Chapter 4: Behavioral Coaching Flashcards
What are the essential elements to mapping out a successful intervention for clients?
1.) Identify determinants of exercise behavior (WHY does someone want to exercise?)
2.) Understand the theories/techniques to drive behavior change
3.) Identify client needs in the first session
4.) Determine most effective delivery style (EFFECTIVE COMMUNICATION)
Autonomy
Acting in accordance with how you want to behave
Intrinsic motivation
Engaging in an activity due to personal satisfaction
Third Space
A communal space separate from work/home. It is a place where clients can build relationships while upholding their identity.
Behavior Change Techniques (BCTs)
Active elements that are determinants of behavior
Self-efficacy
One’s belief that they can accomplish something… “Self image”
Behavior Change Techniques Chart
On Desktop
Determinants Of Behavior
Generic modifiable variables that lead to a behavior change.
What are the 5 stages of change model along with a short description?
1.)Precontemplation (Doesn’t exercise, not planning to start in next 6 months)
2.)Contemplation (Doesn’t exercise, but planning to start within 6 months. AMBIVALENCE)
3.) Preparation (Planning to exercise soon and may already be sporadically exercising)
4.) Action (Individual has been exercising for less than 6 months)
5.) Maintenance (exercising consistently for 6 months or more.)
Reflective Listening
Making a best guess at what the speaker means then restating the question for confirmation.
Tools for active listening / report building
1.) Asking ?’s (open vs close-ended ?’s)
2.) Reflecting (see reflective listening)
3.) Summarizing (collecting summaries, linking summaries, and transitional summaries)
4.) Affirmations (positive statements about character strength
5.) Asking permission
Collecting summaries
Short sentences that keep the momentum of a conversation going
Linking Summaries
Summaries that tie info together, possibly from previous interactions
Transitional Summaries
Used to end a convo or switch topic/focus
Motivational Interviewing
Client-driven approach that is used to resolve ambivalence (mixed feelings, emotions, etc.)
Self-discrepancy
Mismatch between who you are and who you think you should be. Without this, there is no reason for change.
Sustain talk
Talk that a client uses to justify moving away from a behavior (i.e. Justifying inactivity with work
Change Talk
Talk that signifies moving towards a behavior change.
What type of strategies are best for people in the precontemplation stage? What are some of the main “concepts” in the precontemplation stage?
Cognitive. People in the precontemplation stage are probably ambivalent (mixed feelings) towards exercise and don’t necessarily grasp the ramifications of not exercising frequently.
What type of strategies are best for people in the contemplation stage? What are some of the main concepts in the contemplation stage?
Education/cognitive strategies. ppl. in the contemplation stage have considered exercising so CPTs can have a big influence here. They may still have ambivalence balancing the +s and -s of exercise. Low in self-efficacy, SMALL, ACHIEVABLE goals are key.
What are the hallmark features of a client in the preparation stage?
THIS stage is where most clients will fall if they want to meet with a CPT. Most know that they want to start exercising, but they may not have a structured “plan” to do so. CPTs should help clients in this stage formulate a plan for a consistent routine. Increase intrinsic motivation with motivational interviewing.
What is the best way to help clients in the action stage (been exercising up to 6 months?)
Help the client stick to their plan even if they miss a day or two here, help them have strategies to encounter roadblocks like an “emergency workout” if they missed their scheduled workout. Don’t let a small slip up ruin their progress!
What are some features of clients in the maintenance phase?
Generally high in self-efficacy, don’t have as much of a problem sticking to a program, and may incorporate behavioral change techniques like inviting buddies to workout to stick to their program.
If a client is having a conversation with a CTP, then what stage are they AT LEAST in?
Contemplation… Clients in the precontemplation phase have no real motivation to seek out a CPT.
Question ladder to determine what phase they’re in stages of change?
On desktop
What is the defining feature of the contemplation stage?
Ambivalence
What are the 4 behavioral strategies for adhering to a program?
1.) Goal-setting 2.) Planning 3.) self-monitoring 4.) self-efficacy
Goal-setting
Make goals reasonable, break down goals into subgoals. Goals are the WHAT at the intersection of HOW and WHY.
SMART Goals
Specific, Measurable, Attainable, Realistic, Timely
Outcome Goals
Goal consequences, the “endgame” of the goal.
Process Goals
Daily/weekly tasks to reach final outcome of the goal. Increase ability, confidence, and competence.
Self-monitoring
The ability to notice external triggers that make someone do a specific behavior.
What are the 4 different types of support?
Emotional, Instrumental, Informational, and Companionship
What are a few examples of emotional support?
Providing positive feedback, listening to someone vent, positive affirmations, etc.
What are a few examples of informational support?
Providing health benefits of exercise, providing negative effects of not exercising, etc.
What are a few examples of instrumental support?
Giving someone a ride to the gym, babysitting a kid for someone, etc.
