11. Effective psychological and behavioural interventions Flashcards
behavioural change supports should be incorporated into all obesity management plans - t / f
t
Nutrition, medical adherence and physical activities are
outcomes of psychological and behavioural interventions
and not interventions in themselves. - t / f?
t
Education should be focused around 3 B’s - what are 3 B?
Biology, Bias, Behaviour
what is the concept of “best weight”?
the weight that a person can achieve and maintain while living
their healthiest and happiest life
which are Multi-component psychological interventions that should be incorporated into care plans for weight loss and improved health status and quality of life?
behaviour modification - goal setting, self-monitoring, problem solving;
cognitive therapy - reframing;
values-based strategies- to alter nutrition and activity
Multi-component psychological interventions will promote ..?
adherence, confidence and intrinsic motivation
psychological therapy includes
interventions such as …
CBT, acceptance therapy, etc
Behavioural
therapy includes strategies such as …
goal setting, self-monitoring,
stimulus control, problem solving, cognitive restructuring and relapse prevention.
So, as with pharmacotherapy and surgery, not all
patients may need psychological or behavioural therapy. - t / f
t
what is the ultimate goal for obesity management?
sustained behaviour and psyhological change
Behavioural and psychological theories address constructs such as ..
self-efficacy (confidence to perform a behaviour in the face of barriers),
intrinsic motivation and readiness to change
To understand the evidence around psychological and behavioural interventions for obesity, it is critical to incorporate two of the most basic and scientifically validated models of understanding and modifying behaviours:
- the classical conditioning
- the operant conditioning
what is classical conditioning?
based on associationism and dominates behaviour. Habits are based on this model. Classical conditioning is critical to
understanding obesity because food is one of the most powerful reinforcers, and there is evidence to support that this is hard-wired in the brain.
what is operant (Skinnerian) conditioning?
Operant
conditioning reflects reinforcement paradigms. That is, if a behaviour is associated with perceived positive consequences (either by the addition of a positive event or the removal of a negative event, which is called reinforcement) the signal strength of that behaviour increases
and the behaviour is likely to continue. Conversely, if a behaviour is associated with perceived negative consequences (either by the addition of a negative event or the removal of a positive event, which is called punishment) the signal strength of that behaviour decreases and the behaviour is less likely to continue.
Psychological and behavioural interventions for obesity management
have evolved to become multi-component interventions, with the
three main components being ,,
dietary goals, exercise/activity goals
and psychological and behaviour change strategies to support these
goals.
Standard behavioural therapy strategies include ..
goal setting, self-monitoring, stimulus control, problem
solving, cognitive restructuring and relapse prevention
Evidence suggests that web-based
interventions can lead to positive outcomes at the level of in-person interventions and are dependent on frequency of
use - t / f
f
Olander et al.