Health Behavior Change in the Dental Practice E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 268

Veröffentlichungsjahr: 2011

Beschreibung

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.

Leseprobe

Contents

Foreword

Preface

List of Contributors

CHAPTER 1 INTRODUCTION TO HEALTH BEHAVIOR CHANGE FOR THE DENTAL PRACTICE

HEALTH CARE IN THE TWENTY- FIRST CENTURY

THE OPPORTUNITY IN THE DENTAL SETTING

CHAPTER 2 THE CHALLENGE OF BEHAVIOR CHANGE

INTRODUCTION

BEHAVIOR CHANGE: SOME KEY CONCEPTS

UNDERSTANDING H EALTH B EHAVIOR C HANGE

SUMMARY

CHAPTER 3 COMMUNICATION AND HEALTH BEHAVIOR CHANGE COUNSELLING

INTRODUCTION

THE RELATIONSHIP BETWEEN THE CLINICIAN AND THE PATIENT

STYLES OF COMMUNICATION

KEY SKILLS FOR COMMUNICATING A BOUT HEALTH BEHAVIOR CHANGE

SUMMARY

ACKNOWLEDGMENTS

CHAPTER 4 MOTIVATIONAL INTERVIEWING (MI) AND ITS BASIC TOOLS

INTRODUCTION

WHAT IS MOTIVATIONAL INTERVIEWING?

ELICIT CHANGE TALK

SUMMARY

CHAPTER 5 BRIEF INTERVENTIONS IN PROMOTING HEALTH BEHAVIOR CHANGE

INTRODUCTION

USING A PATIENT-CENTERED APPROACH

RAISING AWARENESS

SUPPORTING CHANGE

USE OF THE TELEPHONE FOR BRIEF INTERVENTIONS

USE OF COMPUTERS FOR BRIEF INTERVENTIONS

GIVING BRIEF ADVICE

WHEBRIEF INTERVENTIONS ARE NOT APPROPRIATE

BRINGING IT ALL TOGETHER

SUMMARY

CHAPTER 6 IMPLEMENTATION OF HEALTH BEHAVIOR CHANGE PRINCIPLES IN DENTAL PRACTICE

INTRODUCTION

MICRO-ENVIRONMENT: THE DENTAL VISIT

MACRO-ENVIRONMENT: THE PRACTICE SETTING

PRACTICAL GUIDANCE FOR BEGINNERS (OR NON-BEGINNERS)

SUMMARY

CHAPTER 7 HEALTH BEHAVIOR CHANGE EDUCATION

INTRODUCTION

HISTORY OF MEDICAL AND DENTAL EDUCATION

THE NEED FOR CHANGE IN DENTAL EDUCATION

THEORETICAL EDUCATION

PRACTICAL EDUCATION

CONTINUING EDUCATION

SUMMARY

INDEX

Edition first published 2010 © 2010 Christoph A. Ramseier

Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientific, Technical, and Medical business to form Wiley-Blackwell.

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Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

Library of Congress Cataloging-in-Publication Data

Health behavior change in the dental practice/editors, Christoph A. Ramseier and Jean E. Suvan.

p.; cm.

Includes bibliographical references and index.

ISBN 978-0-8138-2106-1 (pbk.: alk. paper)

1. Dental health education. 2. Health behavior. 3. Behavior modification. 4. Dental

personnel and patient. I. Ramseier, Christoph A. II. Suvan, Jean E.

[DNLM: 1. Oral Health. 2. Health Behavior. 3. Health Education- methods. 4. Motivation. 5. Professional-Patient Relations. WU 113 H4339 2010]

RK60.8.H43 2010

617.6071-dc22

2010013920

A catalog record for this book is available from the U.S. Library of Congress.

Disclaimer

The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation warranties of fitness for a particular purpose. No warranty may be created or extended by sales or promotional materials. The advice and strategies contained herein may not be suitable for every situation. This work is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional services. If professional assistance is required, the services of a competent professional person should be sought. Neither the publisher nor the author shall be liable for damages arising herefrom. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read.

1 2010

To my precious son, AJ, and my dear husband, Bob For your endless unconditional love and support, for giving so much meaning to my life.

J.E.S.

To my late grandmother, Hedwig For the ongoing inspiration you have given me to pursue academia.

To my parents, Rosmarie and Ernst, my sister, Andrea, and her children, Mich èle and Joel

In appreciation of your unwavering love. Ch.A.R.

FOREWORD

There’s a very common challenge that we all face, at work and at home, when it comes to encouraging behavior change in other people: we might want them to do this or that, we might encourage, request, ask, implore, beg, or instruct, but in the end, only they can change their behavior; we can’t do it for them. Then there’s our own behavior change, and the struggles we all know about when we try to change ourselves. What has helped us? If we were a patient, what would we find useful and not so helpful?

These questions arise every day in dental practice, and you will recognize the common patterns in the reports of practitioners across the board:

“I just wish he would look after his gums better”.

“If only he could see what I can see. There’s trouble coming.”

“If he doesn’t do his side of the bargain, it’s tough for me to do mine.”

“Smoking: well, it’ s just a problem, and I don’t know how many times I have told them that it’ s a good plan to quit.”

The problem is, people don’t just change their behavior because someone else gives them information that this will be a good idea. You can’t instill motivation to change into someone else!

One of the challenges we must face is that motivation to change is not a black- white phenomenon, but something that comes in degrees, with most people feeling ambivalent about change. They can see reasons to change and they can also see reasons not to change. This makes them quite sensitive to how they are spoken to, and this is where something like Motivational Interviewing can be of help. If you try to persuade people who are feeling ambivalent that they might, should, or could change, their natural inclination is to give voice to the counterargument, why they can’t change. This “resistant” reaction is not just their fault; it’s partly to do with how you approach the conversation. Put bluntly, it’s better if they, rather than you, say why and how they could change.

This book is the first of its kind to take these observations and ideas into the world of everyday dental practice. It’s full of useful suggestions and things to try out, and most important, it’s a resource book for students and practitioners in every field of dental care. Learn how to handle these sometimes tricky conversations about behavior change, and your consultations will feel less frustrating and much more rewarding. Evidence about effectiveness is emerging, and this book could also provide the inspiration for researchers in the years to come.

I wish the authors and particularly those practitioners out there good luck and happier consultations.

Stephen Rollnick

Professor of Health Care Communication

Department of Primary Care and Public Health

Cardiff University, Wales, UK

PREFACE

Following the publication of the chapter on Motivational Interviewing in the fifth edition of Jan Lindhe’ s textbook on Clinical Periodontology and Implant Dentistry, we felt highly inspired to expand the topic of health behavior change within the dental profession. In agreement with the publisher, a new book was to be written specifically designed for dental clinicians as a tool to enable and facilitate the implementation of health behavior change counselling in their everyday patient care.

In order to meet this goal, a multi- disciplinary team of co- authors was carefully selected. We are proud that our book reflects a unique collaboration between dental clinicians and health behavior change psychologists. Countless meetings, phone calls, and e- mails between the co- authors, over the past 3 years, have enabled the creation of the work presented here. Compared to common textbooks in the dental field, the content of this book presents and elaborates a different philosophy of patient care for clinicians. While the book focuses on patient behavior change, it carries the potential to change the dental professional as well —for example, by changing the clinicians’ approach from “asking closed questions” to “asking open questions” or from “giving instructions to the patient” to “actively listening to the patient’ s needs.”

The reader will notice that most chapters have been created and edited as a team effort. As a result of this close collaboration and exchange amongst all the authors, we have been able to formulate and present a concept of health behavior change counselling compatible with the dental setting.

As we reflect on the journey taken to prepare this book, the influence and time invested by our many colleagues and mentors, too numerous to name, who have played a role in our development as dental professionals is greatly appreciated. There is one person, Klaus Lang, who cannot remain unnamed due to the unparalleled impact he has had on each of us as a committed guide in our professional careers.

We would also like to specifically acknowledge the support of Steve Rollnick, who always made himself available for thought- provoking discussions. We are deeply grateful to Bob Suvan and Angela Fundak for providing candid criticism and insightful suggestions based on their diligent proofreading of numerous drafts. In addition, we express our sincere appreciation to our families for their unending support and encouragement. Finally, we would like to express our gratitude to Sophia Joyce from Wiley Blackwell for her constructive assistance and patience in allowing us the time necessary to complete this endeavor.

Christoph A. Ramseier

Jean E. Suvan

LIST OF CONTRIBUTORS

Vanessa Bogle, DPsych, MSc, BSc

Health Psychologist

Department of Psychology

City University

Northampton Square

London

EC1V 0HB

United Kingdom

Delwyn Catley, PhD

Professor

Department of Psychology

University of Missouri–Kansas City

5100 Rockhill Road

Kansas City, MO 64110–2499

Angela Fundak, RDH, GDAET

Sorella Communications

PO Box 187

Prahran 3181, Victoria

Australia

Nina Gobat, BA, BSc

Department of Primary Care and Public Health

School of Medicine

Cardiff University

7th Floor Neuadd Meirionnydd

Heath Park

Cardiff

CF14 4YS

United Kingdom

Kathy Goggin, PhD

Professor

Department of Psychology

University of Missouri–Kansas City 5100 Rockhill Road

Kansas City, MO 64110–2499

Anne Koerber, DDS, PhD

Associate Professor

University of Illinois at Chicago

College of Dentistry, Pediatric Dentistry

801 S. Paulina, MC 850

Chicago, IL 60612

Claire Lane, PhD

Trainee Clinical Psychologist

University of Birmingham

School of Psychology

Edgbaston

Birmingham

B15 2TT

United Kingdom

Ian Lynam, PhD

Department of Psychology

University of Missouri–Kansas City

5100 Rockhill Road

Kansas City, MO 64110–2499

Christoph A. Ramseier, Dr. med. dent., MAS

Assistant Professor

University of Berne

School of Dental Medicine

Department of Periodontology

Freiburgstrasse 7

CH- 3010 Bern

Switzerland

Philip S. Richards, DDS, MS

Clinical Professor

Division of Periodontology

Department of Periodontics and Oral Medicine

University of Michigan School of Dentistry

1101 N. University Avenue

Ann Arbor, MI 48109–1078

Jean E. Suvan, DipDH, MSc, CRA,

FHEA

Clinical Research Coordinator

Periodontology Unit

Division of Restorative Dental Services

UCL Eastman Dental Institute

256 Gray’ s Inn Road

London WC1X 8LD

United Kingdom

CHAPTER 1

INTRODUCTION TO HEALTH BEHAVIOR CHANGE FOR THE DENTAL PRACTICE

Christoph A. Ramseier, Jean Suvan, Angela Fundak, and Philip S. Richards

HEALTH CARE IN THE TWENTY- FIRST CENTURY

Health professionals working in this century are presented with a unique combination of patient care scenarios. The unprecedented advances in the development of scientific knowledge, means of knowledge dissemination, clinical skills application, public health initiatives, and workforce diversity are well recognized in today’ s health care environment. However, many additional factors influence the opportunity for patients and clinicians alike to achieve the goal of attaining health and continued wellness. Some of these may be derived from catastrophic events associated with the conflicts of war, natural disasters, and critical socio- economic factors. Others are more reflective of circumstances for individuals and the lifestyle choices they make throughout their lifetime. In many situations, health status is not a result of the influence of a single element working in isolation. It is more likely that we see a number of components present in the overall environment in which the patient chooses to exist. The acknowledgement of the potential impact of a variety of influences on health status allows the health professional to work with the patient to understand the individual approach for optimal wellness. As oral health professionals, this recognition is integral to the future development of patient care plans that are not limited to treating the signs and symptoms of common dental diseases.