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Health Behavior Change in the Dental Practice

by: Ramseier, Christoph; Suvan, Jean E.

Health Behavior Change in the Dental Practice

by: Ramseier, Christoph; Suvan, Jean E.

ISBN 13:
9780813821061
ISBN 10:
0813821061
Edition: 1st
Format: Paperback
Copyright: 10/19/2010
Publisher: Wiley-Blackwell

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Summary

Health Behavior Change in the Dental Practice presents an overview of strategies for health behavior change for oral health, focusing on motivational interviewing. Targeting the clinical application of the principles, the book applies lessons learned from the field of general medicine to the dental practice. By presenting a series of clinical cases and accompanying dialogue, the book guides the reader in using motivational interviewing as a tool for oral hygiene education, tobacco use cessation, and dietary counseling. Health Behavior Change in the Dental Practice supports the trend toward host modulation therapy in oral health research, offering practical techniques to promote health behavior change in patients.

Foreword	p. xi
Preface	p. xiii
List of Contributors	p. xv
Introduction to Health Behavior Change for the Dental Practice	p. 3
Health Care in the Twenty-first Century	p. 5
The Opportunity in the Dental Setting	p. 6
Adoption and Integration of Health Behavior Change	p. 8
The Role and Responsibility of the Dental Professional	p. 10
Collaborative Care Toward Whole Health	p. 11
References	p. 12
The Challenge of Behavior Change	p. 13
Introduction	p. 15
Behavior Change: Some Key Concepts	p. 15
The Patient's Perspective	p. 16
The Clinician's Perspective	p. 19
Understanding Health Behavior Change	p. 24
Social Cognitive Theory and Self-Efficacy Theory	p. 24
The Health Belief Model	p. 25
Theory of Planned Behavior	p. 27
The Transtheoretical Model of Behavior Change	p. 28
Self-Determination Theory	p. 30
Summary	p. 32
References	p. 32
Communication and Health Behavior Change Counselling	p. 35
Introduction	p. 37
The Relationship between the Clinician and the Patient	p. 38
Styles of Communication	p. 40
Directing	p. 40
Following	p. 40
Guiding	p. 40
Key Skills for Communicating about Health Behavior Change	p. 42
Is the patient happy to talk with you about behavior change?	p. 43
How are you asking questions?	p. 45
How do you provide support?	p. 46
How do you convey understanding?	p. 48
How do you get information across?	p. 52
How do you bring it all together?	p. 55
Summary	p. 57
Acknowledgments	p. 58
References	p. 58
Motivational Interviewing (MI) and Its Basic Tools	p. 59
Introduction	p. 61
What is Motivational Interviewing?	p. 61
Research Evidence for MI	p. 62
What Triggers Behavior Change?	p. 63
Motivation and the Clinician-Patient Relationship	p. 64
Definition of MI	p. 67
"Spirit" of MI	p. 67
Major Principles	p. 70
Express Empathy	p. 70
Develop Discrepancy	p. 71
Roll with Resistance	p. 71
Support Self-Efficacy	p. 71
OARS: Basic Tools for Building Motivation to Change	p. 71
Use Open-Ended Questions	p. 72
Affirm Patients	p. 72
Use Reflective Listening	p. 73
Use Summaries	p. 75
Elicit Change Talk	p. 75
Evocative Questions	p. 76
Decisional Balance or Pros and Cons Matrix	p. 76
The Importance Ruler	p. 78
Elaborating, Querying Extremes, and Looking Back and Forward	p. 78
Exploring Goals and Values	p. 79
Responding to Change Talk	p. 79
Responding to Resistance	p. 80
Enhancing Confidence	p. 83
Strengthening Commitment	p. 87
Negotiating a Plan for Change	p. 87
Summary	p. 90
References	p. 90
Brief Interventions in Promoting Health Behavior Change	p. 93
Introduction	p. 95
Using a Patient-Centered Approach	p. 95
Righting Reflex	p. 96
Goals of Brief Interventions	p. 96
Assessing Motives	p. 97
Health History Form	p. 97
Open-Ended Questions	p. 98
Readiness Scales	p. 99
Raising Awareness	p. 100
Giving Information versus Raising Awareness	p. 101
Conveying Understanding	p. 103
Supporting Change	p. 104
Encouraging Patient Problem Solving	p. 105
Offering a Set of Strategies	p. 105
Planning for the Change	p. 106
Use of the Telephone for Brief Interventions	p. 107
Use of Computers for Brief Interventions	p. 108
Giving Brief Advice	p. 108
When Brief Interventions Are Not Appropriate	p. 109
Bringing It All Together	p. 109
Summary	p. 110
References	p. 111
Implementation of Health Behavior Change Principles in Dental Practice	p. 113
Introduction	p. 115
Content of Change (the Objectives)	p. 116
Context of Change (the Environment)	p. 117
Process of Change (the Implementation Plan)	p. 118
Micro-Environment: The Dental Visit	p. 119
Easier than You Think	p. 119
Patient Activation Fabric for the Dental Visit (Implementation Model)	p. 119
"Your Patient Is Here"	p. 124
Single Behavior Patient Scenario	p. 125
Multiple Behavior Patient Scenario	p. 136
Macro-Environment: The Practice Setting	p. 138
Importance of Support	p. 138
Overcoming Potential Obstacles to Practice Implementation	p. 139
Practical Guidance for Beginners (or Non-Beginners)	p. 141
Summary	p. 143
References	p. 143
Health Behavior Change Education	p. 145
Introduction	p. 147
History of Medical and Dental Education	p. 147
In Medicine	p. 147
In Dentistry	p. 148
In Dental Hygiene	p. 149
Currents Trends in Dental Care and Education	p. 150
The Need for Change in Dental Education	p. 152
Public Health Goals and Responsibilities	p. 152
New Educational Initiatives and Methods	p. 152
Theoretical Education	p. 153
Pathology and Epidemiology of Diseases	p. 153
Behavior as a Determinant of Health and Disease	p. 154
Practical Education	p. 155
Students	p. 155
Continuing Education	p. 158
Clinicians	p. 158
Assessment of Health Behavior Change Education	p. 163
Faculty	p. 163
Students	p. 163
Clinicians	p. 164
Summary	p. 165
References	p. 165
Index	p. 169
Table of Contents provided by Ingram. All Rights Reserved.

Amazon no longer offers textbook rentals. We do!

Health Behavior Change in the Dental Practice

Health Behavior Change in the Dental Practice

9780813821061

0813821061

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Table of Contents

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