Theoretical Models and Motivational Interviewing Flashcards
(43 cards)
What are the 6 components of the health belief model?
- perceived susceptibility
- perceived severity
- perceived benefits
- perceived barriers
- cues to action
- self-efficacy
how can you utilize perceived susceptibility?
- define populations at risk and their risk levels
- personalize risk based on a person’s traits or behaviors
how can you utilize perceived severity?
- specify and describe consequences of the risk and the condition
how can you utilize perceived benefits?
- define action to take - how, where, when
- clarify the positive effects to expect
- describe evidence of effectiveness
how can you utilize perceived barriers?
- identify and reduce barriers through reassurance, incentives, and assistance
how can you utilize cues to action?
- provide how-to information
- promote awareness
- provide reminders
how can you utilize self-efficacy?
- provide training, guidance, and positive reinforcement
what are common challenges of the health belief model?
- be careful not to “blame the victim”
- be aware that the HBM uses “appropriate fear-based messages” in order to facilitate perceived susceptibility and severity
- less effective in achieving long-term change
What are the stages of the transtheoretical/stages of change model?
- precontemplation
- contemplation
- preparation
- action
- maintenance
- termination
define precontemplation
- not serious about/considering change
- uninformed/underinformed about consequences
- multiple unsuccessful attempts at change can lead to demoralization
define contemplation
- seriously considering change
- aware of pros/cons
- can remain in this stage for a long time
define preparation
- the person intends to take action in the next month
- typically have already taken steps in the past year
- have a plan of action
define action
- stage in which people have made modifications in their lifestyles within the past six months
- recently completed action with intention of reducing risk of a disease or injury
define maintenance
- people make modifications in their lifestyle to prevent relapse
- temptation to relapse reduces and confidence grows
- can last forever for many
define termination
- behavior change is complete
- zero temptation and 100% self-efficacy
What are the different strategies to make a change if the individual is in the precontemplation stage?
- consciousness-raising
- dramatic relief
- environmental re-evaluation
- self re-evaluation
- societal liberation
What are the different strategies to make a change if the individual is in the contemplation stage?
- self re-evaluation
- societal liberation
What are the different strategies to make a change if the individual is in the preparation stage?
- self liberation
- societal liberation
What are the different strategies to make a change if the individual is in the action stage?
- societal liberation
- counter-conditioning
- stimulus control
- contingency management
- helping relationships
What are the different strategies to make a change if the individual is in the maintenance stage?
- counter-conditioning
- societal liberation
- stimulus control
- contingency management
- helping relationships
what is consciousness-raising
finding and learning new facts and suggestions which support change ex: - reading a book/article - talking with a medical professional - talking with a friend
what is dramatic relief
experiencing and expressing negative feelings about one’s problem
ex:
- writing in a journal
- communicating with friends/spouse
what is environmental re-evaluation
assessing how one’s problems affects the physical environment
what is self re-evaluation
realizing that the behavioral change is part of one’s identity
ex:
- seeing yourself as a fit person
- seeing yourself make nutritious decisions
