Counseling Strategies to Promote Behavior Change Flashcards Preview

Dems Unit 2 Part 2 YAAAY > Counseling Strategies to Promote Behavior Change > Flashcards

Flashcards in Counseling Strategies to Promote Behavior Change Deck (24)
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1
Q

4 key elements in effective counseling

A
  1. change needs to come from patient: not imposed from outside
  2. see a compelling need for change
  3. confidence that they can do the new behavior
  4. be empathic and demonstrate it
2
Q

2 requirements to change a behavior

A
  1. see a compelling need for change

2. feel capable o making change suggested

3
Q

7 stages in trans theoretical model

A
  1. Pre-contemplative
  2. contemplative
  3. planning
  4. action
  5. maintenance
  6. relapse
  7. identification
4
Q

pre contemplative

A

Patient:
-not considered possibility that diet is affecting their health

You:
-suggest to them that health problem is related to their diet

5
Q

contemplative

A

patient:
- sees compelling need for change but doesn’t feel capable of changing

You:

  • reinforce that you agree that there is a compelling need to change behavior
  • help them if they pick a small achievable goal
6
Q

planning

A

Patient:

  • compelling need to change
  • some confidence that they can make the change

You:

  • troubleshoot the plan
  • increase level of confidence that they can succeed in achieving their chosen goal
7
Q

action

A

Patient:

  • identified problem behavior
  • made behavior change

You:

  • should be supported in behavior change
  • help them look toward the future
8
Q

maintenance

A

Patient:

-tries to incorporate new diet into long-term lifestyle

9
Q

Two outcomes of maintenance

A
  1. relapse
    - patient feels hopeless
    - you should encourage review of previous experience; relapse is common
  2. identification
    - incorporate long term changes into lifestyle
    - you should help patients achieve long term success
10
Q

problems with trans-theoretical model

A

-very few patients in action or maintenance phase

  • different stages for different lifestyle change
  • move through stages quickly and non-sequentially
11
Q

role of counselor in motivational interview

A
  1. direct persuasion does not resolve ambivalence
  2. counseling style is quiet and eliciting, not directing/ advice giving
  3. counselor focuses on ambivalence as opposed to teaching specific skills
  4. readiness to change/ resistance provides feedback to counselor’s demands
  5. therapeutic relationship is a partnership more than an expert/recipient role
12
Q

patient in motivational interviewing

A
  1. patient responsible for their progress
  2. goal: build self-efficacy and competence so they can solve problem themselves
  3. motivation is from the person and cannot be imposed from outside
  4. people don’t change because they are ambivalent; so goal: patient clearly articulate and work toward resolving ambivalence
13
Q

It is unlikely that a person will make a lifestyle change if they don’t rate their behaviors as a problem at what level?

A

7 out of 10

14
Q

confidence

A
  • dramatic lifestyle changes undermine a person’s ability to make any change at all
  • encourage the patient to make very small lifestyle changes and increase their confidence that the change can actually be made
  • assist patient in coming up with strategy that works for them
15
Q

patient rating level of confidence

A

7 or greater to increase likelihood that behavior change will actually occur

16
Q

5 strategies that are part of MI

A
  1. reflection
  2. role with resistance: not ready for change
  3. highlighting discrepancies
  4. alternative futures
  5. Pro’s and Con’s to current and future behaviors
17
Q

role of good reflexion statement

A
  1. shows patients that you are hearing what they said
  2. sincerely puts you in patient’s shoes to allow you to see them more clearly and a way forward
  3. person can hear their own words coming back at them
18
Q

advantage of using alternative futures

A
  • consequences of current behavior vs alternative behavior

- helps perceive adverse consequences that are distant

19
Q

Health Belief Model

A

provides checklist for why patients are not taking your advice

20
Q

Health Belief Model 5 factors

A
  1. perception of risk to self
  2. risk is serious
  3. treatments are effective and lack substantial SE
  4. exposed to compelling cues to health action
  5. confidence to perform behaviors that are proposed
21
Q

values based counseling

A

–do not produce behavior change if they do not see it as a high priority

-relate core value to health behavior

22
Q

cognitive behavior therapy

A
  • have individual work backwards in time to see how even occurred to gain insight into how they might break chain of events
  • identify specific idea that lead to undesired behavior and come up with specific strategies to counteract it so behavior change will be more effective
23
Q

CBT uses

A

techniques directed at changing behaviors instead of focusing on values, motivation or ambivalence

24
Q

overall approach

A
ask a question
-->
listen
-->
reflect
-->
Empathize
-->
Work w/ person to decide what they want to do