Lecture 8 Flashcards

1
Q

What is the objectif of goal setting for OA

A

Provide the physical activity instructor with strategies to maximize exercise adoption and adherence

Adoption = beginning of a program
Adherence = maintaining a program
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2
Q

What are the 3 factor influencing the OA participation to exercise ?

A
  1. Personal characteristics
  2. Program related factors
  3. Environmental factors
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3
Q

In the PERSONAL CHARACTERISTICS what are the negatives factors that correlated with physical activities? Demographic factors (5) / health-related factors (6)

A
  1. Female
  2. Ethnic minority group
  3. Older 85+
  4. Rural residence
  5. Low socioeconomic status
  6. Poor health
  7. Poor physical condition
  8. Illness
  9. Arthritic pain
  10. Smoker
  11. Weight problem
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4
Q

What can also influence exercise behavior of OA ? (4)

A
  1. Attitude
  2. Knowledge
  3. Belief
  4. Psychological factors
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5
Q

Psychological factors: Willingness to commit to change, a necessary but not sufficient factor for exercise adoption, Then what is needed? (2)

A
  1. Exercise self-efficacy

2. Perception of greater benefits vs barriers

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6
Q

What are the physical motivators ? (5)

A
  1. Improve health
  2. Prevent disease and disability
  3. Manage chronic illness
  4. Improve mobility
  5. Improved appearance just like YA
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7
Q

What are the psychological motivators ? (3)

A
  1. Decrease stress and anxiety
  2. Reduced risk for depression
  3. Enjoyment
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8
Q

What are the 4 barriers to exercises ? First and second.

A
  • Fear of falling
  • Lack of self-motivator (1)
  • Lack of knowledge or experience with exercise
  • Lack if time (2)
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9
Q

What are the environmental factors ?

A
  • Social support (family, friends, health care providers)

- Physical factors (distance, climate, neighborhood safety)

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10
Q

What are the 5 steps of strategies for behavior change?

What is the name of this model ?

A
  1. Precontemplation: do not, and no intention doing the behavior for the next six months
  2. Contemplation: is thinking about adopting some behavior for next six months
  3. Preparation: plans to perform the desired behavior for the next month, trying it, but not doing consistently
  4. Action: perform the desired behavior consistently, but for fewer than six month
  5. Maintenance: continue t perform the desired behavior for six months

Transtheoretical model

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11
Q

Steps to improve exercise adoption and adherence; STEPS 1

A

Explore expectations and exercise objectives

Team effort important to: verify if expectations are realistic and help design/ choose best exercise program

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12
Q

Steps to improve exercise adoption and adherence; STEPS 2 (3)

What are the characteristic of good goals? (4)

Why short-term and long-term goals?

A

Set goals

  • You assist the participants in setting goals for achieving overall objectives
  • The participants takes primary responsibility for setting goals
  • Our role is to ask question + request clarification

Measurable (participants can determine if their goal is achieve), specific (target a specific area for improvement), realistic (goal sure to achieve), behavioral (walking 3x/weeks vs goals that are outcome-oriented ex. lose 15 lbs)

STG: Help maintain motivation and increase self-efficacy
LTG: Help to move from a stage of contemplation to preparation and action

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13
Q

Steps to improve exercise adoption and adherence; STEPS 3

A

Provide feedback and monitor goals

  • Review progress (weekly at beginning and monthly after)
  • Encourage self-monitoring
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14
Q

Steps to improve exercise adoption and adherence; STEPS 4 (3)

A

Use reward and incentives

  • Participants should reward themselves
  • For new behavior, reinforcement should be regular and consistent
  • With time participants will find exercise reinforcement in and of itself (intrinsic) and will rely less on external motivation (extrinsic)
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15
Q

Steps to improve exercise adoption and adherence; STEPS 5

A

Use problem solving to overcome obstacles

  • Ask the client if he has any idea for overcoming the problem. Need to know how confident he is about the new idea.
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16
Q

Steps to improve exercise adoption and adherence; STEPS 6

Risk of dropping are lower when exercise is maintain for ______?

What is the concepts of lapses and relapses ? Often triggered by ____________ with absence of __________ ?

How to prevent relapses? (3)

A

Promote long-term adherence

6 months

Lapses: missing several exercises sessions
Relapses: Returning to a sedentary state

High-risk situations, coping responses

  1. Encourage participants to identify when they are likely to experience lapses or relapses (holidays, traveling, illness, family obligation, poor weather, stress)
  2. Try to identify negative thoughts associated with lapses and relapses (not good mood, all or nothings thinking, feeling discouraged)
  3. Encourage participants to challenge their thoughts (because when we feels down, more negative)