Week 3: Facilitating Behavioral Changes Flashcards
What two aspects of behaviorism is involved in teaching?
Reinforcement and punishment
What is intrinsic motivation?
Doing something for self satisfaction
What is extrinsic motivation?
motivation by external stimulu
how do i know if my patient is ready to learn?
their willingness and motivation (intrinsic or extrinsic)
How do we help our patients develop intrinsic motivation?
Connectedness (sense of trust)
Self-efficacy (feeling of confidence)
autonomy (feeling that activity is meaningful)
What is self efficacy?
feeling of competency or the belief we have in our own abilities, specifically our ability to meet the challenges ahead of us and complete a task successfully
what is autonomy?
feeling that the activities are personal and meaningful
what is connectedness?
a sense of being trusted, respected and cared for by the therapist
What are the 4 main sources of self efficacy?
skills mastery
modeling
persuasion
reinterpretation
What is skills mastery?
Achievements, accomplishments
what is modeling or vicarious experiences?
seeing other people doing what you want to do
what is verbal persuasion?
being able to persuade someone into something using words
what is reinterpretation?
interpreting emotions to help complete something (like when you hated neuro but you had to change your perspective and now it’s kind of cool)
Behavioral change requires:
the belief that one is susceptible to disease
the belief that the disease has significant consequences
Believe that making a change can reduce the threat of the disease
The belief that the benefits of change outweigh the cost or barrier to change
The belief that one has the ability to change
What is the transtheoretical model of change:
precontemplation contemplation preparation action maintenance
What are the characteristics of precontemplation?
- pt has no intention of making a behavioral change
- lack of knowledge of consequences
- HERE, WE NEED TO PROVIDE INFORMATION ABOUT THE POTENTIAL RISK OF CONTINUING AND THE BENEFITS OF CHANGE
What are the characteristics of contemplation?
- Thinking about doing it
not entirely committed - feeling confident that change is necessary and good
- clarify possible risks involved in resisting change and highlight the benefits of making it
what are the aspects of preparation?
making plans to change
pt has now made a commitment to change
assist in developing and supporting a plan of action
realistic strategies and attainable goals
pt must be involved
what are the characteristics of action?
actively participating in their treatment programs
promote self-confidence and outline steps to reach goals
aid the pt in skills to overcome unanticipated barriers to progress
What are the characteristics of maintenance?
behavior change has persisted for more than 6 months
prevention to relapse
The 5A’s Behavioral Intervention Protocol
Address the issue Assess the issue Advise the patient Assist the patient Arrange for follow-up
Label the categories 1 - 5.
- address the issue
- assess the patient
- advise the patient
- assist the patient
- arrange the follow-up
Use of motivational interviewing is based on the following principles:
express empathy develop discrepancy avoid arguments and adjust to the resistance facilitate self-efficacy and a positive outlook use open-ended questions reflective listening summaries affirmations
motivational interviewing is:
directive, client-centered counseling style for eliciting behavior change by helping clients explore and resolve ambivalence
When we assess motivation, we should ask:
- what is the most important activity you wish to return to?
- what symptoms do you want to minimize first?
- How confident are you in your ability to perform the program?
- Do you think these exercises will help you recover?
What are the 5 R’s of the motivational interview?
Relevance, Risks, Rewards, Roadblocks, Repetition
How do we find common ground through negotiation? What specific questions do we ask?
- What problem do you anticipate?
- What are your belief or feelings about exercise?
- What are the best and worst things about exercise?
- What can I do to help you succeed?
What are the 7 steps of negotiation of shared meaning?
- Develop Shared Meaning Through Dialogue
- Develop a Plan of Care
- Assess Readiness
- Provide Intervention and Education
- Check for Understanding
- Check for Adherence and Optimize Motivation
- Reinforce Adherence
