ASSIST Flashcards
what determines behaviour?
likelihood of person adopting a healthy behaviour depends on motivating factors minus inhibiting factors
what is theory
organized set of concepts, definitions, and propositions forming evidence-based models that explain or predict how people behaviour; use to dev plan to adhere or stop behaviour
cognitive vs stage approach to change
both recognize change is an intrinsic process req time and effort; cog approach behaviours controlled by rational human cog activity, stage transition through behavioiur stages
social cognitive theory
cognitive approach proposing that we learn through our experiences, environment, and response to people around you
1. self-efficacy: belief in ability to succeed in specific situations, most powerful factor in facilitating behaviour
2. outcome expectations: expectation of consequences of behaviour
3. self-regulation: skills/tools involved with controlling one’s behaviour to reach long term goals such as goal setting, planning, and self monitoring
4. barriers and facilitators: factors helping or hindering behaviour
increasing self-efficacy
- setting achieveable, attainable goals to achieve postitive mastery experiences related to current task
- vicarious experience through watching others (esp those similar to client) succeed at task
- social persuasion such as communication and feedback to guide someone through task or motivation
- emotional/physiological state
self determination theory
cognitive based approach focuses on degree to which individual behaviour is self-determined
1. client is more motivated to initiate and mainatain new behaviours if their basic needs of autonomy, perceived completence, and relatedness are met
2. intrinsic motivation do behaviours for enjoyment, no discernible reinforcement
2. extrinsic motivation: integrated regulation (satisfies psychological needs), identiified regulation (for personal values), introjected regulation (avoiding disapproval or gaining approval), external regulation (external rewards or punishment)
4. amotivation: lack intention and cause
transtheoretical model
stage-based approach in which people change habitual behaviours slowly and pass through series of specific stages, capped at 6 months
1. precontemplation: no intention to change, encourage client to talk through reasons for change (or not) to stim self-exploration
2. contemplation: planning on change but no definitive step, work through ambivalence and help client find their own compelling reasons to change by increasing self-efficacy
3. preparation: planning to take action, help client discover new PA exp they enjoy to est mastery exp
4. action/maintenance: action for less than 6 months, maintenace 6+, positive reinforcement and mitigate risk of regression
health action process approach
stage-based approach which initiation, adoption, and maintenance of health behaviours is process including motivation and volitional phase
1. pre-intenders in motivational stage examine outcome expectations, increase motivation to form intention by leveraging self-efficacy, outcome expectation, risk perception
2. intenders made intention to change but not action, translate intention into action using self-effficacy, action planning, and coping planning (alt plan for action due to barriers)
3. actors in volitional stage have recovery self-efficacy and self reg through action control, refine action plans to achieve new goals and accomodate change in plans to prevent regression
putting theory into practice for behaviour change
- clients are in control of own behaviour
- change must come from within and is a process
- counselling must be tailored to client
- change behaviour by targeting theory constructs to help client iniitiate and maintain behaviour and act as motivational guide to help clients navigate obstacles and come up with solution to change
