Behaviour Change Model

Question 1

What behaviour has the biggest impact on Australia?

Answer 1

Tobacco Use

Question 2

What portion of Australians are inactive?

What portion of Australians are overweight?

Answer 2

60%

40%

Question 3

Amongst young people in Australia, which are the three most commonly used drugs?

Answer 3

Alcohol
Marijuana
Tobacco

Question 4

Leading health problems

Answer 4

Tobacco - 12.2%
Blood Pressure - 10.9%
Alcohol - 9.2%

Question 5

What are the benefits of PA?

Answer 5

Physical > increased fitness, weight loss

Psychological > feel better

Protection from disease > cardiovascular etc.

Question 6

How much exercise should adults be doing?

Answer 6

Moderate
30 minutes
5 days a week

Question 7

Behaviour in Health

Answer 7

• Keeping appointments
• Staying in treatment
• Taking meds
• Performing rehab exercises
• Lifestyle changes
• Wearing corrective devices

Question 8

Non-adherence

Answer 8

Not following advice of a health professional

Question 9

Effect of poor adherence?

Answer 9

Further injury/deterioration

Lengthen recovery

Recovery compromised

Loss of life

Question 10

What are some common goals in health settings?

Answer 10

Reduce smoking

Reduce illicit drug use

Reduce alcohol consumption

Increase PA

Alter Diet

Increase adherence

Question 11

What do behaviour change strategies rely on?

Answer 11

1. Education
2. Advice giving
3. Persuasion

Question 12

Who invented the TTM model?

Answer 12

Prochaska and di Clemente, 1984

Question 13

What else is the TTM model referred to as?

Answer 13

Stages of Change Model

Question 14

What model believes that we do not change in a simple step but a number of stages instead?

Answer 14

TTM

Question 15

What are the stages of TTM?

Answer 15

1. Pre contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
6. Termination

Question 16

Precontemplation

Answer 16

No thoughts about change

Want to raise awareness about behaviour

Question 17

Contemplation

Answer 17

Considering doing it in the next 6 months

Increase importance

Question 18

Preparation

Answer 18

Make formal plans

Emphasise benefits - make a public statement

Question 19

Action

Answer 19

Engaged in change

Increase self-efficacy

Question 20

Maintenance

Answer 20

Maintain change for 6 months

Reflect on positives

Question 21

Termination

Answer 21

Individual is not tempted and has reached 100% self-efficacy

Question 22

Motivational Interviewing

Answer 22

Directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence to change

Question 23

How can motivational interviewing be delivered?

Answer 23

Person (individual or group)

Telephone

Question 24

Steps/Principles of MI?

Answer 24

1. Express Empathy
2. Develop Discrepancy
3. Roll with Resistance
4. Support Self-Efficacy

Question 25

What motivates change?

Answer 25

1. Social Factors
2. Achievement
3. Comfort

Question 26

When will a person be motivated to perceive the change as important?

Answer 26

> 7

Question 27

How can a HP increase confidence?

Answer 27

• Focus on personal strengths
• Use past successes
• Use role models
• Social support
• Reframe failures