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Behavior Modification - Helping Individuals Change Health Behaviors

This chapter discusses the principles of behavior change, motivation, and factors influencing exercise adoption and adherence. It covers behavior change strategies for different motivational readiness stages, relapse prevention, and effective communication skills for motivating and supporting behavior change.

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Behavior Modification - Helping Individuals Change Health Behaviors

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  1. chapter22 Behavior Modification Janet Buckworth

  2. Learning Objectives • Describe the principles of behavior change described in the transtheoretical model. • Discuss motivation and other factors that influence exercise adoption and adherence. • Describe appropriate behavior change strategies to use with individuals in different stages of motivational readiness. (continued)

  3. Learning Objectives (continued) • Describe how relapse prevention can be applied to exercise behavior. • Identify effective communication skills necessary to motivate and support health behavior change.

  4. Helping Individuals Change Health Behaviors • Knowledge • A theoretical model to explain and predict behavior (transtheoretical model) • Factors that influence health behaviors: attitudes, beliefs, and behavioral skills • Skills • Behavior change strategies matched to stage of motivational readiness • The ability to listen effectively and respond empathetically

  5. Transtheoretical Modelof Behavior Change Theoretical foundation: The transtheoretical model of behavior change • Behavior change is a dynamic process involving attitudes, decisions, and actions. • Individuals progress through distinct, often nonsequential stages of change. • Intervention strategies must be matched to the stage a person is in. (continued)

  6. Transtheoretical Modelof Behavior Change (continued) Stages of change in exercise • Precontemplation: inactive, not considering exercise • Contemplation: inactive, considering beginning exercise within next 6 mo • Preparation: plan to begin program within 1 mo • Action: active at criteria level for less than 6 mo • Maintenance: active at criteria level for 6 mo or more (continued)

  7. Transtheoretical Modelof Behavior Change (continued) Attitudes, beliefs, and behavioral skills that influence behavior change • Self-efficacy (belief in capability to engage in a specific behavior successfully) • Decisional balance (evaluating the pros and cons of the target behavior) • Processes of change (strategies used to change behavior) • Experiential/cognitive • Behavioral

  8. Stagesof Behavior Change

  9. Promoting Exercise:Targeting Precontemplators and Contemplators Key factors • Individual characteristics • Social influences • Environmental dynamics

  10. Promoting Exercise:Individual Characteristics • Exercise history • Motivation • Perceived behavior control • Self-efficacy

  11. Promoting Exercise:Environmental Dynamics • Cues or prompts • Access to facilities • Lack of time (real, perceived, skill related, rationalization) • Natural (climate, geography) • Constructed (quality of workout facilities, traffic)

  12. Considerationsfor Marketing Exercise • Reduce the perceived costs and increase the perceived benefits of being active. • Provide practical support and encouragement. • Include motivational prompts suited to the target group. • Reduce environmental barriers.

  13. Enhancing Adherence: Methods of Behavior Change • Assess. • Physiological (physical fitness, health) • Psychosocial (goals, motivation) • Evaluate past attempts at change. • Self-monitor to identify barriers and supports. (continued)

  14. Enhancing Adherence: Methods of Behavior Change (continued) Enhance self-efficacy through the following: • Set up mastery experiences. • Provide verbal encouragement. • Provide successful models. • Offer information about normal physiological responses to exercise and how to interpret them.

  15. Methods of Behavior Change:Goal Setting • Define goals in behavioral terms (measurable). • Set specific goals. • Make the goals flexible. • Include short-term and long-term goals. • Make the goal challenging but achievable. • Address physiological factors. • Consider environmental influences. • Provide timely and specific feedback.

  16. Methods of Behavior Change:Reinforcement • Temporally close to target behavior • Tangible or intangible • Meaningful to the participant • Addition of something positive or removal of something negative

  17. Methods of Behavior Change:Behavioral Contacts Principles • Contracts should specify goal-directed behaviors. • Terms should be very clear. • Contracts should be generally positive. • Contracts should be fair. • Procedures should be systematic and consistent. • At least one other person should participate.

  18. Methods of Behavior Change:Relapse Prevention • Relapse occurs when a person stops a healthy behavior and goes back to unhealthy habits. • High-risk situations increase the risk of relapse. • Relapse prevention attempts to identify and deal with potential high-risk situations.

  19. Health Fitness CounselingCommunication Skills • Effective listening • Attend to verbal and nonverbal messages. • Identify overt message and underlying meaning. • Practice responsive listening. • Empathetic responding • Communicate understanding. • Maintain nonjudgmental reactions. • Don’t make assumptions. • Be honest and supportive.

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