Behaviour Change Flashcards
6 stages of trans theoretical model
Precontemplation
Contemplation
Preparation
Action
Maintenance
Relapse/termination
Precontemplation
Technique to use
Confidence scale
Motivational interviewing
Confidence 0-3
Provide information generalised
Contemplation
Behaviour to use
Confidence scale
Motivational interviewing
Personalised information or risks and benefits
Confidence 4-6
Preparation
Behaviour intervention
Confidence
Change in the next month
Use CBT to identify barriers
Cocreate an action plan
Confidence needs to be 7+
Action
Behaviour interventions
Confidence
Started - within 6m or not reached target
CBT - barriers
Identify support
Accountability and self monitoring
Confidence 8-9
Maintenance
Behaviour intervention
Confidence
Goal achieved or change sustained for 6m
CBT for barriers to success
Coping strategies
Review and update action plan
Confidence 10
Relapse
When?
What circumstances?
With whom?
Who to turn to
Confidence scales
On a
Scale of 1-10 how confident are you that you will be able to master this in 3-6 months?
Confidence scale less than 7. What questions should you ask?
1 what would take you to an 8
2 why did you rate your self higher than ?? To identify their desire to change
What is the Health belief model?
Personal beliefs or perceptions mostly influence Heath behaviour. Adopting disease prevention strategies such as screening and vaccines
What are the 6 key constructs if the health belief mode
1 perceived susceptibility
2 perceived severity
3 perceived benefit
4 perceived barriers
5 cues to action
6 self efficacy
What is the theory of planned behaviour?
beliefs and attitudes about the
risks,
benefit
capability of achieving the health outcome
Determine engagement in health behaviour
What are the 6 main constructs of the theory of planned behaviour
1 attitude - positive or negative evaluation of behaviour change
2 behaviour intention - motivational factors of behaviour
3 subjective norms
4 social norms
5 perceived power
6 perceived behaviours control
What is social cognitive theory?
Behaviour is a product of
personal factors,
Environment
human behaviour
And the influence / exert on one another
What is self determination theory?
The belief that individuals are naturally motivated to peruse activities and goals in which they are interested or from which they believe they will obtain some benefit
According to self determination theory what are the three primary psychological needs that influence motivation?
Autonomy
Competence
Relatedness
What are the stages of diffusion innovation theory
Innovators
Early adopters
Early majority
Late majority
Laggards
What are the common components of health behaviour models?
Beliefs about risks and benefits
Motivation
Self efficacy
Environment influences such as social norms
What are the 4 general principles of motivational interviewing
1 empathy and understanding
2 support self efficacy
3 roll with resistance
4 show discrepancy between where the patient is and what the patient wants
What are the 4 core skills of motivational interviewing
1 open ended questions
2 affirmations
3 reflections
4 summarise
Which mnemonic can help patients identify and reframe nonproductive thinking
ABCDE
Action Belief Consequences Dispute Effext
What does the ABCDE model stand for?
Action or event
Belief about what has happened
Consequences of the belief
Dispute that belief
Effect of the new way of thinking
Recognise and reframe non productive thinking of cognitive distortions
1 all or nothing
2 over generalisation
3 mental filter
4 mind reading
1 no in between. Black and white
2 using limited factual evidence to hold a firm belief
3 singling out one aspect of a situation to exclusions of others
4 certainty of others thinking without asking
Recognise and reframe non productive thinking of cognitive distortions
1 fortune telling
2 magnification/minimisation
3 personalisation and blame
1 if this happens that will definitely occur
2 priorities are mixed up or irrational
3 you or others are totally responsible for the good or bad that happens
Recognise and reframe non productive thinking of cognitive distortions
1 emotional reasoning
2 labelling/mislabelling
3 disqualifying the positive
1 your feelings don’t lie
2 habitually defining ourselves or others with descriptive terms
3 acknowledging the good and appearing to be objective but believing the good side has no value
Lifestyle prescription vs action plan
Lifestyle prescription- 150 min mod PA a week
Action plan - start with walking 5 mins a day 5 days a week. Increase as tolerated
What are the 5 As if health coaching
Assess
Advise
Agree
Assist
Arrange
What is self motivation
Motivation that comes from within a person. Based on ones needs/perceived benefits/purpose/vision/ meaning in life
Coaching can help connect to this and increase motivation
What is self confidence
Trust a person has in their capability abs qualities
Increased by eliciting positive emotions, robust support systems knowledge and skills
What is self efficacy
The persons specific capability in the task plus individual factors and environments factors
What is behavioural capability
Persons actual ability to perform the behaviour through essential knowledge and skills
What are teachable
Moments
A time of challenge or transition
Post MI
Diagnosis of COPD
What is a simple reflection
Paraphrase or restatement of patient has said without added opinion
What is an amplified reflection
Accurate, direct and exaggerated form of the patient statement.
Aim to evoke desired change
Double sided reflections
Reveal more than one perspective at the same time. Ie comparison of the patients verbalised readiness to change with a contrasting statement of resistance
