CH.19 LIFESTYLE MODIFICATION AND BEHAVIORAL COACHING Flashcards
20 SECS TO MAKE WHAT ?
GOOD FIRST IMPRESSION
FIRST IMPRESSION INCLUDES WHAT ?
- MAKING EYE CONTACT
- INTRODUCE YOURSELF NAME AND GET CLIENTS NAME
- SMILE
- SHAKE HANDS
- REMEMBER CLIENTS NAME
- USE GOOD BODY LANGUAGE
A NEW CLIENT WILL USUALLY NOTICE WHAT BEFORE THEY HEAR ANYTHING ?
BODY LANGUAGE OR FACIAL EXPRESSION
WIDELY USED MODELS OF CHANGE WITH REGARD TO EXERCISE
STAGES OF CHANGE MODEL
STAGES OF CHANGE MODEL
PRECONTEMPLATION CONTEMPLATION PREPARATION ACTION MAINTENANCE
PT’S WILL NOT USUALLY SEE PEOPLE IN THIS STAGE; STAGE OF NO INTENTION OF CHANGING
STAGE 1: PRECONTEMPLATION
BEST STRATEGY WITH PRECONTEMPLATORS
EDUCATION
PEOPLE IN THIS STAGE DO NOT EXERCISE BUT ARE THINKING ABOUT BECOMING MORE ACTIVE IN THE NEXT 6 MONTHS
STAGE 2: CONTEMPLATION
BEST STRATEGY TO USE WITH CONTEMPLATORS
EDUCATION, HELP CLIENT DEVELOP MOTIVATIONAL PROGRAMS THAT WILL LEAD TO LONG TERM ADHERENCE
PEOPLE IN THIS STAGE DO EXERCISE (OCCASIONALLY) BUT ARE PLANNING TO BEGIN EXERCISING REGULARLY IN THE NEXT MONTH
STAGE 3: PREPARATION
BEST STRATEGIES FOR WORKING W/ PEOPLE IN PREPARATION STAGE
- CLARIFY REALISTIC GOALS AND EXPECTATIONS
- MAINTAIN THEIR BELIEFS IN IMPORTANCE OF EXERCISE
- DISCUSS PROGRAMS THAT WORK BEST
- CONSIDER CLIENTS SCHEDULE, PREFERENCE AND HEALTH
- ASK ABOUT PREVIOUS SUCCESSFUL EXPERIENCE
- AVOID EXERCISE THAT CAN LEAD TO INJURY
- BUILD SOCIAL SUPPORT NETWORK
PEOPLE IN THIS ACTION PHASE ARE ACTIVE; STARTED TO EXERCISE BUT HAVE NOT YET MAINTAINED BEHAVIOR FOR 6 MONTHS
STAGE 4: ACTION
BEST STRATEGIES FOR PEOPLE IN ACTION STAGE
PROVIDE EDUCATION, DISCUSS BARRIERS TO EXERCISE AND TO ANTICIPATE UPCOMING DISRUPTIONS
PEOPLE IN THIS STAGE HAVE MAINTAINED CHANGE FOR 6 MONTHS OR MORE; STILL TEMPTED TO RETURN TO OLD HABITS OF LESS EXERCISE
STAGE 5: MAINTENANCE
WITH A CLIENT IN MAINTENANCE STAGE PT’S SHOULD SUGGEST WHAT ?
HAVE A MAINTENANCE CHECK IN PLAN THAT INCLUDES REINFORCING PROS, DISCUSS PROGRESS, AND HELP THEM TO CHANGE UP THEIR WORKOUT PLAN
IN THIS SESSION PERSONAL TRAINERS DETERMINE THEIR CLIENTS READINESS TO EXERCISE AND DECIDE WHAT STAGE OF CHANGE HE OR SHE IS IN
INITIAL SESSION
DISCUSSING WHAT IS AN IMPORTANT FOCUS DURING INITIAL CONVERSATION, PARTICULARLY W/ CLIENTS IN CONTEMPLATION AND PREPARATION STAGES
HEALTH CONCERNS
T OR F: STRESS REDUCTION IS ONE OF THE PRIMARY REASONS PEOPLE STICK TO AN EXERCISE PROGRAM
TRUE
AFTER PT HAVE ESTABLISHED GOOD FIRST IMPRESSION AND DISCUSSED HEALTH CONCERNS IT IS NOW IMPORTANT TO TALK WITH THEIR CLIENTS ABOUT WHAT ?
FITNESS GOALS
LEAD TO DEMANDING EXERCISE PROGRAMS THAT MAY BE WELL BEYOND CLIENTS ABILITY, LIFESTYLE, TIME LIMITATIONS OR INITIAL FITNESS LEVEL
UNREALISTIC GOALS
UNREALISTIC GOALS RESULT IN WHAT ?
CLIENT DROPPING OUT OF EXERCISE PROGRAM OR POSSIBLE INJURY
SMART GOALS STAND FOR WHAT ?
SPECIFIC MEASURABLE ATTAINABLE REALISTIC TIMELY
SET GOALS THAT INCLUDE WHAT ?
PHYSICAL SKILLS, MENTAL SKILLS, AND PSYCHOLOGICAL BENEFITS OF EXERCISE
2 TYPES OF GOALS
PROCESS AND PRODUCT
IMPORTANT TO HELP CLIENT FOCUS ON WHAT GOALS ?
PROCESS GOALS
WHEN IS BASICS OF AN EXERCISE PLAN DEVELOPED WITH CLIENT ?
INITIAL SESSION
STUDIES HAVE SHOWN THAT PEOPLE INCREASE THEIR EFFORT AND PERFORMANCE WHEN OTHERS ARE WATCHING THEM, A PRINCIPLE CALLED WHAT ?
SOCIAL FACILITATION
EFFECTIVE WHAT IS OFTEN THE DIFFERENCE B/W SUCCESS AND FAILURE FOR THE RELATIONSHIP B/W PT AND CLIENT
EFFECTIVE COMMUNICATION
EFFECTIVE COMMUNICATIONS SKILLS ARE WHAT ?
LEARNED BEHAVIOR
WHAT SOMEONE IS THINKING OR FEELING, REFLECTED IN BODY LANGUAGE; SHOWS MAINLY IN FACE
NONVERBAL COMMUNICATION
MESSAGES NEED TO BE DELIVERED WHEN ?
RIGHT TIME AND RIGHT PLACE
LISTENER NEEDS TO CLARIFY WHAT THEY HEARD FROM SPEAKER AND THE SPEAKER NEEDS TO WHAT ?
APPROVE OR RECLARIFY WITH THE LISTENER
REQUIRES AN INDIVIDUAL TO PAY ATTENTION, AVOID DISTRACTIONS, LOOK SPEAKER IN EYE AND PROVIDE FEEDBACK ONLY WHEN SPEAKER HAS FINISHED
ACTIVE LISTENING
SUGGEST PT SEEKS TO BE RESPECTFUL AND GENUINELY CARE FOR CLIENT
ACTIVE LISTENING
A PT’S GOAL W/ THEIR CLIENT
BUILD RELATIONSHIP
WHAT TYPE OF RELATIONSHIP W/ CLIENTS CAN AND WILL PROVIDE MEANS TO BE SUPPORTIVE THROUGHOUT PROCESS
COLLABORATIVE RELATIONSHIP
QUESTIONS THAT CAN BE ANSWERED W/ ONE WORD (WHAT’S YOUR NAME?)
CLOSE ENDED (DIRECTIVE) QUESTIONS
QUESTIONS THAT ALLOW PERSON TO GIVE MORE INFO; CANNOT BE ANSWERED W/ NUMBER PLACE OR YES OR NO
OPEN ENDED (NONDIRECTIVE) QUESTIONS
VERY IMPORTANT FOR BUILDING COLLABORATIVE RELATIONSHIP W/ CLIENT B/C THEY INVITE DISCUSSION
OPEN ENDED QUESTIONS
CONVERSATIONAL TECHNIQUES THAT EXPRESS PURPORTED MEANING OF WHAT WAS JUST HEARD; EXPRESS CARING AND COMMUNICATE UNDERSTANDING; SHOW ACTIVE LISTENING IS HAPPENING
REFLECTION
SERIES OF REFLECTIONS
SUMMARIES
DRAW ALL IMPORTANT POINTS OF CONVO TOGETHER; SHOW GREATER DEPTH OF LISTENING THROUGHOUT ENTIRE CONVO
SUMMARIES
SHOW APPRECIATION FOR CLIENT AND THEIR STRENGTHS
AFFIRMATIONS
PEOPLE WILL FELL MORE VALIDATED BY POSITIVE COMMENTS ABOUT WHAT ?
THEIR THOUGHTS, PLANS OR SKILLS
T OR F: COMPLIMENTS USUALLY BEGIN W/ “I” STATEMENTS; TYPICALLY HAVE AN EVALUATIVE JUDGMENT IMPLICIT WITHIN THEM
TRUE
CHANGING “I” STATEMENTS TO “YOU” STATEMENTS RELOCATES AFFIRMATION FROM AN EXTERNAL ADVANTAGE POINT TO WHAT ?
INTERNAL CLIENT ATTRIBUTE
COMMUNICATES APPRECIATION OF CLIENTS FOR WHO THEY ARE
AFFIRMATION