Chapter 5: Stages and Processes of Health Behavior Change
8. Stimulus Control
removes environmental cues
Action stage may include
stimulus control and reinforcement mgmt
Preparation stage may include
stimulus control, reinforcement control, and self-liberation
Contemplation
Aware problem exists, will change eventually
3. Self-reevaluation
Both cognitive and affective reassessment of self-image
Preparation
Determined to make a change and intends to take action soon (w/in 30 days)
Precontemplation
Unaware of a problem; denies the problem. No intention to change
4. Environmental Reevaluation
affects on social climate
5. Self-liberation
belief that one can change and commit to act
7. Counterconditioning
changing behavior in response to activities
Contemplation stage may include
continued consciousness raising and environmental reevaluation
Goal setting
1. Identification 2. Importance and acceptance 3. Analysis and overcoming obstacles 4. Goal Implementation
Stages of Change
1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance 6. Termination 7. Recycling
How many processes of change are there?
10
Self-Efficacy
Belief that one can cope with temptations in high-risk situations w/out giving in or relapsing
Termination
Changes have been maintained for years (usually 5 years)
Precontemplation stage may include
Consciousness raising and self-reevaluation
1. Consciousness raising
Increase awareness to risks and consequences
2. Dramatic Relief/Catharsis
Increases emotional awareness
6. Social Liberation
Increases social alternatives and opportunities
Maintenance
Integrates new health behaviors into lifestyle over several months (6 months)
Recycling
Most people proceed through the stages in a spiral, not a linear fashion. Lapses and relapses are common
9. Reinforcement management
Positive reinforcement and rewards
Decisional Balance
Process of weighing pros of changing with cons to changing (grid pros, negatives to changing and pros, negatives to not changing)
Goal Identification: SMART
Specific Measurable Attainable Realistic Time Specific
10. Helping relationships
Support for behavior change
Action
Takes action to implement plan and overcome health problem
Documentation standards are set by whom?
The Joint Commission