Collaboration and Goal Setting

Question 1

Behavior change is a process

Answer 1

• many behaviors are regulated by habit

- environment and day to day routine must be interrupted to translate intention into consistent behavior

Question 2

Trans-theoretical model of behavior change

Answer 2

• 5 stage model explaining cognitive and psychological processes involved in long term behavior change
• helps predict likelihood of success in adopting behaviors or extinguishing ones
• progress though stages enhanced by interventions

Question 3

TTM- stages

Answer 3

Precontemplation 
contemplation 
preparation 
action 
maintenance

Question 4

Stage 1- precontemplation

Answer 4

not even thinking about making a change

Question 5

stage 2- contemplation

Answer 5

aware that health issue is creating problems and realize a change in behavior would be helpful- begin to consider options of taking action in the foreseeable future
(about 6 months)

Question 6

stage 3- preparation

Answer 6

have decided that they will take action in the immediate future (within a month)

Question 7

state 4- action

Answer 7

have made specific and measurable lifestyle changes at a clinically relevant level

Question 8

Stage 5- maintenance

Answer 8

successful integration of desired behavior change are regular part of life for longer than 5 months

Question 9

Stage 6- termination

Answer 9

choosing to end behavior change

Question 10

pre-contemplation

Answer 10

-educate on risk vs. benefits and positive outcomes related to change

Question 11

contemplation

Answer 11

id barriers and misconceptions, address concerns, id support systems

Question 12

preparation

Answer 12

develop realistic goals and timeline for change, provide positive reinforcement

Question 13

action

Answer 13

provide positive reinforcement

Question 14

maintenance

Answer 14

provide encouragement and support

Question 15

Motivational interviewing

Answer 15

• client centered but direct approach
• EBP used addictions, counseling, and health psychology
• assumes autonomy and self-direction
• goal to facilitate client’s articulation and resolution of ambivalence

Question 16

Motivational interviewing

Answer 16

• expresses empathy
• develop a discrepancy
• roll with resistance
• support self-efficacy

Question 17

Collaborative goal setting

Answer 17

• empowers patients to take responsibility and own treatment
• patient goals tend to be functional, meaningful, and motivating
• client and family satisfaction is positively associated with the degree of involvement in treatment plan

Question 18

Goals need to be

Answer 18

Specific- can be measured

• Challenging- appropriate to skill level
• Achievable- realistic

Question 19

Modifying health behavior

Answer 19

• Cognitive behavior theory with patient rx collaboration most likely to have postitive outcomes
• Behavior techniques have been found to improve health management (small steps, personalized feedback, self monitoring, and social support)

Question 20

Modifying health behavior

Answer 20

• changes take time
• relapses common int the process
• use education and persuasion to motivate
• use strategies to overcome barriers
• use rewards of recognition and praise to encourage maintenance of positive changes

Question 21

Reminders to enhance motivation and adherence

Answer 21

• recognize client’s values and priorities to incorporate them into the rx plan
• goal setting is critical to rx success
• goals meet client’s needs not health providers
• est. achievable goals with realistic time frames
• be supportive rather than critical
• be sure px understand how a specific exercise ties into a functional goal