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Teaching to Individuals: The Difficult Ones
Exam 2, Teaching to Difficult Individuals
26
Health Care
Graduate
07/12/2013

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Cards

Term
Models of Change (4)
Definition
Health Belief Model
Theory of Reasoned Action
Social Cognitive Theory
Transtheoretical Model
Term
Health Belief Model: focused on...
Definition
health motivation
Term
Health Belief Model: 6 aspects
Definition
perceived susceptibility
perceived severity
perceived benefits
perceived barriers
factors that prompt action (cues, reminders)
confidence in ability to perform action (self-efficacy)
Term
Theory of Reasoned Action: main premise
Definition
performance of behavior is related to INTENTION;
intention influenced by attitude of myself/others(perceived)
Term
Theory of Reasoned Action: 4 aspects
Definition
behavioral intention
attitude (personal)
subjective norm (views of key people in my life)
perceived behavioral control (self-efficacy)
Term
Social Cognitive Theory: 6 aspects
Definition
Reciprocal Determinism (attitudes; person, behavior, environment)
Behavioral Capability (ability)
Expectations (motivations)
Self-efficacy
Observational Leraning
Reinforcements
Term
Transtheoretical Model: 5 aspects
Definition
pre-contemplation
contemplation
preparation/determination
action
maintenance
Term
Stage that is unique to the transtheoretical model
Definition
pre-contemplative stage
Term
Learning model that is cyclical, rather than linear
Definition
transtheoretical model
Term
Pre-contemplative stage:
Definition
no intention of taking action in next 6 mos
(or unaware ∆ is needed)
Term
Contemplative stage:
Definition
intention to change within next 6 mos
(pt weighs pros/cons, asks questions)
Term
Preparation stage:
Definition
intention to change within next 30 days
Term
Action stage:
Definition
behavior changed for less than 6 mos
(pt needs encouragement/support for continued success)
Term
Maintenance stage:
Definition
behavior changed for more than 6 mos
Term
Motivational Interviewing: most helpful for...
Definition
individuals "cycling" through contemplative-preparation-action phases
Term
Motivational Interviewing ≠ ...
Definition
info sharing, advice giving, guilt causing
Term
Motivational Interviewing: seeks to...
Definition
understand & encourage change
Term
Motivational Interviewing: Common Uses (3)
Definition
substance abuse programs
fibromyalgia
wt loss
Term
Motivational Interviewing: steps (7)
Definition
express empathy
roll with resistance
elicit-provide-elicit
support autonomy
explore ambivalence
elicit change talk
develop a plan of action
Term
Self-Efficacy =
Definition
belief that one has the ability to carry out a course of action
Term
Ways to build Self-Efficacy (4)
Definition
mastery
observation
encouragement
coping styles & responses
Term
PT approach during...
Pre-contemplative & Contemplative stages (6)
Definition
listen
ID pt's perceptions
explore understanding of consequences/benefits
provide info about their condition
motivate/encourage specific plans
perform ONE simple exercise & reassess
Term
PT approach during...
Contemplative & preparation stages (3)
Definition
motivational interviewing
no more than 2-3 exercises; very achievable
build self-efficacy
Term
PT approach during...
Action stage (4)
Definition
ask pt how much time they have for daily exercise; then go less
exercise logs
involvement of family/friends
**self-efficacy**
Term
PT approach during...
Maintenance stage (4)
Definition
introduce variety into program
home equipment
follow up after D/C
post-rehab programs
Term
PT approach during...
Relapse
Definition
learning experience, NOT failure
focus on previous success
reeval goals
ID triggers
develop methods to prevent relapse
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