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.
About the Author
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 Coordinator of the Periodontology Unit at UCL Eastman Dental Institute, UK.
Table of Contents
List of Contributors
1. Introduction to Health Behavior Change for the Dental Practice
Health Care in the Twenty-first Century
The Opportunity in the Dental Setting
Adop tion and Integration of Health Behavior Change
The Role and Responsibility of the Dental Professional
Collaborative Care Toward Whole Health
2. The Challenge of Behavior Change
Behavior Change: Some Key Concepts
The Patient’s Perspective
The Clinician’s Perspective
Understanding Health Behavior Change
Social Cognitive Theory and Self-Efficacy Theory
The Health Belief Model
Theory of Planned Behavior
The Transtheoretical Model of Behavior Change
3. Communication and Health Behavior Change Counselling
The Relationship between the Clinician and the Patient
Styles of Communication
Key Skills for Communicating about Health Behavior Change
Question 1: Is the patient happy to talk with you about behavior change?
Question 2: How are you asking questions?
Question 3: How do you provide support?
Question 4: How do you convey understanding?
Question 5: How do you get information across?
Question 6: How do you bring it all together?
4. Motivational Interviewing (MI) and Its Basic Tools
What Is Motivational Interviewing?
Research Evidence for MI
What Triggers Behavior Change?
Motivation and the Clinician-Patient Relationship
Definition of MI
“Spirit” of MI
Roll with Resistance
OARS: Basic Tools for Building Motivation to Change
Use Open-Ended Questions
Use Reflective Listening
Elicit Change Talk
Decisional Balance or Pros and Cons Matrix
The Importance Ruler
Elaborating, Querying Extremes, and Looking Back and Forward
Exploring Goals and Values
Responding to Change Talk
Responding to Resistance
Negotiating a Plan for Change
5. Brief Interventions in Promoting Health Behavior Change
Using a Patient-Centered Approach
Goals of Brief Interventions
Health History Form
Giving Information versus Raising Awareness
Encouraging Patient Problem Solving
Offering a Set of Strategies
Planning for the Change
Use of the Telephone for Brief Interventions
Use of Computers for Brief Interventions
Giving Brief Advice
When Brief Interventions Are Not Appropriate
Bringing It All Together
6. Implementation of Health Behavior Change Principles in Dental Practice
Content of Change (the Objectives)
Context of Change (the Environment)
Process of Change (the Implementation Plan)
Micro-Environment: The Dental Visit
Easier than You Think
Patient Activation Fabric for the Dental Visit (Implementation Model)
“Your Patient Is Here,”
Single Behavior Patient Scenario
Multiple Behavior Patient Scenario
Macro-Environment: The Practice Setting
Importance of Support
Overcoming Potential Obstacles to Practice Implementation
Practical Guidance for Beginners (or Non-Beginners)
7. Health Behavior Change Education
History of Medical and Dental Education
In Dental Hygiene
Currents Trends in Dental Care and Education
The Need for Change in Dental Education
Public Health Goals and Responsibilities
New Educational Initiatives and Methods
Pathology and Epidemiology of Diseases
Behavior as a Determinant of Health and Disease
Assessment of Health Behavior Change Education
Most Helpful Customer Reviews
This text focuses on motivational interviewing as the system of teaching patients. The description of educational methods is sound and easy to follow. A dental hygienist or dentist learning this system can pick one or two techniques and use them in practice, them develop a few more as concepts are mastered. This is a system that can be put into practice by a typical clinician whose aims include helping patients develop self-efficacy and responsibility for their health. The text could be improved by including additional teaching methods and identifying when different methods should be considered.