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Behavioral Change
Published in James M. Rippe, Manual of Lifestyle Medicine, 2021
Medical schools have not taught behavior change in the past, and currently behavior change theories and techniques are not a routine part of medical training. The closest information to incorporating behavioral change theories in medicine came when the medical college admission test (MCAT) included a section on psychology which, in turn, provided information on behavioral change.
Introduction
Published in Rajmohan Panda, Manu Raj Mathur, Tobacco Cessation, 2019
Empowering doctors to provide behavioral counseling details for the skills (counseling) needed for tobacco treatment is a challenge. The behavioral change theories (e.g., plans, responses, impulses, motives, evaluations [PRIME]) and techniques12 are a cornerstone of tobacco cessation counseling and the application of these principles to tobacco cessation requires soft skills on motivating tobacco users to quit using tobacco. The traditional curriculum does not train HCPs in soft skills. Therefore, to deliver tobacco treatment optimally, the need to train all health professionals in acquiring the necessary soft skills for motivating people to quit using tobacco is critical and urgent.13
Enhancing the Nutrition Prescription Using Behavioral Approaches
Published in James M. Rippe, Lifestyle Medicine, 2019
Jonas Sokolof, Margaret Loeper Vasquez, Jenny Sunghyun Lee, Daniel B. Clarke, P. Michael Stone
This chapter will cover the key aspect to achieving a successful nutritional prescription: behavior change. Effective nutrition prescription implementation can only occur when patients are motivated to change. Various strategies to achieve optimal motivation will be discussed. Behavioral change theories for the lifestyle medicine practitioner will be discussed. Strategies for incorporating these principles along with effective behavioral counseling techniques within the clinic setting will be reviewed. Since health behavior is dynamic and dependent upon various cultural, social, and community factors, content related to how to integrate these aspects into a behavioral plan to facilitate nutrition goals will be included. Unique to this text will be content in this chapter on practical culinary skills as they are directly related to behavioral change. This will help clinicians guide their patients on real-life hands-on cooking techniques and recipe planning while helping to promote positive behavioral changes.
Physiotherapists’ views on their role in self-management approaches: A qualitative systematic review
Published in Physiotherapy Theory and Practice, 2022
Clare Killingback, Mark Thompson, Sarah Chipperfield, Carol Clark, Jonathan Williams
Self-management has been defined as “an individual’s ability, in conjunction with family, community, and the appropriate healthcare professionals to manage the symptoms, treatment, physical, psychosocial, cultural, and spiritual consequences and inherent lifestyle changes required for living with a chronic disease” (Wilkinson and Whitehead, 2009). It involves consideration of the: medical management of a condition (e.g. taking medication or the use of an inhaler); role management (i.e. involving the maintenance or creation of new meaningful behaviors or roles in life); and emotional management (i.e. dealing with the emotional sequelae of a long-term condition such anger, fear, and frustration) (Corbin and Strauss, 1988; Lorig and Holman, 2003). Interventions to support self-management are predominantly based on behavioral change theories (Lorig et al., 2006) with the intention of helping patients take the lead in managing their own health and wellbeing.
“Sharing Success with Someone”: Building therapeutic alliance in physiotherapist-delivered physical activity coaching for healthy aging
Published in Physiotherapy Theory and Practice, 2022
Abby Haynes, Catherine Sherrington, Elisabeth Ramsay, Catherine Kirkham, Shona Manning, Geraldine Wallbank, Leanne Hassett, Anne Tiedemann
Health coaching is a person-centered practice that utilizes behavioral change theories and techniques to empower people to achieve self-determined goals related to health and wellness (Rethorn and Pettitt, 2019; Wolever et al., 2013). The quality of relationship between coach and client is a crucial success factor in this process, hence the importance of strengthening TAs within health coaching (Gessnitzer and Kauffeld, 2015). There is a growing integration of health coaching principles in physiotherapy and other allied health and nursing practices (Rethorn and Pettitt, 2019). In this paper we focus on physiotherapist-delivered health coaching. Physiotherapists may be ideally placed to deliver health coaching to older people due to their understanding of the interplay between musculoskeletal and other health conditions and physical activity, and their knowledge of safe ways to increase activity levels.
Feasibility and short-term effects of Activity Coach+: a physical activity intervention in hard-to-reach people with a physical disability
Published in Disability and Rehabilitation, 2021
L. A. Krops, J. H. B. Geertzen, H. L. D. Horemans, J. B. J. Bussmann, P. U. Dijkstra, R. Dekker
In our previous study, the Intervention Mapping protocol was used for the systematic development of a new intervention that stimulates PA in hard-to-reach people with a physical disability and that can be applied in a community setting [17]. Intervention Mapping is a widely used, systematic six-step method, for developing health promotion interventions based on behavioural change theories [18]. Based on the health problem and context, a set of behavioural change theories can be selected, as for instance, the Theory of Planned Behaviour and the Social Cognitive Theory [19,20]. Intervention Mapping enables both professionals and people with a physical disability to be actively involved in the development of the intervention, ensuring co-creation. Involving these stakeholders results in an intervention that fits the demands of end-users, and has more potential to structurally implement it into existing health systems [21]. Intervention development resulted in the adaptation of an existing Dutch intervention “Activity Coach” (Dutch: Beweegcoach) into the new intervention “Activity Coach+” (Dutch: Beweegcoach+) [17,22]. The current study aims to assess the feasibility and short-term effects of Activity Coach + in hard-to-reach people with a physical disability by determining its effects on PA behaviour and bio psychosocial health outcomes.