Lect 1

Question 1

What is the Cognitive behovioral theory

Answer 1

based on the assumption that all behavior is learned and is directly related to internal and external factors

Question 2

what is the goal of CBT

Answer 2

faciliate client identification of cognitions and behaviors that lead to less than optimal eating or exercise haits and replace these with more rational thoughts and actions

Question 3

what do you need to do with your client

Answer 3

• Identify determinants or antecedents to behavior that contribute to less-than optimal eating/exercise
• Identify result behaviours (overeating, vomiting)
• Analyze consequence of this behavior ( cognitions, + and – reinforces feeling over full, losing/gaining weight)
• Make specific goals to modify the environment/cognitions to reduce target behavior

Question 4

what strategies CBT may include to promote a change in diet and PA

Answer 4

• goal setting
• reward
• problem solving
• stress management

Question 5

What is health belief model

Answer 5

psychological model that focuses on an individual’s attitude and belief to attempt to explain and predict health behavior

Question 6

HBM is based on the assumption that

Answer 6

an individual will be motivated to take health related action if that person:
1. fels that a negative health condition can be avoided or managed
2. has a + expectation that by taking a recommedned action, he or she will avoid negative health consequences
3. believes he or she can successfully perform a recommended health action

Question 7

what are the stages of health belief model

Answer 7

1. perceived susceptibility
2. perceived severity
3. perceived benefits and barriers
4. cues to action
5. self efficacy

Question 8

explain perceived susceptibility

Answer 8

client opinion regarding whether they have the condition or their chance of getting the disease or condition

Question 9

explain perceived severity

Answer 9

client’s belief about the impact a particular health threat will have on their lifestyle

Question 10

explain perceived benefits and barriers

Answer 10

the benfits to taking the nutrition related change vs the barriers

Question 11

explain cue to action

Answer 11

internal or external triggers that motivate or stimulate action

Question 12

explain self efficacy

Answer 12

client is confident in their ability to change

Question 13

what is the social learning theory approach

Answer 13

framework for understanding, predicting and chnaging behavior. Emphasizes the importance of observing and modelling behaviors, attitudes and emotional reactions of others.

Question 14

what are the stages of social learning theory

Answer 14

1. reciprocal determinism
2. behavioral capability
3. expectations
4. self efficacy
5. observation and learning
6. reinforcement

Question 15

explain reciprocal determinism

Answer 15

a person’s ability to change a behavior is influenced by characteristics within the person, env and behavior itself.

Question 16

explain behavioral capability

Answer 16

the knowledge and skills that are needed for a persons to change a behavior

Question 17

explain expectation

Answer 17

a person must belivee that the outcome of the behavior will result in results

Question 18

explain self efficacy

Answer 18

ability to take action and persist

Question 19

observation and learning

Answer 19

when a person learns how to do a bahevaior by watching credible others to the same behavior

Question 20

reinforcement

Answer 20

respnse to a behavior that will either increase or decrease the likelihood that the behavior repeats

Question 21

what is the purpose of transtheoretical model/ stages of change

Answer 21

guide timing and content of intervention for better health.
Meets cleint at level of behavior change they are ready to adress

Question 22

what are the stages of change

Answer 22

1. precontemplation : no intention of changing in the next 6 months
2. contemplation: intending to make changes, but not soon
3. preparation: small changes are made, intending to change in 30 days
4. action: changes are made in food choices regularly
5. maintenance: behavior chnages maintained for 6 m
6. termination: occurs only if changes are maintained for more than a year

Question 23

what are processes of change

Answer 23

10 processes of change to progress through SOC when there are shifts in behvaior, thoughts and intentions

Question 24

what are the 10 processes of changes

Answer 24

1. conciousnnes raising
2. dramatic relief or catharsis
3. self reevaluation
4. enviromental reevalution
5. self liberation
6. social liberation
7. couterconditioning
8. stimulus control
9. reinforcement management
10. helping relantionshion

Question 25

explain:
1. conciousnnes raising
2. dramatic relief or catharsis
3. self reevaluation
4. enviromental reevalution

Answer 25

1. conciousnnes raising:
   increases awareness of risks and consequences
2. dramatic relief or catharsis
   increases emotional awareness about unhealthy behavior
3. self reevaluation
   reassessments of self image with ot without unhealthy eating
4. enviromental reevalution
   assessmnet on how problem affects client’s social env

Question 26

explain:
5. self liberation
6. social liberation
7. couterconditioning
8. stimulus control

Answer 26

5. self liberation:
   blief that one can change and commit to act on that belief
6. social liberation:
   increases social alternatives and opportunities
7. couterconditioning
   chnaging behavior in response to activities
8. stimulus control:
   replaces unhealthy enviromental cues with healthy ones

Question 27

explain:
9. reinforcement management
10. helping relantionshion

Answer 27

9. reinforcement management:
   positive reinforcement and rewards for healthy behavior
10. helping relantionship
    provide caring, openness, acceptance and support for healthy food choices and behavior changes

Question 28

explain social ecological model

Answer 28

1. idividual
2. interpersonal (family friends)
3. community (relantionships betweem organization)
4. organizations
5. policies (national, local)