Modifying Behavior Flashcards
How are behaviors regulated?
How does one change the routine to get new behavior?
By habit.
Environment and day to day routine must be interrupted to translate intention into consistent behavior.
James Prochaska created what 5 stage model? and what does it do?
Trans-Theoretical Model of Behavior Change (TTM)
Explains cognitive and psychological process to predict the likelihood of successful adoption of long-term behavior change.
What are the 5 steps of the Trans-Theoretical Model of Behavior? TTM?
Precontemplation Contemplation Preparation Action Maintenance
Define Pre-contemplation and Contemplation.
Pre-contemplation–not even thinking about making a change.
Contemplation–Aware that a change is needed, begins considering making a change within 6 months.
Define Preparation, Action, and Maintenance.
Preparation–Have decided that they will take action in the immediate future (within a month)
Action–Have made specific and measurable lifestyle changes at a clinically relevant level.
Maintenance–Successful integration of desired behavior change are regular part of life for longer than 5 months.
Define aspects of Motivational Interviewing
Client centered, but direct approach.
Assumes autonomy and self-direction
(client is responsible for own actions, for own health, and changes in behavior)
Goal is to get client motivated a resolved to tackle whatever challenge.
What are 4 techniques to motivational interviewing?
Express empathy.
Develop a discrepancy? report?
Roll with resistance
Support self-efficacy (what one can see oneself doing)
What are the benefits of Collaborative Goal Setting?
Empowers patients to take responsibility and own treatment.
Patient goals tend to be functional, meaningful, and motivating.
Client and family satisfaction is positively associated with the degree of involvement in treatment plan.
Goals need to have 3 components. What are they?
Specific–can measure success.
Challenging–appropriate to skill level.
Achievable–realistic.
What is the Optimum level of arousal?
It is the point where performance ability and level of arousal (interest) are equal. This avoids burnout.
What does legislation say about the right to participate in developing goals/plans?
Carries a mandate to use a team approach to identify the most appropriate plan to meet the needs of the individual receiving federal funded services.
Modifying Health Behavior is a cognitive behavior theory with patient Rx collaboration as the best factor for positive outcomes.
What are the 4 improvements to health management that this theory provides?
- Teaching news behaviors in small steps.
- Providing personalized feedback.
- Encouraging self monitoring of changes and symptoms.
- Counseling to obtain social support.
What are 5 factors about Modifying Health Behavior one needs to bear in mind?
Changes in health behavior take time.
Relapses are common in the process.
Use education and persuasion to motivate.
Use strategies to overcome barriers.
Use rewards of recognition and praise to encourage maintenance of positive changes.
What are 6 reminders to enhance motivation and adherence?
Recognize client’s values and priorities to incorporate them into the Rx plan.
Goal setting is critical to Rx success.
Goals must be set to meet client’s needs and not those of health providers.
Establish achievable goals with realistic time frames.
Be supportive rather than critical.
Be sure patient understands how a specific exercise ties into a functional goal.
