STI Screening

Question 1

What are some approaches to behaviour change in response to STI screening?

Answer 1

• motivational interviewing: increasing motivation when people are not thinking of change
• problem focused counselling: identifies causes of problems that prevent change
• modelling and rehearsal of change: improving skills and self-efficacy to achieve change

Question 2

What are the stages of change?

Answer 2

• pre-contemplation
• contemplation
• preparation
• action
• maintenance
  (look at smoking lecture from last semester)

Question 3

Describe the flow of change talk in motivational interviewing

Answer 3

• create desire for change
• check ability for change
• think of reasons for change
• state the need for change
• establish a commitment
• change

Question 4

What are some ethical issues with screening?

Answer 4

by screening people and telling them they are healthy you can disproportionately shift the health dependency onto health experts and technology and social determinants of health (belonging, competence, mastering and well-being) disappear

Question 5

What must health promotion follow in order to be ethically defensible?

Answer 5

• it should alter the natural history of diseases

- must be approved by the patients

Question 6

What is the best method of health promotion?

Answer 6

• decisional aid: working with the patient to together make a decision (rather than telling them)
• give people information to make an informed choice
• provide pros and cons
• however effects of decisional aids are unknown and controversial