Collaboration and Goal Setting Flashcards
Behavior change is a process
- many behaviors are regulated by habit
- environment and day to day routine must be interrupted to translate intention into consistent behavior
Trans-theoretical model of behavior change
- 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
TTM- stages
Precontemplation contemplation preparation action maintenance
Stage 1- precontemplation
not even thinking about making a change
stage 2- contemplation
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)
stage 3- preparation
have decided that they will take action in the immediate future (within a month)
state 4- action
have made specific and measurable lifestyle changes at a clinically relevant level
Stage 5- maintenance
successful integration of desired behavior change are regular part of life for longer than 5 months
Stage 6- termination
choosing to end behavior change
pre-contemplation
-educate on risk vs. benefits and positive outcomes related to change
contemplation
id barriers and misconceptions, address concerns, id support systems
preparation
develop realistic goals and timeline for change, provide positive reinforcement
action
provide positive reinforcement
maintenance
provide encouragement and support
Motivational interviewing
- 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
Motivational interviewing
- expresses empathy
- develop a discrepancy
- roll with resistance
- support self-efficacy
Collaborative goal setting
- 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
Goals need to be
Specific- can be measured
- Challenging- appropriate to skill level
- Achievable- realistic
Modifying health behavior
- 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)
Modifying health behavior
- 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
Reminders to enhance motivation and adherence
- 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
