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During which stage of change can coaches use incentives and penalties to maintain change?Question: During which stage of change can coaches use incentives and penalties to maintain change? AnswersDo you have an a b c d ? ? respond ; ) Awould be the answer hypoglycemia is a common condition that can affect the quality of life of people with diabetes and their families. it is important to know the symptoms and the means to treat it, as well as the causes and the measures to be taken to prevent it. liquid or gel-shaped glucose quickly raises blood sugar and stimulates energy - no need to chew. each sachet contains 15g of fast-acting glucose (d-glucose), as reccomanded. False is the correct answer Similar Solved Works What is the Transtheoretical Model? A model of how individuals make intentional changes in behavior People who are successful at self-change were found to follow a predictable course through
stages of change Each stage requires a different approach to change The process is not linear. Most people making change slip up at some point returning to contemplation or even precontemplation. Most successful changers go through the states 3 or 4 times before they make it to the maintenance stage for good. Developed by Prochaska and Diclemente. From his research on behavior change in smoking cessation, exercise adoption, and diet and other areas
List the 5 stages of change? Precontemplation (I won't or I can't) What attitude to change is common for
someone in the "I won't" precontemplation stage for a behavior. They are not thinking about making a change in this behavior. They are not interested in making a change because they don't think they have a problem. They are resistant to change and they may also deny they have a problem. What attitude to change is common for someone in the "I can't" precontemplation stage? They are aware of the problem and the need to change but they believe that change is too difficult or too complicated. They would like to make a change but they don't think it is possible. They are not thinking about making a
behavior change in the next 6 months. What attitude to change is common for someone in the contemplation (I may) stage? They are thinking about making a change in this behavior in the next 6 months. They may be ambivalent and may think success will be difficult Their cons
may still out weigh their pros They are more aware of the benefits of making a change and less satisfied with their present health and well-being than the precontemplators They may not have identified a compelling reason to change They are unaware of their barriers and have not thought of any possible solutions They lack self-efficacy for this change What attitude
to change is common for people in the preparation (I will) stage of change? They are planning to start doing the behavior in the next 30 days and some type of action has been attempted. Ambivalent feelings have been largely overcome They have a strong motivator They know what their barriers are and have come up with some possible solutions During this stage clients experiment with their possible solutions, discard the ones that do not work, and think up new approaches What attitude to change is common for a person in the action (I am) stage of change? They have begun doing the behavior and are building up to a target level
(they have sustained it for less than 6 months). They have fully taken action and are doing healthy behaviors. Lapses are possible in this stage. Gradual change leads to permanent change. Heart of coaching program is focused on areas where client is in action stage. What attitude is common for a person in the maintenance stage of change? The person has begun doing the behavior and has maintained it longer than 6 months. The client is confident they can maintain the behavior and rates their confidence at a level 8 or 9 out of 10 Self-efficacy is high and self-reinforcing Risks in this stage are boredom and slipping back into old, less-healthful habits During this stage clients may
lapse temporarily and then return to the behavior. A relapse is the abandonment of a new behavior. A client who is not thinking about making a change is in which stage? A person who is thinking about making a change in the next 6 months are in which stage of change? A person who is thinking about making a change in the next 30 days are in which stage of change? A person who has begun doing a new behavior and has maintained it for less than 6 months is in which stage of change? A person who has begun doing a new behavior and maintained it for longer than 6 months is in which stage of change? Why is it important to identify the stage of change a client is in for a particular behavior? Clients may be in a different stage of change for each behavior. The stage of change that a client is in for a behavior determines which coaching skills should be used. What stage of change will most coaching clients be in? Contemplation and/or preparation Coaching can help them reach the maintenance stage for within 3 to 6 month What is a lapse and what stage does it usually occur in? A lapse is a temporary abandonment of a behavior with a quick return to it. It does not lead to a significant alteration in the health and fitness benefits of the behavior change because the return to the behavior is quick Also defined as a single slip in a desired behavior that may or may not lead to a relapse. A lapse can occur in the action stage or the maintenance stage. What is a relapse and what stage does it usually occur in? Relapses are extended abandonments of new behaviors leads to a reduction or disappearance of benefits. a return to an earlier stage of change. It is most common in the maintenance stage. To reverse a relapse it is important to explore what happened and then to return to the preparation and action stages. In which stage is the risk of lapse and relapse back to preparation high? What should be done to prevent this? In the action stage. It is important for the client to develop strategies for coping with potential challenging situations. (called a relapse prevention plan). How can a coach help a client overcome a lapse? Help them set new goals to get refocused. They may need to identify a new motivator or try something new How can a coach help a client overcome a relapse? Help the client reconnect with their strengths, values, resources, vision, goals, and motivators Restart the preparation and action stages with judgment-free listening, inquiries, and reflections What is a chronic contemplator? Someone who is stuck in the contemplation stage. They are still weighing the benefits of change against the effort it will take (their pros don't out weigh their cons). Or they cannot imagine themselves behaving differently or they do not know how to change. True or False: Coaches should never work with clients in the precontemplation stage? False As people make changes, they develop more self-efficacy and may then be ready to move forward on behaviors where they were previously in the precontemplation stage What are some strategies you would use to help a client in the precontemplation "I won't" stage get ready to take action? Show empathy: use reflections to show that you understand and respect their feelings and needs. No judgment Communicate "I understand that you are not ready to make a change right now. That is fine. Here is how you can contact me if you decide at some point that you are ready." What coaching strategies are used in the "I won't" precontemplation stage? Express empathy What coaching strategies are used in the "I can't" precontemplation stage? Sort barriers: help them to look at the barriers in a positive and rational way so they can learn from them rather than being overwhelmed by the negative emotions generated by past failures. Express empathy What coaching strategies are used in the contemplation stage? Explore their best experiences with change in the past Express
empathy What coaching strategies are used in the preparation stage? • Help clients to concretize their plans for change: write down a statement of what they are committing to Brainstorm and identify small steps they can take that are actionable and realistic Help clients to think through potential problem situations and to develop coping strategies they can use when the situation arises • Connect with positive core What coaching strategies are used in the action stage? • Connect with positive core What coaching strategies are used in the maintenance stage? • Connect to positive core What are some examples of weekly goals that someone in the contemplation stage might set? Small cognitive, thinking and feeling, goals These may involve reading, thinking, talking, listening, discovering, and deciding They do not including action goals or doing a behavior What are some examples of weekly goals that someone in the preparation stage might set? Small actions that are realistic and will give the client quick successes to help build their self-efficacy To move from the contemplation to the preparation stage what steps must a client complete? 1. Identifying strong motivators What are the early and late stages of change and what is the key difference between them? The early stages are The late stages are Goals in the early stages focus on cognitive tasks (thinking, feeling, goals) Goals in the late stages focus on action steps What are the three key things needed for to move from the early stages of change to the late stages of change? To move from contemplation to action the client must 1. Idenfity their motivators (personally compelling reasons to change) True or False: We want clients to tell us (rather than for you to tell them) what stage of readiness they are in. What is the optimal time frame initially set for coaching? A 3- to 6- month coaching program of weekly, bi-weekly, or monthly coaching sessions is usually ideal for most clients to establish new behaviors or habits. Most clients who come to coaching are in the contemplation or preparation stages of change Helping clients move from early stages of change to the maintenance stage can take from 3 to 6 months or longer. If the behavior is more challenging, 12 months may be required to help the client reach the maintenance stage. What is decisional balance? Helping the client identify their pros and cons for their behavior change. Important when the client feels ambivalence about making a change Pros: gains for self or others, approval from others and self What three questions can coaches ask when people are ambivalent about making a behavior change? 1 Why do I want to try and change the behavior? (Pros) 2 Why shouldn't I try to change the behavior? (Cons) 3 What would it take for me to change the behavior ?(What's my strategy to overcome my cons?) What is the optimal ratio of pros and cons for someone to do a new behavior successfully? Pros have to outweigh the cons for someone to successfully make a behavior change It is important for people in the early-stages of change to find a personally relevant, specific and positive pros or motivators and to honestly sort out their cons The belief that one has the capability to initiate or sustain a desired behavior. How does self-efficacy impact behavior change? The more you believe you can do something, the more likely you will do it; the more you do something successfully, the more you believe that you will be able to do it again. (opposite is also true) As a coach it is important to help clients set appropriate goals that they can succeed at. To help client's increase their self-efficacy, it is important to help them set appropriate goals that they can succeed at. How can the coach determine if the goal is appropriate for the client at this time? After the client sets a weekly goal, ask them: "On a scale of 0 to 10, how confident are you that you will be able to accomplish this goals this week? If they answer a 7 or above you can be reasonable confident that the client will succeed. To be reasonably confident that the client will achieve their weekly goal, what score would you like to see on their confidence ruler? A 7 or above. If the score is lower, you may want to ask the client what it would take to increase their confidence to a 7 or above. They may want to modify the goal to increase their confidence level. Why is it important not to "over-promise and under-deliver" when helping a client to increase their self-efficacy. The relationship between self-efficacy and successful action is circular. Successful goal achievement increases self-efficacy, which makes it more likely they will continue to be successful And lack of success decreases self-efficacy, which reduces the chance of future success. What are the processes of change? Prochaska and his colleagues identified the process of change that worked best for people in each stage of change. 10 Total List the 5 cognitive processes that promote behavior change. The 5 cognitive process are Being moved emotionally: using positive feelings about the benefit of change to ignite motivation Considering how your behavior affects others Self-image: seeking congruence between one's vision, values, and behaviors to enhance integrity Social Norms: connecting with like minded people who are working on the same behavior List the 5 behavioral processes that promote behavior change. The 5 behavioral processes are Making a commitment: writing down exactly what new behavior will be done and when Using cues: designing environmental reminders to do what is planned Using substitution: replacing an old unhealthy behavior with a new health-promoting behavior Social Support: recruiting family and friends to provide support with your behavior change Rewards: setting up ways to reward yourself for completing your weekly goals Define operant conditioning. Learning through positive and negative reinforcement. It takes place when an instance of spontaneous behavior is either reinforced or discouraged by its consequences. Successful operant conditioning looks for the antecedent conditions that may trigger an undesired behavior. Give an example of an antecedent condition. An antecedent condition is something that may trigger an undesired behavior Examples: For example: Missing breakfast leads to overeating at lunch, which leads to feelings of guild, which leads to irritability, which leads to abandonment of any improved eating habits for the day with the end result an ice cream binge after dinner. How can coaches help their clients with antecedent conditions? When a behavior chain is identified, they can assist the client with altering a behavior earlier in the chain. It is often easier to manipulate the antecedents than to modify the consequences or behaviors. What is the mount lasting change pyramid? The behavior change pyramid provides a guide to what it takes to make lasting changes in behavior, self-awareness, and self-image. The pyramid has 15 building blocks that take the client to the top - being their best self How many blocks in the Mount Lasting Change Pyramid are about cognitive matters? Why is this important? 13 out of 15 If we prematurely jump into action (the third level of the mountain) we proceed on a shaky foundation. What are the 15 blocks in the Mount Lasting Change Pyramid? Vision (base level: foundation for change) Preparation Level Action Level Results The Real
Me How does the Mount Lasting Change Pyramid help a client reach their best self? It helps them see and understand all of the steps and processes that are involved in making a change. How can you tell if your client has developed internal motivation? They can honestly say "I am doing this because it will help me feel good and feel good about myself" Why is it important to help client develop their internal motivation and focus less on external motivation? When client's focus on external motivation (making a change because someone else wants them to) it can lead to guilt, frustration, anger and quitting. How should the coach deal with the client's ambivalence to change? Feeling ambivalence is a normal part of change. If not addressed, it can inhibit a client's motivation to change. The coach can help the client accept their ambivalence and to work their way through it rather than to fight it. Ambivalence does not need to be completely resolved for clients to get started and be successful with change. True or false: A client's ambivalence must be completely resolved before they can get started with change? False. What should the coach do if after 3 to 4 weeks the client has not made any progress on their goals? If the goals are realistic, it may be time to honestly question whether the client is truly committed to those goals. The client may want to change their goals or their approach. What term is used to describe the ability to self govern and the capacity to act in accordance with objective guidelines instead of being influenced by desires and whims?Motivation is the reason people do the things that they do, and it is made up of three things: autonomy, mastery, and purpose. This describes the ability to govern oneself and the capacity to act and follow the objective guidelines instead of being simply influenced by desires and whims.
What are the five stages of change in motivational interviewing?Based on more than 15 years of research, the TTM has found that individuals move through a series of five stages (precontemplation, contemplation, preparation, action, maintenance) in the adoption of healthy behaviors or cessation of unhealthy ones.
Which of the following is one of the five stages of change?The five stages of change are precontemplation, contemplation, preparation, action, and maintenance.
What is the defining feature of the contemplation phase?What is the defining feature of the contemplation phase? Goals focused on the end result.
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During which stage of change can coaches use incentives and penalties to maintain change?
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