, the book guides the reader in using motivational interviewing techniques as tools for oral hygiene education, tobacco use cessation, and dietary counseling. Health Behavior Change in the Dental Practice supports the trend towards risk management in oral health care, offering practical guidance to promote health behavior change in patients.
Author(s): Christoph Ramseier, Jean E. Suvan
Edition: 1
Publisher: Wiley-Blackwell
Year: 2010
Language: English
Pages: 196
HEALTH BEHAVIOR CHANGE IN THE DENTAL PRACTICE......Page 5
CONTENTS......Page 9
FOREWORD......Page 13
PREFACE......Page 15
LIST OF CONTRIBUTORS......Page 17
CHAPTER 1: INTRODUCTION TO HEALTH BEHAVIOR CHANGE FOR THE DENTAL PRACTICE......Page 21
HEALTH CARE IN THE TWENTY-FIRST CENTURY......Page 23
THE OPPORTUNITY IN THE DENTAL SETTING......Page 24
Adoption and integration of health behavior change......Page 26
The role and responsibility of the dental professional......Page 28
Collaborative care toward whole health......Page 29
REFERENCES......Page 30
CHAPTER 2: THE CHALLENGE OF BEHAVIOR CHANGE......Page 31
BEHAVIOR CHANGE: SOME KEY CONCEPTS......Page 33
The patient’s perspective......Page 34
The clinician’s perspective......Page 37
Social cognitive theory and self-efficacy theory......Page 42
The health belief model......Page 43
Theory of planned behavior......Page 45
The transtheoretical model of behavior change......Page 46
Self-determination theory......Page 48
REFERENCES......Page 50
CHAPTER 3: COMMUNICATION AND HEALTH BEHAVIOR CHANGE COUNSELLING......Page 53
INTRODUCTION......Page 55
THE RELATIONSHIP BETWEEN THE CLINICIAN AND THE PATIENT......Page 56
Guiding......Page 58
KEY SKILLS FOR COMMUNICATING ABOUT HEALTH BEHAVIOR CHANGE......Page 60
Question 1: Is the patient happy to talk with you about behavior change?......Page 61
Question 2: How are you asking questions?......Page 63
Question 3: How do you provide support?......Page 64
Question 4: How do you convey understanding?......Page 66
Question 5: How do you get information across?......Page 70
Question 6: How do you bring it all together?......Page 73
SUMMARY......Page 75
REFERENCES......Page 76
CHAPTER 4: MOTIVATIONAL INTERVIEWING (MI) AND ITS BASIC TOOLS......Page 77
WHAT IS MOTIVATIONAL INTERVIEWING?......Page 79
Research evidence for MI......Page 80
What triggers behavior change?......Page 81
Motivation and the clinician-patient relationship......Page 82
"SPIRIT" OF MI......Page 85
Express empathy......Page 88
OARS: BASIC TOOLS FOR BUILDING MOTIVATION TO CHANGE......Page 89
Affirm patients......Page 90
Use reflective listening......Page 91
ELICIT CHANGE TALK......Page 93
Decisional balance or pros and cons matrix......Page 94
Elaborating, querying extremes, and looking back and forward......Page 96
RESPONDING TO CHANGE TALK......Page 97
Responding to resistance......Page 98
Enhancing confidence......Page 101
Negotiating a plan for change......Page 105
REFERENCES......Page 108
CHAPTER 5: BRIEF INTERVENTIONS IN PROMOTING HEALTH BEHAVIOR CHANGE......Page 111
USING A PATIENT-CENTERED APPROACH......Page 113
Goals of brief interventions......Page 114
Health history form......Page 115
Open-ended questions......Page 116
Readiness scales......Page 117
RAISING AWARENESS......Page 118
Giving information versus raising awareness......Page 119
Conveying understanding......Page 121
SUPPORTING CHANGE......Page 122
Offering a set of strategies......Page 123
Planning for the change......Page 124
USE OF THE TELEPHONE FOR BRIEF INTERVENTIONS......Page 125
GIVING BRIEF ADVICE......Page 126
BRINGING IT ALL TOGETHER......Page 127
SUMMARY......Page 128
REFERENCES......Page 129
CHAPTER 6: IMPLEMENTATION OF HEALTH BEHAVIOR CHANGE PRINCIPLES IN DENTAL PRACTICE......Page 131
INTRODUCTION......Page 133
Content of change (the objectives)......Page 134
Context of change (the environment)......Page 135
Process of change (the implementation plan)......Page 136
Patient activation fabric for the dental visit( implementation model)......Page 137
“ Your patient is here”......Page 142
Single behavior patient scenario......Page 143
Multiple behavior patient scenario......Page 154
Importance of support......Page 156
Overcoming potential obstacles to practice implementation......Page 157
PRACTICAL GUIDANCE FOR BEGINNERS (OR NON-BEGINNERS)......Page 159
REFERENCES......Page 161
CHAPTER 7: HEALTH BEHAVIOR CHANGE EDUCATION......Page 163
In medicine......Page 165
In dentistry......Page 166
In dental hygiene......Page 167
CURRENTS TRENDS IN DENTAL CARE AND EDUCATION......Page 168
New educational initiatives and methods......Page 170
Pathology and epidemiology of diseases......Page 171
Behavior as a determinant of health and disease......Page 172
Students......Page 173
Clinicians......Page 176
Students......Page 181
Clinicians......Page 182
REFERENCES......Page 183
INDEX......Page 187
