Behaviour Change Model Flashcards
What behaviour has the biggest impact on Australia?
Tobacco Use
What portion of Australians are inactive?
What portion of Australians are overweight?
60%
40%
Amongst young people in Australia, which are the three most commonly used drugs?
Alcohol
Marijuana
Tobacco
Leading health problems
Tobacco - 12.2%
Blood Pressure - 10.9%
Alcohol - 9.2%
What are the benefits of PA?
Physical > increased fitness, weight loss
Psychological > feel better
Protection from disease > cardiovascular etc.
How much exercise should adults be doing?
Moderate
30 minutes
5 days a week
Behaviour in Health
- Keeping appointments
- Staying in treatment
- Taking meds
- Performing rehab exercises
- Lifestyle changes
- Wearing corrective devices
Non-adherence
Not following advice of a health professional
Effect of poor adherence?
Further injury/deterioration
Lengthen recovery
Recovery compromised
Loss of life
What are some common goals in health settings?
Reduce smoking
Reduce illicit drug use
Reduce alcohol consumption
Increase PA
Alter Diet
Increase adherence
What do behaviour change strategies rely on?
- Education
- Advice giving
- Persuasion
Who invented the TTM model?
Prochaska and di Clemente, 1984
What else is the TTM model referred to as?
Stages of Change Model
What model believes that we do not change in a simple step but a number of stages instead?
TTM
What are the stages of TTM?
- Pre contemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Termination
Precontemplation
No thoughts about change
Want to raise awareness about behaviour
Contemplation
Considering doing it in the next 6 months
Increase importance
Preparation
Make formal plans
Emphasise benefits - make a public statement
Action
Engaged in change
Increase self-efficacy
Maintenance
Maintain change for 6 months
Reflect on positives
Termination
Individual is not tempted and has reached 100% self-efficacy
Motivational Interviewing
Directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence to change
How can motivational interviewing be delivered?
Person (individual or group)
Telephone
Steps/Principles of MI?
- Express Empathy
- Develop Discrepancy
- Roll with Resistance
- Support Self-Efficacy
What motivates change?
- Social Factors
- Achievement
- Comfort
When will a person be motivated to perceive the change as important?
> 7
How can a HP increase confidence?
- Focus on personal strengths
- Use past successes
- Use role models
- Social support
- Reframe failures