Counseling for Behavior Change

Question 1

What are the 6 stages of change in the TransTheoretical Model

Answer 1

Precontemplation (not ready)
Contemplation (getting ready)
Preparation (ready)
Action
Maintenance
Relapse (natural and expected stage)

Question 2

What are the 3 major processes of change in the TransTheoretical Model that Dr. Parrott was most concerned about

Answer 2

Consciousness Raising - provide info, point out benefits, cons of sticking w/ behavior
Counter Conditioning -use substitutes
Reinforcement Management - use rewards

Question 3

Def: Motivational Interviewing

Answer 3

Client determines the Tx plan (avoid unsolicited advice)

Question 4

What are the 6 steps in Motivational Interviewing

Answer 4

Permission to proceed
Open ended questions
Reflective listening
Develop discrepancy
Summarize
Elicit self-motivational statements

Question 5

Explain what “Develop Discrepancy” means

Answer 5

Pts are more motivated by what they hear themselves say than what a Dr. says
Explore pts confidence level (0-10)

Question 6

What are the 5 behaviors of resistance associated with Motivational Interviewing

Answer 6

Arguing
Interrupting
Negating
Ignoring

Question 7

What are the 5 A’s

Answer 7

Assess
Advise
Agree
Assist
Arrange

Question 8

Explain the “Assess” of the 5 A’s

Answer 8

Ask about factors affecting choice of behavior change goals/methods

Question 9

Explain the “Advise” of the 5 A’s

Answer 9

Give clear, specific, personalized behavior change advice and information

Question 10

Explain the “Agree” of the 5 A’s

Answer 10

Collaboratively select appropriate Tx goals and methods based on the pts interest and willingness to change

Question 11

Explain the “Assist” of the 5 A’s

Answer 11

Counsel, prescribe, and support

Question 12

Explain the “Arrange” of the 5 A’s

Answer 12

Schedule follow up to provide ongoing assistance