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Blsm Revision > Behaviour Change > Flashcards

Behaviour Change Flashcards

1
Q

6 stages of trans theoretical model

A

Precontemplation
Contemplation
Preparation
Action
Maintenance
Relapse/termination

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2
Q

Precontemplation
Technique to use
Confidence scale

A

Motivational interviewing
Confidence 0-3
Provide information generalised

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3
Q

Contemplation
Behaviour to use
Confidence scale

A

Motivational interviewing
Personalised information or risks and benefits
Confidence 4-6

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4
Q

Preparation
Behaviour intervention
Confidence

A

Change in the next month
Use CBT to identify barriers
Cocreate an action plan
Confidence needs to be 7+

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5
Q

Action
Behaviour interventions
Confidence

A

Started - within 6m or not reached target
CBT - barriers
Identify support
Accountability and self monitoring
Confidence 8-9

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6
Q

Maintenance
Behaviour intervention
Confidence

A

Goal achieved or change sustained for 6m
CBT for barriers to success
Coping strategies
Review and update action plan
Confidence 10

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7
Q

Relapse

A

When?
What circumstances?
With whom?
Who to turn to

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8
Q

Confidence scales

A

On a
Scale of 1-10 how confident are you that you will be able to master this in 3-6 months?

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9
Q

Confidence scale less than 7. What questions should you ask?

A

1 what would take you to an 8
2 why did you rate your self higher than ?? To identify their desire to change

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10
Q

What is the Health belief model?

A

Personal beliefs or perceptions mostly influence Heath behaviour. Adopting disease prevention strategies such as screening and vaccines

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11
Q

What are the 6 key constructs if the health belief mode

A

1 perceived susceptibility
2 perceived severity
3 perceived benefit
4 perceived barriers
5 cues to action
6 self efficacy

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12
Q

What is the theory of planned behaviour?

A

beliefs and attitudes about the
risks,
benefit
capability of achieving the health outcome
Determine engagement in health behaviour

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13
Q

What are the 6 main constructs of the theory of planned behaviour

A

1 attitude - positive or negative evaluation of behaviour change
2 behaviour intention - motivational factors of behaviour
3 subjective norms
4 social norms
5 perceived power
6 perceived behaviours control

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14
Q

What is social cognitive theory?

A

Behaviour is a product of
personal factors,
Environment
human behaviour

And the influence / exert on one another

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15
Q

What is self determination theory?

A

The belief that individuals are naturally motivated to peruse activities and goals in which they are interested or from which they believe they will obtain some benefit

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16
Q

According to self determination theory what are the three primary psychological needs that influence motivation?

A

Autonomy
Competence
Relatedness

17
Q

What are the stages of diffusion innovation theory

A

Innovators
Early adopters
Early majority
Late majority
Laggards

18
Q

What are the common components of health behaviour models?

A

Beliefs about risks and benefits
Motivation
Self efficacy
Environment influences such as social norms

19
Q

What are the 4 general principles of motivational interviewing

A

1 empathy and understanding
2 support self efficacy
3 roll with resistance
4 show discrepancy between where the patient is and what the patient wants

20
Q

What are the 4 core skills of motivational interviewing

A

1 open ended questions
2 affirmations
3 reflections
4 summarise

21
Q

Which mnemonic can help patients identify and reframe nonproductive thinking

A

ABCDE
Action Belief Consequences Dispute Effext

22
Q

What does the ABCDE model stand for?

A

Action or event
Belief about what has happened
Consequences of the belief
Dispute that belief
Effect of the new way of thinking

23
Q

Recognise and reframe non productive thinking of cognitive distortions
1 all or nothing
2 over generalisation
3 mental filter
4 mind reading

A

1 no in between. Black and white
2 using limited factual evidence to hold a firm belief
3 singling out one aspect of a situation to exclusions of others
4 certainty of others thinking without asking

24
Q

Recognise and reframe non productive thinking of cognitive distortions
1 fortune telling
2 magnification/minimisation
3 personalisation and blame

A

1 if this happens that will definitely occur
2 priorities are mixed up or irrational
3 you or others are totally responsible for the good or bad that happens

25
Q

Recognise and reframe non productive thinking of cognitive distortions
1 emotional reasoning
2 labelling/mislabelling
3 disqualifying the positive

A

1 your feelings don’t lie
2 habitually defining ourselves or others with descriptive terms
3 acknowledging the good and appearing to be objective but believing the good side has no value

26
Q

Lifestyle prescription vs action plan

A

Lifestyle prescription- 150 min mod PA a week
Action plan - start with walking 5 mins a day 5 days a week. Increase as tolerated

27
Q

What are the 5 As if health coaching

A

Assess
Advise
Agree
Assist
Arrange

28
Q

What is self motivation

A

Motivation that comes from within a person. Based on ones needs/perceived benefits/purpose/vision/ meaning in life

Coaching can help connect to this and increase motivation

29
Q

What is self confidence

A

Trust a person has in their capability abs qualities
Increased by eliciting positive emotions, robust support systems knowledge and skills

30
Q

What is self efficacy

A

The persons specific capability in the task plus individual factors and environments factors

31
Q

What is behavioural capability

A

Persons actual ability to perform the behaviour through essential knowledge and skills

32
Q

What are teachable
Moments

A

A time of challenge or transition
Post MI
Diagnosis of COPD

33
Q

What is a simple reflection

A

Paraphrase or restatement of patient has said without added opinion

34
Q

What is an amplified reflection

A

Accurate, direct and exaggerated form of the patient statement.
Aim to evoke desired change

35
Q

Double sided reflections

A

Reveal more than one perspective at the same time. Ie comparison of the patients verbalised readiness to change with a contrasting statement of resistance

Blsm Revision (4 decks)

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