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7-Step Model. Step 1: Rapport and Structure Step 2: Gathering Information Step 3: Conduct the Health-Related Fitness Appraisal Step 4: Interpret Physical Activity and Lifestyle Questionnaires and Health-Related Fitness Appraisal Results. 7-Step Model (cont’d).
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7-Step Model Step 1: Rapport and Structure Step 2: Gathering Information Step 3: Conduct the Health-Related Fitness Appraisal Step 4: Interpret Physical Activity and Lifestyle Questionnaires and Health-Related Fitness Appraisal Results
7-Step Model (cont’d) Step 5: Generate and Evaluate Alternatives for Change Step 6: Develop an Action Plan Step 7: Follow Up
Step 1: Rapport and Structure Objectives: • Develop rapport with the client by: • Putting the client at ease • Explain the appraisal process • Outline options and choices • Obtain informed consent and administer the PAR-Q
Step 1: Rapport and Structure (cont’d) Tools: • Preliminary Instructions (Tool #1) • PAR-Q; possibly PARmed-X or PARmed-X for pregnancy • Consent Form
Step 2: Gathering Information Develop information about the client’s: • Motive for attending the appraisal • Readiness to change • Lifestyle, activity, habits and preferences • Outcome expectation
Step 2: Gathering Information(cont’d) Tools: • Stage of Change Questionnaire (Tool # 4) • Healthy Physical Activity Participation Questionnaire (Tool # 21) • FANTASTIC Lifestyle Checklist (Tool # 22) • Activity Inventory (Tool # 5) • Inventory of Lifestyle Needs & Activity Preferences (Tool # 6)
Step 3: Conduct the Health-Related Fitness Appraisal Objectives: • To conduct the health-related fitness procedures described in Chapter 7 • Test sequence • Test protocols • Test termination • Contraindications
Step 4: Interpret Results Objectives: • Clearly interpret and explain Health Benefit Ratings: • Healthy Physical Activity • Healthy Lifestyle • Healthy Body Composition • Healthy Aerobic Fitness • Healthy Musculoskeletal Fitness • Healthy Back Fitness
Step 4: Interpret Results Objectives: (cont’d) • Clearly interpret and explain Health Benefit Ratings each component
Step 5: Generate and Evaluate Alternatives for Change Objectives: • Review client objectives and compare with results • Review stages of change model, match appropriate strategies and select Tools for change (Fig 2-4) • Complete the Choosing Alternatives or Decision Balance Sheet
Step 5: Generate and Evaluate Alternatives for Change Objectives: (cont’d) • Develop a list of areas for change • Develop a series of alternatives for each change desired • Evaluate alternatives – both the positive and negative consequences • Determine a viable option or action for each area
Step 6: Develop an Action Plan Objectives: • To develop realistic plan for change in cooperation with client • Review essential features of goal setting • Identify and set goals with the client associated with desired changes • Long term • Short Term • Introduction to instruments • Establish commitment to act
Step 6: Develop an Action Plan Tools: • Motivation List (Tool # 9) • First Step Planner (Tool # 10) • Self-Contract (Tool # 11) • Goal Setting Worksheet (Tool # 12) • Relapse Planner (Tool # 13) • Daily Activity Log (Tool # 14) • Personal Health Benefit Rating Summary (Tool # 15)
Step 7: Follow-Up Objectives: • Establish client desire for follow up • Establish nature of follow up: visit, phone call, reminder letter, questionnaire, etc. • Invite client to call if no follow up desired