Behavior change models and theories

Question 1

Obj: describe the five stages of change outlined in the transtheoretical model of behavior change

Answer 1

1. Precontemplation
2. contemplation: ambivalent clients weighing the pros and cons
3. prepration
4. action
5. maintencance

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Question 2

obj: Recognize a clients readiness to change and tailor coaching stratgies accordingly to influence progress through the stages of change

Answer 2

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Question 3

Obj: explain the concept of self-effiacy and how it relates to behvior change

Answer 3

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Question 4

obj: Describe the key constructs of the health belief model

Answer 4

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Question 5

obj: discuss how autonomy, competence, and relatedness influence motivation

Answer 5

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Question 6

Example of a client cognitive process?

Answer 6

Understanding that buying junk food at the grocery provides ones children with unhealthy food as well

Question 7

The biopsychosocial model of health describes health is a combination of biological, social and psychological factors

Question 8

Now that a client has decided to adopt a new sleep schedule, the health coach can—-

Answer 8

colloborate with the client on realistic goals to get started

Question 9

What is the goal of working with a client in the preparation stage?

Answer 9

Guide the client to develop a clear, concise plan that sets them up for success

Question 10

An appropiate application use of a motivational model to increase self-effiacy would be to-

Answer 10

Introduce the client to a colleague who experiences a smiliar lifestyle change

Question 11

What is an example of learned helplessness?

Answer 11

a Client who doesnt believe he will lose weight because he has tried unsuccessfully for many years

Question 12

What is a key componet of automous motivation?

Answer 12

The client is the expert on themself

Question 13

Identified regulation example?

Answer 13

bringing a lunch from home to avoid overeating even though an person prefers to go out to lunch

Question 14

What are processes of change?

Transtheoretical Model

Answer 14

Interventions and strategies (cognitive and behvaioral) that lead to the progression from one stage to the next in the TTM of behavioral change

Question 15

consciousness raising is

Processes of change TTM

cognitive

Answer 15

Finding and learning new facts and info to support healthy behavior change

EX: looking up new exercises to try

Question 16

Dramatic relief is-

Processes of change

cognitive

Answer 16

experiencing negative emotions because the negative behavior is percieved to be porblematic, then feeling relief from deciding to change

ex: I am scared of the health consequences if I dont start exercising

Question 17

enviornmental reevalution

Processes of change TTM

Answer 17

realizing how the problem behavior influences the environment (especially social environment)

EX: I think regular exercise will help to reduce healthcare costs in our conutry

Question 18

Self-reevaluation is

proceses of change TTM

cognitive

Answer 18

realizing behavior change is an important part of ones identity as a person

Ex: exercising will make me a healthier and happier person

Question 19

Social liberation is

processes of change TTM

cognitive

Answer 19

taking opportunities to be with the people who model the desired behavior, noticing the social norms that reinforce the new behavior

I am aware more and more poeple are exercsiing regulary

Question 20

Helping relationships is

processes of chnage TTM

behavioral

Answer 20

seeking and using social support for behavior change

my family encourages me to exercise daily

Question 21

Counter conditioning is

processes of change TTM

behvarioal

Answer 21

replacing unhealthy behaviors with healthier behvaiors and cognitions for the

instead of watching tv after work i will go exercsie

Question 22

Reinforcement management is

processes of change

behavioral

Answer 22

increasing rwards for healthy behavior chnage and decreasing rewards for unhealthy behavior

after I exercise I like to watch my favorite shows, if i dont exercise I have to do chores instead and dont get to watch my chore

Question 23

Stimulus control is

processes of change TTM

behvaioral

Answer 23

removing reminders and cues to engage in unhealthy behaviors and replacing them with reminders/cues for healthy behavior

I put my gym bag in my car everynight to make sure i work out after work

Question 24

self-liberation is

Processes of change TTM

behvaioral

Answer 24

deciding to change and experiencing new belief in th ability to change

If i try hard enough i will keep up the exercsing routine

Question 25

6 types of Motivation according to SDT

Automous and controlled

Answer 25

1. Intristic motivation (autonomous) : when people do an activity b/c they enjoy it (I go hiking for fun)
2. integrated regulation (fairly autonomous): when a behavior/goal has become a part of a persons self-concept (I am a hiker. I go hiking every sunday. [may not enjoy as much as intristic])
3. identified regulation (autonomous): when people do an acitivty becuase it helps them reach a perosnal goal, evn if they dont liek the actvitiy much (I go hiking to reduce my BP)
4. introjected regulation (controlled): when people do an acitivity because they think they should, even though they really dont want to (My family makes me hike even though i dont like hiking)
5. external motivation (controlled): when people do an acitivity soley from external pressure to avoid punsihment or gain rewards (I have to do PE at school or my grades will go down)

Self determination theory states people are nturally motivated (though some types of motivtino are more likley to result in behvior change than others) to pursue actvities and goals in which they are intereste ni and beleive they will benefit from.
poeple need to feel competent, autonomous, and connected to others to become moitvated.