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PHMD 5140 - Helping Patients Through Change Exam 2
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PHMD 5140 - Helping Patients Through Change Exam 2Behavioral change
-involve the transition from a past to a new behavior
-involves changing patient knowledge, beliefs and attitude about the past and new
behavior
Example of Behavior change
Tobacco cessation, Medication nonadherence, dietary change, exercise, flossing,
seeking preventive services
Emotional reactions to change
•Fear, anxiety, & ambivalence
•Anger, blaming, and scapegoating
•Going numb, or avoidance
•Excitement, joy, and relief
•Frustration
•Depression: existential and clinical
•Feeling out of control
•Shame or guilt
•Feeling alone in the world
What are issues of Health belief models?
•Habit forming component
, •Non-health related reasons
•Economic/Environmental factors
•Health not always highly valued
•Cues to action not always highly prevalent
Transtheoretical Model of Change (TTM)
-developed in the 1970s and 80s
-Model is useful in predicting how ready one is for change and how to intervene to assist
the individual in making change
-View change as an evolving and cyclical process
+Behavior change is not an event but occurs through stages
What are considerations of TTM?
-decisional balance
-Self-efficacy
-Process of change
Five stages that describe a person's readiness to change
1. Precontemplation -not thinking about changing anytime soon
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