Integrated Behavioral Cases Flashcards

1
Q

Know the Transtheoretical Model of Change

What stages should the physician offer help?

A

Precontemplation

Contemplation

Preparation

Action

Maintenance

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2
Q

In which stage should you be quiet and non-judgemental, quietly supportive, NOT TRYING TO HELP?

A

Contemplation

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3
Q

In motivational interviewing, what should be done to get the conversation started?

A

Ask permission to broach whatever subject (weight, smoking, nutrition, etc)

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4
Q

Give examples of “change talk” vs. “maintenance talk”

A

Change talk: “It would be nice if I could be more active with my kids”

Maintenance talk: “I’ve tried losing weight before but it all came back”

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5
Q

How should the physician respond to change talk?

A

Change talk: it would be nice to be more active with my kids

Physician reflection: Working on your health would make it easier to be more active

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6
Q

How should the physician respond to maintenance talk?

A

Maintenance talk: I’ve tried losing weight before but I gained it all back

Physician: Last time it didn’t work and that was disappointing

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7
Q

In precontemplation and contemplation, what is the best physician response?

A

Reflection

Can also ask if anyone has ever been concerned about their health, or if they would like to talk about changing in the future or pros/cons

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8
Q

What is the best physician response to the Preparation stage?

A

Reflection is helpful

Ask about confidence in making the change and ask why they are so confident (nicely)

Ask if they would like help and give resources if yes.

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9
Q

What is the best physician response to the action stage?

What should you not do?

A

Reflection

DO NOT be enthusiastic, reinforcing, cheerful or too supportive

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