2.9 setting goals in implementing action Flashcards
2.9 The transtheoretical model of change
Uses a temporal dimension the stages of change to integrate processes and principles of change from different theories of intervention
2.9 Key points about process of change
Change in behavior occurs over time -the progression does not skip stages - people can request the earlier stages in a linear and nonlinear progression
2.9 Five stages of change TTM
- Precontemplation
- contemplation
- preparation
- action
- maintenance
2.9 Precontemplation stage
Denial minimization rationalization projection displacement turning inward internalization
2.9 Precontemplation stage progress
Most difficult transition between stages requires
- self exploration
- increase awareness
- increase pros
- establish trust and rapport
- raise consciousness
- dramatic relief
- re-evaluate environment
2.9 Contemplation stage
Intention to change within six months
- getting ready
- pros equal cons
- open to feedback
- ambivalence (I may or might)
- decisional balance
2.9 I’m in words indicating change DARN CAT
Desire/Ability/Reasons/Need
Commitment/Activation/ Taking steps
want,would, wishe, could, can, out to have, I am ready to , II am going, I intend to.
2.9 Precontemplation stage
No change in the next six months not ready resistant defensive avoidant change in possible words I can’t don’t know how always done it this way.
2.9 Coach strategies precontemplation
Empathy encouraging words like what would be different about my life if I decided to make this change how does this behavior play into your goals
2.9 Contemplation to preparation
Use amplified reflections: Reevaluate self -we pros and cons -develop discrepancy -amplify ambivalence -questions to ask: what interests you about change at this time? what things have helped in the past? what would help you this time?
2.9 Preparation stage
Planning change the next 30 days/ -ready- commitment to self -build up confidence -plan of action (possibly most imp. stage)
2.9 Preparation to action
What needs to happen liberate self smart goals incentives envision positive feedback reinforcement
2.9 Preparation stage to action stage questions to
What actions are you ready to take? What are potential barriers? What rewards can you give yourself? What will strengthen your commitment?
2.9 Action stage
> Six months -doing it -strong will power -relapse high -changes made -demand new relationships and behaviors -will power “I am”
2.9 Action to maintenance
Helpful relationships feedback reinforcement stimulus control we left prevention