Mental Health Book

Sexual Development


Five Rs Technique

Aka: Five Rs Technique, Health Risk Motivational Counseling, Motivational Interviewing
  1. See Also
    1. Five As Technique
    2. FRAMES Technique
    3. Trans-theoretical Model
  2. Technique: Five Rs Counseling (using Tobacco as an example)
    1. Relevance
      1. Encourage the patient to identify Tobacco Cessation reasons that are relevant to them
      2. Examples: Erectile Dysfunction, COPD or Asthma, Coronary Artery Disease
    2. Risks
      1. Discuss with the patient the harmful effects of continued Tobacco use on their families and themselves
      2. Examples: Spirometry to estimate "lung age", attributing a typical age for their actual lung function
        1. Parkes (2008) BMJ 336(7644): 598-600 [PubMed]
    3. Rewards
      1. Ask the patient what benefits they would foresee from Tobacco Cessation
      2. Examples: Financial savings, eliminating the Tobacco odor
    4. Roadblocks
      1. What are the barriers to Tobacco Cessation
      2. Examples: Stress, Weight gain, other smokers in same household
    5. Repeat
      1. Readdress at each visit with an unmotivated Tobacco user
  3. References
    1. Larzelere (2012) Am Fam Physician 85(6): 591-8 [PubMed]

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