What percentage of people would prefer to alter their diet to improve their health instead of taking medications?
66% of people.
90% of people feel regular physical activity is a good idea....but only_____of them doing ?
1/3
What percentage of adults feel "great stress" at least 1 day/week and would like to reduce stress?
2/3
Why is there resistance to change?
*Change is disruptive
*Change is stressful
*Change requires effort
Some of the reasons people resist change?
*Concerns about personal implications
-I do not look good in spandex
*Inadequate/inaccurate information
-I don't have a problem that needs to change
*It is someone else's fault that i'm like this
-I am an alcoholic because it run in my family
*It is too l
Prochaska's Transtheoretical Model?
this models is based on lifestyle and health related changes
-The stages of change?
*Precontemplation (I don't want to change)
*Contemplation (I am thinking about change)
*Preparation (i am getting ready to make a lifestyle change)
*Action (I have made so
Fear of failure or past failure is a?
barrier of change
Lapse?
is temporary and does not produce significant adverse effects (jonas, 2000). An example of a lapse might be "jim" having a goal to exercise three times per week (for 30 minutes per session) but he only exercises two times during a particular week. another
Relapse ?
is longer than temporary and produces significant adverse effects ( jonas, 2000). once the maintenance stage is reached, relapse is likely to occur. However, it is possible. If jim, discussed above, has a goal to exercise three times per week, but only ex
Lapse vs. Relapse?
Generally speaking, if one has been practicing a healthy behavior for a longer period of time (years), he or she is allowed more "leeway" before a noncompliance is considered a relapse, rather than a simple lapse. For example, If I've been exercising four
Permanent Maintenance?
When an individual has reached the permanent stage of a behavior, the behavior itself is reinforcing and the person is intrinsically motivated to continue the healthy behavior
(brushing teeth)
**Although a person may experience a lapse if in the permanent
According to the US department of health and human services (2006), there are numerous factors that increase the risk of Non-Compliance with exercise?
1.inconvenient time (aerobics class begins before you get off work.
2.Safety (you are concerned about exercising out of doors in your neighborhood).
3.Cost ( the health club monthly dues are too expensive)
4.increase exercise intensity ( the client tries
What is our job as therapist?
our job is to help our client identify and address her or his unique barriers to exercise adherence.
*permanent maintenance is the goal
What are the 4 sets of factors that can facilitate change?
*personal
*predisposing
*enabling
*reinforcing
Reinforcing factors consist of?
*success
*family support
*peer support
*support of health professionals
Enabling factors consist of ?
*goal setting
*self-assessment
*self-planning skills
*self-monitoring
*performance skills
*coping skills
*consume skills
*time management
Predisposing factors consist of?
am I able?
*self-confidence
*self-efficacy
*safe environment
*access
Is it worth it?
*self-motivation
*enjoyment
*balanced attitudes
*beliefs
*knowledge
Personal Factors consist of ?
*age= research indicates that females are likely than men to seek medical care and screening
*gender
*heredity= your economic status may affect your ability to have access to healthcare or wellness
*current health fitness
Personal Factors?
*age
- research indicates that females are likely than men to seek medical care and screening
*heredity
- your economic status may affect your ability to have access to healthcare or wellness interventions ( health disparities)
*Fitness level
- how confid
What are the Motivations for Change and Adherence ?
*Self-Esteem
*Cognitive Evaluation
* Perceived importance/Motivation
*Goal Setting
Self-Esteem ?
*Index of Emotional Adjustment
*Mediator of behavior
*Complex arrangement; general to specific
*Structure in college students
*Structure in people above the age of 55 years
*Mediated by importance
*Discounting
*Practical applications
What are the practical applications of what Dr. Chase just discussed regarding self-esteem?
1. Find out what is important to your client.
How can you do this without directly asking them what is important to them? your ability to learn about them will establish a rapport and set them up for success.
*What do they talk about ?
*What are their hob
Cognitive Evaluation?
*considers how people think about a situation, how people are motivated by a situation
*Locus of control intrinsic vs. extrinsic
Intrinsic locus?
means you are doing it for yourself. the motivation is coming from within. The most long lasting change is going to happen when it comes from inside you. You are not changing because someone else wants you to or because you will get some sort of external
Extrinsic locus?
It is only temporary. If you take the reward away the behavior stops.
How do we keep patients/clients motivated for the long-term/for life?
The answer is intrinsic motivation
How do we get intrinsic motivation?
research indicates that when someone is attempting something new (change) they need feedback that provides some level of success and thus perceived competence. If the feedback is informational, teaching the person about themselves and how to improve, they
Equations for extrinsic and intrinsic motivations?
*try+succeed=competence=intrinsic motivation
*try+positive reinforcement=self reward system=intrinsic motivation
*try+negative reinforcement=dependence outside source= extrinsic motivation
*try+fall=quit=extrinsic motivation
Perceived importance/Motivation?
*success is necessary
*must provide optimum challenge
*reward must feel earned
*person must feel that if they give effort
*facilitate their skill via mastery attempts
*help them build a self-reward system so they will know when they are successful
Goal setting; Goals Should?
*be optimal challenge
*be specific and measurable
*be attainable
*be realistic
*allow for success
One way to keep your patients motivated ?
is to used the factors discussed in lesson 2 ( personal, predisposing, enabling, reinforcing). additionally we need to be aware of:
*Solomon's Opponent Process
*Fear failure
*Fear of Success
3 keys to instill in yourself and your patient/client:?
1. choose something they (you) like
2. a little bit of something is better than a whole lot of nothing.
3. Teach them (you) to say, "Hey, at least I am out there!
Self Reflection?
*What does the information contained in unit 2 mean to you:
*Personally?
*Professionally?