Chapter 18: Helping Clients Establish Self-Reliance

Question 1

Self reliance has application in 2 behavior change models:

Answer 1

Socio-ecological model

TTM behavior change model

Question 2

2 models can be used to influence self efficacy

Answer 2

Self efficacy model

Social cognitive theory

Question 3

When a client has been successful at maintaining a healthy lifestyle for more than _ months, he/she should be self reliant

Answer 3

6 months

Question 4

4 spheres of influence

Answer 4

Recreation
Transport
Occupation
Household

Question 5

Sphere in which health coach has the most influence

Interaction through (3)

Answer 5

Interpersonal area

Gym, phone, email

Question 6

Most important component of a client bring self reliant

Answer 6

Self efficacy

Question 7

Perceive more cons than pros related to adopting a healthy lifestyle

Answer 7

Pre-contemplators and contemplators

Question 8

Relapse involves _ to unhealthy behavior

Answer 8

Return

Question 9

Temporary fall off the wagon

Answer 9

Lapse

Question 10

_ hypothesizes all sustained changes in behavior are mediated by self efficacy

Answer 10

Self-efficacy model

Question 11

Theory that suggests that all health behaviors are goal driven through anticipation of outcomes

Answer 11

Social cognitive theory

Question 12

Three elements of triadic reciprocal situation

Answer 12

Cognition
Behaviors
Environment

Question 13

Thoughts that allow one to consider present situations based on previous experiences and expected outcomes

Answer 13

Cognitions

Question 14

Previous actions

Answer 14

Behaviors

Question 15

Social and physical situations in which people act

Answer 15

Environment

Question 16

All health behaviors are goal driven through anticipation of outcomes

Answer 16

Social cognitive theory

Question 17

The belief that a client is capable of maintaining their healthy lifestyle

Answer 17

Self reliance

Question 18

Goals should be _ and _

Answer 18

Specific and action oriented

Question 19

Long term goals should be _

Answer 19

Broken down into incremental short term goals

Question 20

Goals should be _ sensitive

Example

Answer 20

Time sensitive

I will eat breakfast 5 days a week

Question 21

This tool should be used by client to review successes, lapses, barriers and then discussed with the health coach

Answer 21

Tracking goals

Imperative to success

Question 22

4 components of goal setting process

Answer 22

Long term goals…..short term goals….plan of action…progress feedback

Question 23

Interventions should focus on modifiable behaviors to_

*weight is not _

Answer 23

Improve health and not weight

A behavior

Question 24

When providing feedback , the health coach needs to ask:

5

Answer 24

What were your successes this week

What helped you to be successful

Did you reward yourself for success

Were there any barriers or hurdles to your goals

What would you like to do about the barriers

Question 25

Techniques to help client ask for social support: 3

Answer 25

Role play

Identify people interested in the same kind of help

Start a group session

Question 26

In a national weight loss program the facilitator only speaks _ percent of the time

Answer 26

25%

Question 27

Instead of the client saying, “I’ve gained 5 lbs” teach the client to say

Answer 27

I’ve taken those 5 lbs off before and I will do it again

Question 28

_ is client focused, semi directive , counseling approach focused on exploring and resolving ambivalence around behavioral change and or maintenance

*based on the TTM stages

Answer 28

Motivational interviewing

Question 29

4 motivational interviewing principles

Answer 29

Express empathy
Support self efficacy
Roll with resistance
Develop discrepancy

Question 30

Health coach helps client identify ambivalence to change and coaches the client to identify barriers and solutions

Answer 30

Roll with resistance

Question 31

Helping client recognize how current behavior inflict with self identified goals

Answer 31

Develop discrepancy