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| RAPID REFERENCE TO LIFESTYLE & BEHAVIOR CHANGE
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Rapid Reference Series
To order this title, and for more information, click here
By
Chris Dunn, PhD, Acting Instructor, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA
Stephen Rollnick, BSocSci(Hons), MSc, DipClinPsych, PhD, Clinical Psychologist and Senior Lecturer, Department of General Practice, University of Wales, College of Medicine, Cardiff, UK
Included in series
Rapid Reference,
Description
Each title in the Rapid Reference series provides the reader with authoritative and accessible information from a clinical expert in the
field, to assist with treatment decisions. Each title includes standard core content (epidemiology, management, therapy) combined with
the additional information?such as FAQs and patient organizations?needed by the primary care practitioners to provide effective patient
care. The books also include drug listings, clinical trials, information on future developments, and web site listings, to keep the reader
up to speed with new developments and to extend their knowledge of the disease area.
Titles in the series focus on chronic conditions
seen most often in the primary care setting. With patients becoming better informed about the nature and management of their conditions,
Rapid Reference is a timely new series that offers the primary care practitioners easy access to the best information for patient care
and management.
Audience
Primary Care / Family Practice Practitioners and Residents, Physician Assistants, Nurse Practitioners
Contents
CHAPTER 1: It's a serious problem
- Brief epidemiology and the disease states caused or exacerbated by patient inaction/non
compliance leading to a likelihood of diminishing quality of life and life expectancy (with evidence); drug and other therapies available
to help behavior change.
CHAPTER 2: Why bother?
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Behaviour change does happen (example of COPD & smoking where the woman stopped years ago after advice). Also, the man who attributes his efforts to quit drinking to when his general
practitioner raised the subject of his drinking in a non-judgmental way and merely showed respectful concern. This man quit drinking
10 years later.
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Examples of behaviour change special patient groups and the comorbidity they need to counter (e.g.
hypertensive, obese diabetic), the hypertensive antisocial drinker, the COPD afflicted smoker, the promiscuous drug abuser etc: alcohol,
drugs, diet/obesity, smoking, limited exercise, stress, promiscuity diabetes and hypertension and COPD.
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Generic skills can
be used in all kinds of consultations - examples
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It can make a difference - general comments on evidence for effectiveness
of intervention
CHAPTER 3: Making advice work
- Some guidelines on making the best of brief advice-giving.
CHAPTER
4: The skilful consultation
- Analogy of breaking bad news and examples
- Example of script (diabetes script analysis
exercise): consider shifts from skilful consultation to breakdown
- Concordant and discordant consulting
CHAPTER
5: Raising the subject & assessing motivation
- Includes assessment of importance and confidence at the heart of this chapter,
with some examples.
- Raising the subject: Why take such care in raising the subject? Four ways to raise the subject; ways to structure
the session;
- Assessing motivation: Assessing importance & confidence; Assessing desire or readiness to change; Tip for assessing
motivation to change;
- Potholes: getting in and out of them: Raising the subject too abruptly; The question-answer-trap; Investigating
bad behaviour; quantity is all that matters;
- Chapter summary and references
CHAPTER 6: Exploring the importance
of change
- Why? (nobody attempts change unless they will avoid bad or gain good )
- How? (menu of ways to explore
importance)
- Potholes to avoid (lecturing with biomedical information to convince patient that it is more important than he/she
thinks)
- Troubleshooting
- Dialogue examples
CHAPTER 7: Enhancing confidence to change
- Why?
(healthy people don't set themselves up to fail, so must first feel capable.)
- How? (menu of ways to explore and enhance confidence,
offer information about successful cases, teach that multiple relapses predicts success, return to scaling questions, e.g "what would
it take for you to...")
- Potholes to avoid (seeming glib or condescending about the difficulty of change, cheer-leading)
- Troubleshooting
(hopelessness, "I can't change because the entire world has turned against me...")
- Dialogue examples
CHAPTER
8: Relapse & recovering commitment to change
- Why? (almost everybody relapses, relapse is part of change)
- How?
(info about relapse being normal, get agreement to try again with slightly different plan.)
CHAPTER 9: Singing from
the same sheet: the value of teamwork
- The importance of nurses and doctors taking the same approach to behaviour change,
and how to achieve this
great idea!
CHAPTER 10: The world of theory & evidence
- A
brief summary of models of behaviour change and a brief summary of evidence
- Menu of several session diagrams
- Quick
literature review
CHAPTER 11
- Agreement, patient totally hopeless, uncomfortable with being non-directive,
given the weight of these issues, patient blames everything else, patient has psych symptoms you don't feel you can handle?
APPENDICES
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- Some "fine print" elaborating the major points found in the chapters. Some dialogue examples for specific behaviors.
Useful
reading
- Websites and other reading material
| Bibliographic details |
Paperback, 136 pages, publication date: MAR-2003
ISBN-13: 978-0-7234-3318-7
ISBN-10: 0-7234-3318-6
Imprint: MOSBY
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999/999
Last update: 30 Nov 2009
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