Lect 1 Flashcards
What is the Cognitive behovioral theory
based on the assumption that all behavior is learned and is directly related to internal and external factors
what is the goal of CBT
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
what do you need to do with your client
- 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
what strategies CBT may include to promote a change in diet and PA
- goal setting
- reward
- problem solving
- stress management
What is health belief model
psychological model that focuses on an individual’s attitude and belief to attempt to explain and predict health behavior
HBM is based on the assumption that
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
what are the stages of health belief model
- perceived susceptibility
- perceived severity
- perceived benefits and barriers
- cues to action
- self efficacy
explain perceived susceptibility
client opinion regarding whether they have the condition or their chance of getting the disease or condition
explain perceived severity
client’s belief about the impact a particular health threat will have on their lifestyle
explain perceived benefits and barriers
the benfits to taking the nutrition related change vs the barriers
explain cue to action
internal or external triggers that motivate or stimulate action
explain self efficacy
client is confident in their ability to change
what is the social learning theory approach
framework for understanding, predicting and chnaging behavior. Emphasizes the importance of observing and modelling behaviors, attitudes and emotional reactions of others.
what are the stages of social learning theory
- reciprocal determinism
- behavioral capability
- expectations
- self efficacy
- observation and learning
- reinforcement
explain reciprocal determinism
a person’s ability to change a behavior is influenced by characteristics within the person, env and behavior itself.
explain behavioral capability
the knowledge and skills that are needed for a persons to change a behavior
explain expectation
a person must belivee that the outcome of the behavior will result in results
explain self efficacy
ability to take action and persist
observation and learning
when a person learns how to do a bahevaior by watching credible others to the same behavior
reinforcement
respnse to a behavior that will either increase or decrease the likelihood that the behavior repeats
what is the purpose of transtheoretical model/ stages of change
guide timing and content of intervention for better health.
Meets cleint at level of behavior change they are ready to adress
what are the stages of change
- precontemplation : no intention of changing in the next 6 months
- contemplation: intending to make changes, but not soon
- preparation: small changes are made, intending to change in 30 days
- action: changes are made in food choices regularly
- maintenance: behavior chnages maintained for 6 m
- termination: occurs only if changes are maintained for more than a year
what are processes of change
10 processes of change to progress through SOC when there are shifts in behvaior, thoughts and intentions
what are the 10 processes of changes
- conciousnnes raising
- dramatic relief or catharsis
- self reevaluation
- enviromental reevalution
- self liberation
- social liberation
- couterconditioning
- stimulus control
- reinforcement management
- helping relantionshion
explain:
1. conciousnnes raising
2. dramatic relief or catharsis
3. self reevaluation
4. enviromental reevalution
- conciousnnes raising:
increases awareness of risks and consequences - dramatic relief or catharsis
increases emotional awareness about unhealthy behavior - self reevaluation
reassessments of self image with ot without unhealthy eating - enviromental reevalution
assessmnet on how problem affects client’s social env
explain:
5. self liberation
6. social liberation
7. couterconditioning
8. stimulus control
- self liberation:
blief that one can change and commit to act on that belief - social liberation:
increases social alternatives and opportunities - couterconditioning
chnaging behavior in response to activities - stimulus control:
replaces unhealthy enviromental cues with healthy ones
explain:
9. reinforcement management
10. helping relantionshion
- reinforcement management:
positive reinforcement and rewards for healthy behavior - helping relantionship
provide caring, openness, acceptance and support for healthy food choices and behavior changes
explain social ecological model
- idividual
- interpersonal (family friends)
- community (relantionships betweem organization)
- organizations
- policies (national, local)
