Behaviral Models Flashcards
Behavioral models
- Transtheoretical (stages of change)
- Health Belief Model
- Values based counseling
- motivational interviewing
- Cognitive Behavioral Therapy
Stages of Change
Precontemplative, Contemplative, Planning, Action, Maintenance, Relapse, Identification
Health Belief Model
posits that a person’s willingness to change relates to their perception of their vulnerability for illness and the possible effectiveness of treatment
Goal of stages of change model
help person get to next stage
when does behavioral change occur in health belief model
- perceives themself as at risk for illness
- identifies the problem as serious
- convinced that treatment is effective/not overly costly
- exposed to a cue to take health action
- have confidence they can perform specific behaviors that will be helpful
Important aspect of health belief model
Have to have value on their health or have it high on their list for them to want to work on their weight/improve health
Purpose of motivational interviewing
examination and resolution of ambivalence; pt needs to see a compelling reason to change
- have pt do most of talking
example question for motivational interviewing
on scale of 1-10 how much do you think X is a problem
on a scale of 1-10 how confident are you that you can change your diet
how to get behavior change
need at least a 7 on scale of motivation, small changes, high likelihood of success that will build self-efficacy, concrete/measurable goals (what, where, when, how?)
Key elements of effective counseling
behavioral change needs to come from pt, pt must see compelling need for change, pt must feel confident they can do it and that it will help, be empathetic
Action phase
person sees compelling need for change and might have own idea of what they want to do
- encourage/support and help them see future challenges
Relapse phase
pt sad,
- review positive aspects of hx, acknowledge how common relapse is and open door for reconsidering behavior change
transtheoretical model
helps assess readiness, doesn’t tell you what to do
health belief model
helps you focus on reasons that pt doesn’t find medical issue motivating
cognitive behavior therapy
focus is on actually changing unwanted behaviors, not motivation
- focus on skills/specific behavioral goals
