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ACSM Certification Review Chapter 5
Chapter 5 of ACSM's Certification Review
55
Physiology
Graduate
03/17/2010

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Term
Define phsychological theory
Definition
A set of assumptions that account for the relationships between certain variables and the particular behavior in interest.
Term
What are explanatory theories?
Definition
theories that have been developed to explain certain behaviors.
Term
what do psychological theories provide the foundation for?
Definition
effective use of strategies and techniques of counseling and motivational skill-building for exercise adoption and maintenance.
Term
Program interventions should be designed to: (6)
Definition
1) Build the skills of participants.
2) Correct misunderstandings.
3) Clarify relationships.
4) Negotiate and solve problems.
5) Establish a supportive relationship.
6) Provide a target date for follow-up.
Term
Remember: Setting several small, short-term goals to attain a long-term goal is likely to increase self-efficacy, as the person successfully reaches each short-term goal on the way to attaining the long-term goal.
Definition
Remember: Setting several small, short-term goals to attain a long-term goal is likely to increase self-efficacy, as the person successfully reaches each short-term goal on the way to attaining the long-term goal.
Term
What are limitations to psychological theories?
Definition
1) Most have been developed to explain behaviors of small groups, but most can't explain behaviors of large groups.
2. They may leave out important elements that may influence behavior. e.g. age, gender.
Term
Learning theories propose that an overall _______ behavior arises from many _____, ______ behaviors.
Definition
complex, small, simple.
Term
Learning theories propose that it is possible to _____ the desired behavior by reinforcing "_______ _________" and _________ _____ in the environment.
Definition
shape, partial behaviors, modifying cues.
Term
Define reinforcement.
Definition
The positive or negative consequence for performing or not performing a behavior.
Term
What are the two types of rewards that motivate individuals to change their behavior.
Definition
1) Intrinsic rewards.
2) Extrinsic or external rewards.
Term
What is an example of an external or internal stimuli (cue) that can signal behavior?
Definition
Having participants keep their gym clothes packed to remind them that they are ready to go to the gym.
Term
Remember: For those who are not ready to start an exercise program or who need help maintaining an exercise program, additional tools or strategies for change are required.
Definition
Remember: For those who are not ready to start an exercise program or who need help maintaining an exercise program, additional tools or strategies for change are required.
Term
What is the health belief model.
Definition
It is a model that assumes that people will engage in a given behavior when: a) they perceive threat of disease, b) they believe they are susceptible to disease, c. they believe the threat is severe.
Term
Taking action depends on whether the ________ outweigh the _______.
Definition
benefits, barriers.
Term
The concept of ____-________ is a major component of the health belief model.
Definition
self-efficacy.
Term
What is the transtheoretical model of health behavior. TTM.
Definition
It incorporates construcs from other theories including intention to change and processes of change. Four basic concepts.
1) People progress through five stages of change at varying rates.
2) In the process of change, people move back and forth along the continuum.
3) People use different cognitive and behavioral processes or strategies.
4) For decisional balance, people look at the pros and cons of a given health behavior or choice by performing a cost-benefit analysis.
Term
What are the five stages of change or motivational readiness in the TTM?
Definition
Stage 1: Precontemplation.
Stage 2: Contemplation.
Stage 3: Preparation.
Stage 4: Action.
Stage 5: Maintenance.
Term
What are the processors of behavioral change? (TTM)
Definition
a) processes are various behavioral or cognitive skills or strategies that are applied during the different stages of change.
b) the model has numerous applications depending on the stage of readiness.
c) cognitive processes are most efficient for early stages. behavioral for later stages.
Term
What are the five cognitive processes? (TTM)
Definition
1) consciousness raising.
2) dramatic relief.
3) environmental reevaluation.
4) self-reevaluation.
5) social liberation.
Term
What are the five behavioral processes (TTM)
Definition
1) counter-conditioning
2) helping relationships
3) reinforcement management.
4) self-liberation
5) stimulus control.
Term
What does the relapse prevention model incorporate? (2)
Definition
1) The identification of high-risk situations.
2) The development of plans for coping with high risk situations.
Term
An important element of the relapse prevention model is to learn how to restructure _______ to distinguish between a _____ and a _______ and to develop flexibility in the approach for attaining exercise and physical activity goals.
Definition
thinking, lapse, relapse.
Term
The Theory of Reasoned Action postulates that _________ is the most important determinant of behavior.
Definition
intention.
Term
What two things influence intention?
Definition
Attitudes and subjective norms.
Term
What are attitudes determined by?
Definition
The positive and negative beliefs about the outcome or the process of performing the behavior.
Term
What are subjective norms influenced by?
Definition
What others think or believe (normative beliefs).
Term
What does the Theory of Planned Behavior incorporate?
Definition
perceived behavioral control, which is determined by perceived power and control beliefs.
Term
What three major interacting influences does the social cognitive theory involve?
Definition
Behavioral, Personal, and Environmental.
Term
Define observational learning.
Definition
A type of learning in which people can learn my watching others model a behavior, and by perceiving the rewards that one gains by engaging in that behavior.
Term
Define vicarious reward.
Definition
The perceived benefits of engaging in a particular behavior.
Term
What is the difference between outcome expectations and outcome expectancies?
Definition
Expectations - the anticipated outcome.
Expectancies - the values of the anticipated outcome.
Term
How does one manage emotional arousal?
Definition
1) Cognitive restructuring. 2) Stress management techniques. 3) Learning methods of effective problem solving.
Term
What are three types of reinforcement (not positive/negative)?
Definition
Direct, Vicarious, self
Term
How does one assess benefits and barriers using a decisional balance sheet? (Four things listed)
Definition
1) Write down all positive and negative perceptions on a piece of paper.
2) Help individuals see the benefits of exercising.
3) Use problem-solving techniques to remove exercise barriers.
4) As # of barriers are reduced, the decisional balance tips in the positive direction and improves adherence.
Term
What are four ways to improve self-efficacy?
Definition
1) Listing Performance Accomplishments (i.e. setting short-term and long-term goals)
2) Observing through vicarious experience.
3) Using Verbal Persuasion
4) Understanding Psychologic States.
Term
What is shaping?
Definition
It is a process that involves setting a series of intermediate goals that lead to a long-term goal.
Term
When is shaping especially important?
Definition
1) When it is applied to increasing frequency, intensity, duration, or types of activities.
2) Initiating exercise programs in which the long-term goals may be too difficult for a novice.
Term
What different forms can reinforcement take?
Definition
1) Verbal encouragement
2) Material incentives.
3) "natural" reinforcements.
Term
What is antecedent control?
Definition
It uses techniques that prompt the initiation of behavior.
Term
What is the gist of "elimination of 'all-or-none' thinking"?
Definition
People who relapse often think of themselves as complete failures. By eliminating "all or none" perceptions, they the relapse is labeled correctly as a slight disruption.
Term
NOTE: I am not including questions from the Stages of Change Model (i.e. precontemplation, contemplation, etc.). This can be found on pages 90-91
Definition
n/m
Term
Which stage is at the greatest risk of relapse?
Definition
The "action" stage.
Term
What demographic variables that influence activity levels are mentioned in the book?
Definition
1) Women - they tend to participate in less vigorous activity, so it may be better to incorporate low to moderate intesity activity.
2) Older people - use low intensity activity.
Term
What are four examples of cognitive and experiential variables that influence activity levels?
Definition
1) Previous experiences with physical activity.
2) Perception of one's health status.
3) Perceived enjoyment of physical activity.
4) Access to exercise facilities or convenience of the exercise program.
Term
what are five examples of environmental and program factors that influence activity levels?
Definition
1) Social support
2) Weather
3) Increased flexibilty or adaptability of the exercise program.
4) Reminders
5) Neighborhood factors.
Term
During information gathering what areas should be assessed for participants?
Definition
1) Current level of knowledge.
2) Attitudinal beliefs.
3) Previous experiences with exercise or physical activity skills.
4) Behavioral skills.
5) Available social support.
Term
In developing a helping relationship, it is important to understand the _______, and establish _______.
Definition
process, support
Term
What are six ways to establish a supportive relationship with a client?
Definition
1) Exhibit empathy.
2) Legitimize concerns.
3) Respect one's abilities and positive efforts.
4) Support by providing reinforcement and follow-up.
5) Partner with the individual.
6) Pay attention to nonverbal communication.
Term
What are the 5 A's that should be used during a counseling session.
Definition
1) Address the agenda
2) Assess
3) Advise
4) Assist
5) Arrange follow-up.
Term
When will sedentary individuals likely stop their exercise if a program is initiated.
Definition
3-6 months.
Term
What does the Surgeon General say about exercise?
Definition
Moderate intensity lifestyle activity performed for a total of 30-60 minutes at least five times a week produces important health benefits.
Term
What are the types of difficult patients?
Definition
1) dissatisfied participant.
2) needy participant.
3) hostile participant.
4) shy participant.
5) chronic complainer.
6) underexerter
7) overexerter or noncomplier
8) disrupter or comedian
Term
Who should be referred to professionals when problems occur?
Definition
1) participants with existing health problems to their physician.
2) participants with psychological issues to a mental health professional.
3) people with depression or anxiety to physician or mental health professional.
4) Individuals with life crises to a mental health professional.
5) Persons with substance abuse or eating disorders.
Term
Signs of significant psychological disturbance may include the following: (7)
Definition
1) inability to carry out routine activities of daily living.
2) significant disruption of normal lifestyle.
3) Inability to work at a normal occupational level.
4) Symptoms of depression.
5) acknowledgement of psychosocial dysfunction.
6) excessively high or low scores with psychometric testing.
7) Distorted perceptions of reality.
Term
Did not include anything about the psychosocial assessment on p. 95
Definition
nm
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