UNIT 2 ; art of exercise medicine

Question 1

DISCUSS MODIFICATIONS TO FITT PRINCIPLE, EXAMINE PRIORITIES/GOALS, BRIEF COUNSELLING OR MOTIVATIONAL INTERVIEWING
“I don’t have enough time.”

Answer 1

F - break up into manageable amounts during day
I - intensity start at a low intensity , can increase intensity on weekends to get in appropriate amount of exercise s week
T-start small, include exercise in your daily routine i.e walking to your car ,
T- Mode?Mode? Goal/Purpose? Home-based/supervised? incorporate into your everyday routine

Question 2

Stages of change theory -> know and understand from examples

Answer 2

Precontemplation: not aware of need to change *Contemplation: aware and considering need to change *Preparation: preparing emotionally and gathering resources *Action: actively attempting change *Maintenance: established behavior

Question 3

What is Self-efficacy?

Answer 3

uses visual analog scales to assess an individuals ability to change a behaviourin a social setting
Assesses confidence in executing a behavior, Assesses confidence in executing a behavior

Question 4

Health belief model?

Answer 4

–The theory is grounded in the notion that individuals are ready to act if they:
*Believe they are susceptible to the condition (perceived susceptibility)
*Believe the condition has serious consequences (perceived severity)
*Believe taking action reduces their susceptibility to the condition or it’s severity (perceived benefits)
*Believe costs of taking action (perceived barriers) are outweighed by the benefits
*Are confident in their ability to successfully perform an action (i.eseeing their weight on a scale)(cues to action)

Question 5

Self-determination theory?

Answer 5

motivational tool to promote exercise and activity adherence
Based on the fact that exercise gives pts a sense of satisfaction and fulfillment

Question 6

5 A’s of self determination theory ?

Answer 6

*Ask: Are you regularly active?
*Advise: Continue your current activity but try to take the stairs more often.
*Assess: Are you willing to take the stairs every day?
*Assist: Why don’t you park your car by the entrance to the stairs? *
Arrange: I will e-mail you on Friday for an update.

Question 7

Precontemplation ——–Contemplation

Answer 7

–Provide information on the benefits of PA–Discuss how some of the barriers they perceive may be misconceived–Have them visualize what they would feel like if they engaged in PA–Explore how their inactivity impacts others

Question 8

Contemplation ———-Preparation

Answer 8

Explore potential solutions to their barriers–Assess their level of self-efficacy–Emphasize the importance of small steps–Encourage viewing oneself as healthy and physically active

Question 9

Preparation ——–Action

Answer 9

–Develop appropriate plan of activity or goal worksheet–Use reinforcements–Teach self-monitoring techniques–Continue discussions on how to overcome obstacles/barriers–Encourage them to create an environment that reminds them to be active–Encourage ways to substitute sedentary behaviour

Question 10

Action ———-Maintenance

Answer 10

–Provide positive feedback on goal progress–Explore different types of activity to avoid burnout–Encourage them to work with and help others, making them more active–Discuss relapse prevention strategies–Discuss potential rewards that can be used to maintain motivation