Lifestyle Behavior Changes in Patients (Chapter 10)

Question 1

One stimulus for more attention to lifestyle modification during the clinical encounter is the development and increasing use of the…

Answer 1

Health Plan Employer Data and Information Set (HEDIS)

Question 2

Three models of behavior theory

Answer 2

• Health Belief Model
• Transtheoretical Model of Change
• Five A’s Behavioral Intervention Protocol

Question 3

To maximize adherence or to help the patient alter unhealthy habits, the basic strategy is to use____________ to help the patient identify the reasons that will motivate him or her to adhere to or to change a habit.

Answer 3

written or oral questions

Question 4

This theory asserts that, to make a behavioral change, an individual must believe:

1. that she or he is susceptible to a disease or condition
2. that the disease has serious consequences
3. that making a change such as increasing activity can reduce the threat
4. that the costs or barriers of changing are less than the benefits
5. that she or he is able to successfully make the change.

Answer 4

The Health Belief Model

Question 5

This theory suggests that making a behavior change, such as following a home exercise program, follows a non-linear progression of five stages:

1. not thinking about changing (precontemplationstage)
2. thinking about making a change (contemplation stage)
3. making preparations to change (preparation stage)
4. implementing the change (action stage)
5. maintaining the change (maintenance stage)

Answer 5

Transtheoretical Model of Change

(Relapse to a previous stage is common, may occur at any time and to any prior stage, and is an integral part of the change process)

Question 6

Patients who come to a therapist are likely in the _________ stages regarding their musculoskeletal problems

Answer 6

preparatory or implementation (action)

because they have come to the therapist seeking help regarding their symptoms.

Question 7

this theory posits that behavior is the product of the continuous, reciprocal interplay between social or physical environmental factors and psychological factors such as emotions, self-appraisals, beliefs about behavioral consequences, and confidence in the ability to execute the desired behavior (self-efficacy)

Answer 7

The Social Learning Theory

Question 8

Negotiating a plan also implies that the physical therapist strives to understand

Answer 8

1. How the condition affects activities important to Mr. Smith (knowledge): provision of information
2. What his goals and motivations are (motivations)
3. The potential barriers to following whatever intervention or prevention plan is agreed on (resources)

Question 9

The first condition for initiating a behavior change is

Answer 9

provision of information:

• possible negative consequences
• what the problem or condition is
• what may have caused the problem
• how and when to do the treatment program
• when not to do the treatment
• it’s possible side effects
• the length of time before positive effects of the program will be noticed,
• how the treatment will positively impact present and future health and functioning in ways important to the patient.

Question 10

The second condition for initiating a behavior change is

Answer 10

motivation:

• identify and state all the reasons important to him/her for following the treatment or for changing an unhealthy habit.

Question 11

The third condition for initiating a behavior change is

Answer 11

resources

(identify barriers)

Question 12

what are the Five A’s Behaviral Intervention

Answer 12

1. Address the issue
2. Asess the patient: attemps, readiness, and motivation to change.
3. Advise the patient: importance of adhering
4. Assits the patient: negotiate plan, educate, remove barriers
5. Arragne follow up: asess adherence