Assessing motivation & readiness

Question 1

Why doesn’t expert advice result in change behaviour?

Answer 1

The person isn’t ready for change/may not even realize they need to change.

Question 2

Important things to find out about your client

Answer 2

-what type of client are you working with (high or low fitness/coachablility)
-what is their motive to meeting with you
-are they ready for change?
-what barriers do they have (past experiences…)
-what do they expect the outcome of their program will be?
-what motivates them to start/keep going?

Question 3

High commitment words

Answer 3

try, want, commit

Question 4

low commitment words

Answer 4

like, hope, wish

Question 5

Transtheoretical model stages of change

Answer 5

-pre contemplation
-contemplation
-preparation
-action
-maintenance
-relapse/termination

Question 6

How do people move through the TTM stages

Answer 6

shift in decisional balance & increased self efficacy to overcome temptation

Question 7

explain “shift in decisional balance”

Answer 7

shift in perceptions of pro and con’s of the behaviour

Question 8

explain “increased self efficacy to overcome temptations”

Answer 8

confidence in ability to overcome issues of relapse into old behaviour

Question 9

Pre-contemplation stage

Answer 9

-no intention to change now or within the next 6 months
-unaware or under aware
-defensive/denial to change
-low efficacy

Question 10

process of change (2)

Answer 10

1. experiential- knowledge, consequences, awareness and benefits. Used in early behaviour change stages, based on past experiences.
2. Behavioural- addressing the environment, getting support, rewards, committing/contract. Later stages of behaviour change (action & maintenance).

Question 11

comtemplation

Answer 11

thinking about changing
- low self confident
-intending to change
Increase intention to action by addressing ambivalence, highlight the benefits, build self efficacy

Question 12

Preparation

Answer 12

Serious about making changes
-may be modifying behaviour already, needs support.
-help them plan, set target dates, focus on pro’s, provide resources to help them

Question 13

Action

Answer 13

made a change but need more help
-have changed their behaviour, high risk for relapse, needs support.
-teach them to deal with potential relapse, promote social support, deal with relapses, support to prevent relapse.

Question 14

Maintenance

Answer 14

Have been doing this for a while, now it is a habit.
-high confidence/self efficacy, has strategies to deal with relapses, no support for behaviour needed.
-support in maintaining behaviour, prepare incase of relapse & refine/add variety to program

Question 15

How to deal with relapse

Answer 15

Learn from the mistakes. Make the next session a priority. Prefer small mistakes to full blown relapses.

Question 16

How to prevent relapse

Answer 16

1. watch for red flags (many missed sessions)
2. train yourself/others to recognize a relapse when you see a red flag
3. Have a plan in place if you do relapse

Question 17

TTM limitations

Answer 17

• doesn’t explain skipping stages
  -arbitrary lines between stages
  -not as good as predicting behaviour as other models
  -fails to fully explain mechanisms of change