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Ch2: BEHAVIOURAL CHANGE KEY POINTS - Coggle Diagram
Ch2: BEHAVIOURAL CHANGE KEY POINTS
Behaviour Change Models
Health Belief mondel
Predict failure to adopt disease prevention/take up screening
(Perceived) Succeptibility
(Perceived) Severity
(Perceived) Benefit
(Perceived) Barriers
Cues to Action
(Self) Efficacy
Pneumonic- Sis Severs Bens Bar with a Cue Effectively
Theory of planned behaviour
Intention to engage in behaviour
Pneumonic- Attitude & Intentions, subject, social, power & Control
6 Constructs
Attitude
+ve or -ve evaluation of behaviour
(Bhavioural)Intention
motivational factors. MOST IMPORTANT predicting behaviour
Subjective norms
do peers approve?
Social Norms
codes/standards of behaviour
Perceived power
control over factors that frsutrate
Behavioural control
ease/difficulty to achieve
Social Learning (cognitive theory)
Behaviour doesn't occur in isolation. Personal/environmental factors exert influence.
Key constructs
Reciprocal determinism
person/behaviour/environment influence each other
Behavioural Capability
Observational learning
Reinforcements
behavs maintained/omitted due to social reinforcements
expectations
anticipate consequences based on past
self-efficancy
Transtheoretical Model
Pre-contemplation (conf 0-3)
Not aware. Not thinking in 6 monyhs
Provider: Discuss health risks
Originally for smoking cessation. can skip or move through stages
Contempation (conf 4-6)
considering in 6 months
Provider: Personalize risks
Preparation (conf 7)
prep to make change in 1 month
provider:Assist planning
Action (conf 8-9)
making change, not hit 6 months
Provider: reinforcement &CBT
Maintenance (conf 10)
done 6 months
Problem solve
Motivational Interviewing
Empathy
Support self-efficacy
Roll w resistance
remain non judgemental, ask to share
4. Discrepency
with where pt is and where they want to be
USE IN PRE AND CONTEMPLATION PHASES
COGNITIVE BEHAVIOURAL THERAPY
Use in preparation/action/maintenance phase
Recognize non productive thinking
All or nothing
Catastrophizing
Overgeneralizing
Mind reading
Fortune telling
Should and must statements
Reframe non prodictive thinking
explore thoughts leading to non productive behaviour
how to see situation differently
self talk
homework
Reframe thoughts
eg. 'can't walk due to cold'= 'wear clothes'
ABCDE
A: WHat actition or event took place
B: What beliefs do you have about event
C: What are the consquences/how does it make you feel?
D: How can you dispute those beliefs
Reflections
Simple
restatement
Amplified
Maximise or minimize to generate disagreement
Double sided
reveal >1 perspective. Helps change vs contrasting statement of resistance
Shifted focus
Shifts attention to create space
BHAVIOUR CONTRACTS- NO EVIDENCE BASE
5As
Assess
Advise
personalized advice
Assisst
setting goals
Arrange follow up