Communication and Behaviour Change Flashcards
What are some common barrier to exercise?
Negative expectations Fear-avoidance (pain or injury) Diagnostic uncertainty Lack of follow-up/concerns re: technique/safety Lack of time/motivation
What are some facilitators to exercise?
Communication/education Rapport/therapeutic alliance Diagnosis/credible explanation of pain Pt centered/tailored exercises Simple exercises Explained purpose Supervision/demonstration Structured plan Set goals and measurable progress
What is a behaviour change technique?
The smallest component of behaviour change interventions that on their own can bring about change if the circumstances are favorable
What is the BCT of prompting intention formation?
Encourage the pt to consider making positive behavioural changes and what that might look like
Encourage pt to make behavioural resolutions
Give pts opportunity to make changes by leaving the choice up to them (ie. stay and do exercises or go home early)
Prompt pt to consider ways of fitting exercise and activity into their life (ADL’s)
What is the BCT of graded exposure?
If they are avoiding something out of fear. Establish a hierarchy of feared activities (document expectations).
Educate on fear-avoidance, neuroplasticity, safety of the task
Prompt gradual and systematic exposure to activities in the hierarchy
Progress to the next feared activity when the pts fear-avoidance for previous activity has been decreased
What is the BCT of cognitive restructuring?
Education on pain and meaning (hurt does not equal harm)
Prompt pts to demonstrate their understanding of pain
Explore pts thoughts concerning movement, activities and behaviours.
Challenge maladaptive cognitions, behavioural experiments/exposure
Focus on function or goal accomplishments instead of pain
true or false: the central theme of BCT is self-efficacy?
True
How do we improve self-efficacy?
Through therapeutic alliance, education, experience/attributions, increasing perceived control and mastery
