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?