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Health Behavior Change in the Dental Practice

ISBN: 9780813821061 | 0813821061
Edition: 1st
Format: Paperback
Publisher: Wiley-Blackwell
Pub. Date: 10/19/2010

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SummaryTable of ContentsAuthor Biography
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... MORE
Forewordp. xi
Prefacep. xiii
List of Contributorsp. xv
Introduction to Health Behavior Change for the Dental Practicep. 3
Health Care in the Twenty-first Centuryp. 5
The Opportunity in the Dental Settingp. 6
Adoption and Integration of Health Behavior Changep. 8
The Role and Responsibility of the Dental Professionalp. 10
Coll... MOREp. 11
Referencesp. 12
The Challenge of Behavior Changep. 13
Introductionp. 15
Behavior Change: Some Key Conceptsp. 15
The Patient's Perspectivep. 16
The Clinician's Perspectivep. 19
Understanding Health Behavior Changep. 24
Social Cognitive Theory and Self-Efficacy Theoryp. 24
The Health Belief Modelp. 25
Theory of Planned Behaviorp. 27
The Transtheoretical Model of Behavior Changep. 28
Self-Determination Theoryp. 30
Summaryp. 32
Referencesp. 32
Communication and Health Behavior Change Counsellingp. 35
Introductionp. 37
The Relationship between the Clinician and the Patientp. 38
Styles of Communicationp. 40
Directingp. 40
Followingp. 40
Guidingp. 40
Key Skills for Communicating about Health Behavior Changep. 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
Summaryp. 57
Acknowledgmentsp. 58
Referencesp. 58
Motivational Interviewing (MI) and Its Basic Toolsp. 59
Introductionp. 61
What is Motivational Interviewing?p. 61
Research Evidence for MIp. 62
What Triggers Behavior Change?p. 63
Motivation and the Clinician-Patient Relationshipp. 64
Definition of MIp. 67
"Spirit" of MIp. 67
Major Principlesp. 70
Express Empathyp. 70
Develop Discrepancyp. 71
Roll with Resistancep. 71
Support Self-Efficacyp. 71
OARS: Basic Tools for Building Motivation to Changep. 71
Use Open-Ended Questionsp. 72
Affirm Patientsp. 72
Use Reflective Listeningp. 73
Use Summariesp. 75
Elicit Change Talkp. 75
Evocative Questionsp. 76
Decisional Balance or Pros and Cons Matrixp. 76
The Importance Rulerp. 78
Elaborating, Querying Extremes, and Looking Back and Forwardp. 78
Exploring Goals and Valuesp. 79
Responding to Change Talkp. 79
Responding to Resistancep. 80
Enhancing Confidencep. 83
Strengthening Commitmentp. 87
Negotiating a Plan for Changep. 87
Summaryp. 90
Referencesp. 90
Brief Interventions in Promoting Health Behavior Changep. 93
Introductionp. 95
Using a Patient-Centered Approachp. 95
Righting Reflexp. 96
Goals of Brief Interventionsp. 96
Assessing Motivesp. 97
Health History Formp. 97
Open-Ended Questionsp. 98
Readiness Scalesp. 99
Raising Awarenessp. 100
Giving Information versus Raising Awarenessp. 101
Conveying Understandingp. 103
Supporting Changep. 104
Encouraging Patient Problem Solvingp. 105
Offering a Set of Strategiesp. 105
Planning for the Changep. 106
Use of the Telephone for Brief Interventionsp. 107
Use of Computers for Brief Interventionsp. 108
Giving Brief Advicep. 108
When Brief Interventions Are Not Appropriatep. 109
Bringing It All Togetherp. 109
Summaryp. 110
Referencesp. 111
Implementation of Health Behavior Change Principles in Dental Practicep. 113
Introductionp. 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 Visitp. 119
Easier than You Thinkp. 119
Patient Activation Fabric for the Dental Visit (Implementation Model)p. 119
"Your Patient Is Here"p. 124
Single Behavior Patient Scenariop. 125
Multiple Behavior Patient Scenariop. 136
Macro-Environment: The Practice Settingp. 138
Importance of Supportp. 138
Overcoming Potential Obstacles to Practice Implementationp. 139
Practical Guidance for Beginners (or Non-Beginners)p. 141
Summaryp. 143
Referencesp. 143
Health Behavior Change Educationp. 145
Introductionp. 147
History of Medical and Dental Educationp. 147
In Medicinep. 147
In Dentistryp. 148
In Dental Hygienep. 149
Currents Trends in Dental Care and Educationp. 150
The Need for Change in Dental Educationp. 152
Public Health Goals and Responsibilitiesp. 152
New Educational Initiatives and Methodsp. 152
Theoretical Educationp. 153
Pathology and Epidemiology of Diseasesp. 153
Behavior as a Determinant of Health and Diseasep. 154
Practical Educationp. 155
Studentsp. 155
Continuing Educationp. 158
Cliniciansp. 158
Assessment of Health Behavior Change Educationp. 163
Facultyp. 163
Studentsp. 163
Cliniciansp. 164
Summaryp. 165
Referencesp. 165
Indexp. 169
Table of Contents provided by Ingram. All Rights Reserved.
Christoph A. Ramseier, Dr. med. dent., MAS is Assistant Professor of Periodontology at the School of Dental Medicine, University of Berne, Switzerland. Jean E. Suvan, DipDH, MSc, CRA, FHEA is Clinical Research Co-ordinator of the Periodontology Unit at UCL Eastman Dental Institute, UK.


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