Chapter 18: Helping Clients Establish Self-Reliance Flashcards
Self reliance has application in 2 behavior change models:
Socio-ecological model
TTM behavior change model
2 models can be used to influence self efficacy
Self efficacy model
Social cognitive theory
When a client has been successful at maintaining a healthy lifestyle for more than _ months, he/she should be self reliant
6 months
4 spheres of influence
Recreation
Transport
Occupation
Household
Sphere in which health coach has the most influence
Interaction through (3)
Interpersonal area
Gym, phone, email
Most important component of a client bring self reliant
Self efficacy
Perceive more cons than pros related to adopting a healthy lifestyle
Pre-contemplators and contemplators
Relapse involves _ to unhealthy behavior
Return
Temporary fall off the wagon
Lapse
_ hypothesizes all sustained changes in behavior are mediated by self efficacy
Self-efficacy model
Theory that suggests that all health behaviors are goal driven through anticipation of outcomes
Social cognitive theory
Three elements of triadic reciprocal situation
Cognition
Behaviors
Environment
Thoughts that allow one to consider present situations based on previous experiences and expected outcomes
Cognitions
Previous actions
Behaviors
Social and physical situations in which people act
Environment
All health behaviors are goal driven through anticipation of outcomes
Social cognitive theory
The belief that a client is capable of maintaining their healthy lifestyle
Self reliance
Goals should be _ and _
Specific and action oriented
Long term goals should be _
Broken down into incremental short term goals
Goals should be _ sensitive
Example
Time sensitive
I will eat breakfast 5 days a week
This tool should be used by client to review successes, lapses, barriers and then discussed with the health coach
Tracking goals
Imperative to success
4 components of goal setting process
Long term goals…..short term goals….plan of action…progress feedback
Interventions should focus on modifiable behaviors to_
*weight is not _
Improve health and not weight
A behavior
When providing feedback , the health coach needs to ask:
5
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
Techniques to help client ask for social support: 3
Role play
Identify people interested in the same kind of help
Start a group session
In a national weight loss program the facilitator only speaks _ percent of the time
25%
Instead of the client saying, “I’ve gained 5 lbs” teach the client to say
I’ve taken those 5 lbs off before and I will do it again
_ is client focused, semi directive , counseling approach focused on exploring and resolving ambivalence around behavioral change and or maintenance
*based on the TTM stages
Motivational interviewing
4 motivational interviewing principles
Express empathy
Support self efficacy
Roll with resistance
Develop discrepancy
Health coach helps client identify ambivalence to change and coaches the client to identify barriers and solutions
Roll with resistance
Helping client recognize how current behavior inflict with self identified goals
Develop discrepancy
