James Assessment

Stages of Change (readiness)

Behavior Change Strategy

Risk Factors

Strategies to Address Risk Factors

Social Context

Impediments to Change

Age (78)

BMI (overweight category)

Current sedentary lifestyle

Conduct a Health Screening and check blood labs and family history to identify the major risk factors to address

Reduced interest in social interaction

Encourage James to engage with other members of the group home, even if they are sedentary activities

Reach out to any family James has to encourage them to visit and participate in physical activities he used to enjoy

Precontemplation

James doesn't want someone to tell him what to do when it comes to exercise

Intent/Readiness for change appears low

James doesn't seem to feel that there is a threat to his health based on discontinuing his usual exercise routines

Also doesn't seem to believe that the benefits to exercise outweigh the effort of doing these activities when circumstances are not exactly what he would like

Educate James on the potential consequences of his reduced physical activity

Has stopped thinking about how exercise can fit into his life

Environment: availability of many sedentary activites

Social relationships: his favorite trainer left and he doesn't have anyone else he enjoys to work out with

Isn't directly connecting his overall health to his physical activity routine

Favorite trainer left and no replacement he likes yet

No peers who will join him in physical activity

Living in a group home with access to TV and other sedentary activities

No family appears to be a regular presence in his life

Health Belief Model

By conducting a thorough health assessment, help James understand the health risk factors he faces and how exercise can mitigate those risks

Someone James trusts other than his doctor needs to help reinforce that exercise can help improve his health as he doesn't want to be told what to do by the doctor

Need to tap into what his major motivators are. Does he have a family? A significant other? Any goals he wants to accomplish? Who are his closest friends in the home?

James's Major Motivators

Need to interview James to understand his motivators for change

Family, friends, significant other?

Goals like another mountain climb that he wants to achieve?